Applying palliative care principles and practice to emergency medicine

Rogers, Ian R. and Lukin, Bill (2015) Applying palliative care principles and practice to emergency medicine. EMA - Emergency Medicine Australasia, 27 6: 612-615. doi:10.1111/1742-6723.12494

Author Rogers, Ian R.
Lukin, Bill
Title Applying palliative care principles and practice to emergency medicine
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6723
Publication date 2015-12
Sub-type Article (original research)
DOI 10.1111/1742-6723.12494
Open Access Status Not Open Access
Volume 27
Issue 6
Start page 612
End page 615
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2016
Language eng
Abstract Only recently has the potential (unmet) palliative care (PC) workload in the ED been recognised. While confident in PC symptom management, we underestimate the role of a palliative approach in non-cancer diagnoses and seek education in areas such as individual patient care pathways, ethical and legal issues and difficult conversations at the end of life. PC is best introduced early for a range of life-limiting cancer and non-cancer diagnoses. Allowing patients time to tell their story with active listening, acknowledgement of suffering and a compassionate presence leads to treatment ‘success’ that is not defined by cure. This patient-centred, rather than disease-centred approach, is the essence of PC, and one that is easily incorporated into emergency practice. PC and disease-specific treatments can comfortably coexist, and with meticulous symptom management, may actually prolong life. PC is everyone's business, and emergency medicine needs to be part of it.
Keyword Dying trajectory
Emergency medicine
End of life
Palliative care
References Author post-print permissible. 12Month Embargo.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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