急诊科
医学
缓和医疗
电话
苦恼
普通合伙企业
医疗急救
护理部
家庭医学
临床心理学
语言学
哲学
财务
经济
作者
Kei Ouchi,Emily L. Aaronson,Kirsten G. Engel,David Wang,Corita Grudzen
标识
DOI:10.1089/jpm.2023.0371
摘要
When advance care plans are not communicated or goals are in conflict, significant family and clinician distress may result. The distress is especially high when potentially nongoal concordant care is expected by surrogates in the emergency department (ED). To demonstrate the effect of off-hour, phone consultations by palliative care clinicians in reducing the family and clinician distress when nongoal concordant care is expected in the ED. A partnership between palliative care and emergency medicine can decrease the burden of decision making and provide opportunities for modeling a goals-of-care discussion by experts in this important procedure.
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