#38: Hospice and palliative care: How to manage end of life symptoms

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 Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at [email protected]. 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