TY - CHAP M1 - Book, Section TI - Palliative Care A1 - Bemben, Nina M. A1 - McPherson, Mary Lynn A2 - DiPiro, Joseph T. A2 - Yee, Gary C. A2 - Posey, L. Michael A2 - Haines, Stuart T. A2 - Nolin, Thomas D. A2 - Ellingrod, Vicki PY - 2020 T2 - Pharmacotherapy: A Pathophysiologic Approach, 11e AB - KEY CONCEPTS Palliative care may be provided to any patient with a serious illness, at any point in the course of the illness, including while a patient receives curative or disease-focused therapy. Hospice is a form of palliative care, which has been defined by Medicare to encompass care solely focused on comfort and quality of life during the last 6 months of a patient’s life. Pain is a common symptom among patients receiving palliative care and may be managed safely and effectively using nonopioid, adjuvant, and/or opioid therapies. Opioids are the drug of choice for the management of dyspnea. Constipation, nausea, vomiting, anxiety, and delirium are common symptoms among patients receiving palliative care and may be managed effectively with drug and nondrug therapies. End-of-life care can be provided to patients in the last days of their lives through palliative or hospice care, and provides management of common terminal symptoms. Identifying a patient’s goals and structuring care to achieve those goals is a key component of palliative care. Identifying a patient’s goals of care involves communication with patients, their families and/or caregivers, as well as other healthcare professionals. Addressing nonphysical needs, such as spirituality and faith, are key components of providing quality palliative care. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1182429103 ER -