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Palliative Care and the ED

Next Reply: Re:Upcoming Trauma talk
Previous Message: Developing PC in an ED

Post Upcoming Trauma talk
Author: REButin
Date: Dec 13, 2007 2:53 pm
I'm an internist scheduled to give Grand Rounds to the hospital trauma conference about Palliative Care in the Trauma patient. Any ideas for articles or specific topics to cover?

I plan to discuss:
End of Life issues such as Out of Hospital DNR, surrogacy in decision making, communication issues, role of PallCare in the hospital.

What else might these trauma types, God love them, want to hear about?
Replies: order by [Date] [Author] [Subject]
+ Re:Upcoming Trauma talk (by Arkavd on 12/13/2007)
This whole idea of palliative care and trauma is an interesting topic. I am currently working in perinatel/neonatel palliative care. I have been thinking about how sudden loss or sudden acute medical situations create a very different dynamic for support. At this time, I am reviewing the trauma literature for applications in perinatel/neonatel palliative care. However, one thing does come to mind. I think one of the roles of palliative care is to help normalize the crazy process that our patients are experiencing as they try to cope and make decisions. We do this by affirming their feelings, and helping them know what to expect. We project stregnth and reliability that will help them as they try and negotiate raging waters. We help them negotiate a very strange and intense setting. We discover what is important to the patient and the family, we try and bring their life into the room. Just some rambling thoughts.
+ Re:Upcoming Trauma talk (by Deb on 12/13/2007)
Many pt's are approp for palliative care input from pain and symptom management to decision-making and options to withdrawal of support discussions. My trauma nursing experience helps me to help families look at the "big picture" and future needs, such as the severely brain injured pt. I participate in many family conferences and assist with decision-making.

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