American College of Emergency Physicians
January 23, 2019
Monthly Literature Review
Research
- Early palliative care intervention (in-person and telephonic components) for heart failure patients from Bakitas group
- Among older adults with dementia, unmet need for pain management was associated with more frequent ED visits in the last month of life.
- Tips to manage acute symptoms in the ED
- Emergency department clinicians can deliver behavioral intervention aimed to increase advance care planning with high fidelity.
- Most older adults undergoing emergency major abdominal surgery have preexisting high illness burden and experience high mortality and healthcare use in the year after surgery, particularly near the end of life.
- In this retrospective chart review of 290 pediatric patients who were already receiving palliative care, 32% visited the ED for various distressful symptoms and only 61% had some documentation of goals of care.
- When physicians attend to emotions and then stop, family-participants have time to express emotions and provide valuable information.
