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CAPC Palliative Care Discussion Forum
Palliative Care and Emergency Medicine
Developing PC in an EDAuthor: Shona
Date: Jul 5, 2007 10:59 pm
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Here at VCU we take similar approach in the ED as we do in any other location in the hospital. We do in-service trainings and education in the ED at least annually. Our consults are mostly limited to 8-6 M-F. The ED can admit directly into our PC Unit 24-7 with approval of the PC attending on call. We don't have any trigger criteria for consult or direct admission. We've been building steadily on positive experiences for several years.
"Fast Response is Key to Partnering with the Emergency Department
Diane E. Meier, Larry Beresford
Journal of Palliative Medicine. 2007, 10(3): 641-645."
jeriburn@netzero.com
Here is the EPEC EM profile and contact information:
EPEC EM
Please contact the EPEC Project at 312-503-EPEC or conferences@epec.net regarding group conference registrations.
As a member of the medical profession, you are committed to the life-long teaching of and learning from your colleagues. The Education in Palliative and End-of-life Care (EPEC&trade) Project invites you to learn from our newest curriculum, adapted by leaders in and for all members of the emergency medicine community.
This conference is designed to provide two days of intense, interactive learning and to develop an environment of support for emergency medical teams that extends beyond the conference itself. Participants will receive both CE credit and EPEC-EM Trainer certification upon completion of the conference.
Conference Objectives:
• Describe the gaps, elements, and models of end-of-life care in the emergency setting, as well as related legal issues.
• Explain the principles of rapid patient assessment and recognizing common symptoms of malignant and non-malignant pain, including dyspnea, nausea/vomiting, constipation, depression, anxiety, and delirium.
• Describe strategies to address requests for sudden illness, death trajectory, and withholding/withdrawing treatment.
• Describe strategies to successfully implement family witnessed resuscitation.
• Describe methods for death disclosure and care of the family and team in the pediatric resuscitation.
• Identify approaches to rapid communication, effective decision-making about goals of care, and advance directives in the ED.
Sharol Herr, RN, MSEd; Nurse Clinician/Education Coordinator; Mt. Carmel Health Palliative Care Leadership Center; Columbus, Ohio.