RT Book, Section
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
SR Print(0)
ID 1182429103
T1 Palliative Care
T2 Pharmacotherapy: A Pathophysiologic Approach, 11e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260116816
LK accesspharmacy.mhmedical.com/content.aspx?aid=1182429103
RD 2024/04/23
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.