Chad L Ahia1, Christopher M Blais2. 1. The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA. 2. The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA ; Section of Palliative Medicine, Department of Pulmonary and Critical Care Medicine, and Department of Infectious Disease, Ochsner Clinic Foundation, New Orleans, LA.
Abstract
BACKGROUND: Primary palliative care consists of the palliative care competencies required of all primary care clinicians. Included in these competencies is the ability to assist patients and their families in establishing appropriate goals of care. Goals of care help patients and their families understand the patient's illness and its trajectory and facilitate medical care decisions consistent with the patient's values and goals. General internists and family medicine physicians in primary care are central to getting patients to articulate their goals of care and to have these documented in the medical record. CASE REPORT: Here we present the case of a 71-year-old male patient with chronic obstructive pulmonary disorder, congestive heart failure, and newly diagnosed Alzheimer dementia to model pertinent end-of-life care communication and discuss practical tips on how to incorporate it into practice. CONCLUSION: General internists and family medicine practitioners in primary care are central to eliciting patients' goals of care and achieving optimal end-of-life outcomes for their patients.
BACKGROUND: Primary palliative care consists of the palliative care competencies required of all primary care clinicians. Included in these competencies is the ability to assist patients and their families in establishing appropriate goals of care. Goals of care help patients and their families understand the patient's illness and its trajectory and facilitate medical care decisions consistent with the patient's values and goals. General internists and family medicine physicians in primary care are central to getting patients to articulate their goals of care and to have these documented in the medical record. CASE REPORT: Here we present the case of a 71-year-old male patient with chronic obstructive pulmonary disorder, congestive heart failure, and newly diagnosed Alzheimer dementia to model pertinent end-of-life care communication and discuss practical tips on how to incorporate it into practice. CONCLUSION: General internists and family medicine practitioners in primary care are central to eliciting patients' goals of care and achieving optimal end-of-life outcomes for their patients.
Entities:
Keywords:
Advance care planning; advance directives; palliative care; patient care planning; primary care physicians
Authors: Ayla Pelleg; Emily Chai; R Sean Morrison; Diane W Farquhar; Keisha Berglund; Laura P Gelfman Journal: J Palliat Med Date: 2021-06-30 Impact factor: 2.947
Authors: Charlotte Scheerens; Luc Deliens; Simon Van Belle; Guy Joos; Peter Pype; Kenneth Chambaere Journal: NPJ Prim Care Respir Med Date: 2018-06-20 Impact factor: 2.871