Andrew E. Esch, MD, MBA
Andrew Esch is a palliative care specialist focusing on improving the quality of life for patients and families living with serious illness. He earned his medical degree from the University of Buffalo, where he also earned a combined bachelor of science and master of business administration degree. Before becoming the vice president of education at the Center to Advance Palliative Care (CAPC), Dr. Esch was a CAPC consultant and faculty member. Prior to joining CAPC, Dr. Esch was medical director of palliative care at the Lee Memorial Health System in Fort Myers, Florida. During his time there he was recognized with the prestigious Phoenix Award for his work with people living with cancer. Dr. Esch speaks nationally on palliative care education and growth and sustainability of palliative care programs.
From the Blog
How to Reduce Risk for Older Adults with Age-Friendly Care
Breaking down five myths that may come into play for geriatric patients, and how clinicians can refocus on the realities for the best possible care.
Defining palliative care, which patients need it, how it is delivered, and how palliative care differs from hospice.
Conducting a comprehensive pain assessment to guide safe and effective treatment.
Selecting a safe and appropriate analgesic for patients with serious illness based on the pain assessment.
Patient and family factors that influence prescribing decisions for patients with serious illness.
Integrating routine risk assessment for substance use disorder when considering or using opioid therapy.
Designing a safe and effective opioid trial for the patient with serious illness.
Safe and appropriate opioid prescribing for the opioid-naive patient with serious illness.
Four indications for using short-acting opioids.
Ongoing evaluation of opioid benefits, risks, and side effects for the patient with serious illness.
Guidance on safe conversion to long-acting opioids for patients with serious illness.
Prescribing practice for long half-life opioids, converting from one opioid to another, and accounting for incomplete cross-tolerance.
Changing the route of opioid delivery, rotating opioids, advanced opioid conversions, and tapering opioids.
Safe opioid prescribing in older adults, cognitively impaired patients, children, and the imminently dying, including patient-controlled analgesia.
Pain management for patients with serious illness and high risk for substance use disorder, including risk assessment, monitoring, and when to refer for safe pain management.
Safe opioid prescribing for patients with serious illness, using the Federation of State Medical Boards (FSMB) Guidelines for the Chronic Use of Opioid Analgesics.
Take this online course to learn evidence-based strategies to identify and treat anxiety in patients with a serious illness.
Constipation occurs in at least 70% of patients living with a serious illness and often goes unrecognized. Take this online course to learn critical skills to identify and manage the impact of constipation.
This online course teaches how to accurately identify and treat depression in patients living with a serious illness.
Take this online course to learn how to manage dyspnea, including the physical causes of shortness of breath and the emotional impact on the patient.
Nausea and vomiting are common symptoms of serious illness, and can cause dangerous complications. Take this online course to learn practical skills to identify, manage, and reduce these symptoms.
Online course for assessing and addressing sources of suffering for people living with chronic obstructive pulmonary disease (COPD), and their caregivers.
Online course for identifying and addressing the sources of suffering for patients and families living with dementia.
Online course with interventions to reduce suffering along the disease trajectory for people living with congestive heart failure (CHF), and their families.
Guidance for collaborating with treating providers to ensure that members who would benefit receive palliative care.
Communication and assessment techniques for case managers to elicit goals of care and address suffering for people with serious illness.
The role of the direct care worker in observing and reporting suffering in patients with serious illness.
This course provides context and best practices for identifying older adults at risk for poor outcomes, including falls, delirium, and caregiving challenges.