ROLE OF PALLIATIVE CARE IN THE EMERGENCY SERVICE
Keywords:
Emergency medical services; colaboration; palliative care; trainingAbstract
Consultations of palliative care (PC) patients (oncological and non-oncological) to the Emergency Department (ED) occur with a certain frequency, especially when approaching the end of life. The approach of palliative medicine (based on the patient and its quality of life) and the approach of emergency medicine (disease-based) are in apparent divergence; and there are still no established norms on the role of PC in the ED. On the other hand, education in PC to medical students, residents, specialists and general health personnel is scarce. This review discusses the importance of PC in ED, their integration, the approach, the barriers of attention, the benefits and the value of adding PC to academic training.
References
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2. Grudzen, C., Richardson, L., Hopper, S., Ortiz, J., Whang, C. & Morrison, S. (2014). Does Palliative Care Have a Future in the Emergency Department? Discussions With Attending Emergency Physicians. Journal of Pain and Symptom Management, 43(1), 1-9.
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8. Lamba, S., DeSandre, P., Todd, K., Bryant, E., Chan, G., Grudzen, C., Weissman, D., Quest, T. & La Junta de Mejoramiento de los Cuidados Paliativos en Medicina de Emergencia (2014). Integration of palliative care into emergency medicine: the improving palliative care in emergency medicine (IPAL-EM) collaboration. The Journal of Emergency Medicine, 46(2), 264–270.
9. Başol, N., Celtek, N., Alatlı, T., Koc, İ. & Suren, M. (2014). The Evaluation of Terminal Stage Cancer Patients Needing Palliative Care in Emergency Department. JAEM 41.
10. Kraus, C., Greenberg, M., Ray, D. & Morss, S. Palliative Care Education in Emergency Medicine Residency Training: A Survey of Program Directors, Associate Program Directors, and Assistant Program Directors. Journal of Pain and Symptom Management, 51(5), 898-906.
11. Delgado, M., Kim, Y. & Shin, S. (2015). Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care. J Pain Symptom Manage, 49(3), 497-504.
12. Smith, A. K., McCarthy, E. & Weber, E. (2013). Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there. Health Aff (Millwood), 31, 1277–85.
13. Quiñones, A., Alvarez, P., García, M. y Guardia, P. (2013). Influencia de la atención avanzada en cuidados paliativos en la frecuentación de las urgencias hospitalarias. Med Paliat., 20(2), 60-63.
14. Solberg, L. & Hincapie, J. (2015). Palliative Care in the Emergency Department. Crit Care Nurs Clin North Am., 27(3), 355-68.
15. Bryant, E., Quest, T., DeSandre, P., Weissman, D., FACP for the IPAL-EM (Improving Palliative Care in Emergency Medicine) Project. Getting Started: Organizing an ED Palliative Care Initiative A Technical Assistance Monograph from the IPAL-EM Project. Disponible en: http://ipal.capc.org/downloads/ipal-emgetting- started.pdf. Accesado el 26 de diciembre 2016.
16. DeSandre, P., Stone, S., Quest, T., Weissman, D., for the IPALEM (Improving Palliative Care in Emergency Medicine) Project. Four Things to Do in a Week: Integrating Palliative Care Services into the Emergency Department A Technical Assistance Monograph from the IPAL-EM Project. Accesado el 26 de diciembre 2016. Disponible en: http://ipal.capc.org/downloads/ipal-em-four-things-to-doin a-week.pdf.
17. Quest, T., Herr, S., Lamba, S., & Weissman, D. (2013). Demonstrations of clinical initiatives to improve palliative care in the emergency department: a report from the IPAL-EM initiative. Ann Emerg Med, 61, 661–7.
18. George, N., Phillips, E., Zaurova, M., Song, C., Lamba, S. & Grudzen, C. (2016). Palliative Care Screening and Assessment in the Emergency Department: A Systematic Review. Journal of Pain and Symptom Management, 51(1), 108-119e1.
19. Emanuel, L. & Quest, T. (Eds). (2008). The education in palliative and end-oflife care project-emergency medicine trainer’s guide. Northwestern University.
20. Lamba, S., Quest, T. & Weissman, D. (2011). Emergency department management of hospice patients #246. J Palliat Med, 14, 1345–6.
21. Shin, S., Hui, D., Chisholm, G., Kwon, J., San-Miguel, M. & Allo, J. (2014). Characteristics and outcomes of patients admitted to the acute palliative care unit from the emergency center. J Pain Symptom Manage 47, 28–34.
22. Wiese, C., Lassen, C., Bartels, U., Taghavi, M., Elhabash, S., Graf, B. & Hanekop, G. (2013). International recommendations for outpatient palliative care and prehospital palliative emergencies – a prospective questionnaire-based. BMC Palliative Care, 12(10).
23. Iribarren, P., Calvo, C. y Ruiz, E. (2016). Cuidados paliativos en las urgencias extra-hospitalarias: una urgencia formativa. Med Paliat. Recuperada de: http://dx.doi.org/10.1016/j.medipa.2015.11.001
2. Grudzen, C., Richardson, L., Hopper, S., Ortiz, J., Whang, C. & Morrison, S. (2014). Does Palliative Care Have a Future in the Emergency Department? Discussions With Attending Emergency Physicians. Journal of Pain and Symptom Management, 43(1), 1-9.
3. Basol, N. (2015). The Integration of Palliative Care into the Emergency Department. Turk J Emerg Med, 15(2), 100–107.
4. Lowery, D. & Quest, T. (2015). Emergency Medicine and Palliative Care. Clin Geriatr Med., 31(2), 295-303.
5. Shearer, F., Rogers, I., Monterosso, L., Ross-Adjie, G. & Rogers, J. (2014). Understanding emergency department staff needs and perceptions in the provision of palliative care. Emerg Med Australas, 26, 249–55.
6. Turgay, G. & Kav, S. (2012). Turkish healthcare professionals’ views on palliative care. J Palliat Care, 28, 267–73.
7. Greer, J. A., Jackson, V. A., Meier, D. E. & Temel, J. S. (2014). Early integration of palliative care services with standard oncology care for patients with advanced cancer. CA Cancer J Clin, 63, 349–63.
8. Lamba, S., DeSandre, P., Todd, K., Bryant, E., Chan, G., Grudzen, C., Weissman, D., Quest, T. & La Junta de Mejoramiento de los Cuidados Paliativos en Medicina de Emergencia (2014). Integration of palliative care into emergency medicine: the improving palliative care in emergency medicine (IPAL-EM) collaboration. The Journal of Emergency Medicine, 46(2), 264–270.
9. Başol, N., Celtek, N., Alatlı, T., Koc, İ. & Suren, M. (2014). The Evaluation of Terminal Stage Cancer Patients Needing Palliative Care in Emergency Department. JAEM 41.
10. Kraus, C., Greenberg, M., Ray, D. & Morss, S. Palliative Care Education in Emergency Medicine Residency Training: A Survey of Program Directors, Associate Program Directors, and Assistant Program Directors. Journal of Pain and Symptom Management, 51(5), 898-906.
11. Delgado, M., Kim, Y. & Shin, S. (2015). Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care. J Pain Symptom Manage, 49(3), 497-504.
12. Smith, A. K., McCarthy, E. & Weber, E. (2013). Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there. Health Aff (Millwood), 31, 1277–85.
13. Quiñones, A., Alvarez, P., García, M. y Guardia, P. (2013). Influencia de la atención avanzada en cuidados paliativos en la frecuentación de las urgencias hospitalarias. Med Paliat., 20(2), 60-63.
14. Solberg, L. & Hincapie, J. (2015). Palliative Care in the Emergency Department. Crit Care Nurs Clin North Am., 27(3), 355-68.
15. Bryant, E., Quest, T., DeSandre, P., Weissman, D., FACP for the IPAL-EM (Improving Palliative Care in Emergency Medicine) Project. Getting Started: Organizing an ED Palliative Care Initiative A Technical Assistance Monograph from the IPAL-EM Project. Disponible en: http://ipal.capc.org/downloads/ipal-emgetting- started.pdf. Accesado el 26 de diciembre 2016.
16. DeSandre, P., Stone, S., Quest, T., Weissman, D., for the IPALEM (Improving Palliative Care in Emergency Medicine) Project. Four Things to Do in a Week: Integrating Palliative Care Services into the Emergency Department A Technical Assistance Monograph from the IPAL-EM Project. Accesado el 26 de diciembre 2016. Disponible en: http://ipal.capc.org/downloads/ipal-em-four-things-to-doin a-week.pdf.
17. Quest, T., Herr, S., Lamba, S., & Weissman, D. (2013). Demonstrations of clinical initiatives to improve palliative care in the emergency department: a report from the IPAL-EM initiative. Ann Emerg Med, 61, 661–7.
18. George, N., Phillips, E., Zaurova, M., Song, C., Lamba, S. & Grudzen, C. (2016). Palliative Care Screening and Assessment in the Emergency Department: A Systematic Review. Journal of Pain and Symptom Management, 51(1), 108-119e1.
19. Emanuel, L. & Quest, T. (Eds). (2008). The education in palliative and end-oflife care project-emergency medicine trainer’s guide. Northwestern University.
20. Lamba, S., Quest, T. & Weissman, D. (2011). Emergency department management of hospice patients #246. J Palliat Med, 14, 1345–6.
21. Shin, S., Hui, D., Chisholm, G., Kwon, J., San-Miguel, M. & Allo, J. (2014). Characteristics and outcomes of patients admitted to the acute palliative care unit from the emergency center. J Pain Symptom Manage 47, 28–34.
22. Wiese, C., Lassen, C., Bartels, U., Taghavi, M., Elhabash, S., Graf, B. & Hanekop, G. (2013). International recommendations for outpatient palliative care and prehospital palliative emergencies – a prospective questionnaire-based. BMC Palliative Care, 12(10).
23. Iribarren, P., Calvo, C. y Ruiz, E. (2016). Cuidados paliativos en las urgencias extra-hospitalarias: una urgencia formativa. Med Paliat. Recuperada de: http://dx.doi.org/10.1016/j.medipa.2015.11.001
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Published
2020-11-12
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Literature review
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How to Cite
ROLE OF PALLIATIVE CARE IN THE EMERGENCY SERVICE. (2020). Medicina Legal De Costa Rica, 34(1). https://www.binasss.sa.cr/ojssalud/index.php/mlcr/article/view/41
