#38: Hospice and palliative care: How to manage end of life symptoms
Published May 8, 2017
63 min
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    Recognize and manage end of life symptoms with competence and confidence. In this extensive discussion with Dr. Brooke Worster, Assistant Professor of Medicine at Sydney Kimmel Medical College and Medical Director, of the Palliative Care Service at Thomas Jefferson University Hospitals we discuss scripts for having difficult conversations, managing patient/family expectations, what comes in the hospice “E” kit, terminal delirium, the “death rattle”, air hunger, and more.

    Full show notes available at http://thecurbsiders.com

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    Time Stamps

    00:00 Intro

    03:10 Rapid fire questions

    08:33 Defining hospice and palliative care

    11:28 Case discussion

    21:28 Gunderson, MI and Respecting Choices

    24:25 How to counsel patients about home hospice?

    37:10 Hospice “E” kit and how to use it

    42:09 Air hunger, terminal delirium, death rattle, and Cheyne Stokes breathing

    52:48 What is the PCM’s role while patient is on hospice?

    58:19 Cancer survivorship and palliative care

    60:33 Take home points

    62:20 Outro

    Tags: assistant, care, doctor, end, education, family, foam, foamed, health, hospice, hospitalist, hospital, internal, internist, life, nurse, medicine, medical, palliative, physician, practitioner, primary, resident, student, symptom

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