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Emergencies in palliative care

A M Smith1

  • 1St Christopher's Hospice, Sydenham, London, UK.

Annals of the Academy of Medicine, Singapore
|March 1, 1994
PubMed
Summary
This summary is machine-generated.

This article details managing medical emergencies in palliative care, including symptom exacerbations and the unique family emergency of death. It emphasizes a holistic approach to patient and family well-being.

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Area of Science:

  • Palliative Care Medicine
  • Emergency Medicine
  • Oncology

Background:

  • Palliative care addresses severe, progressive, fatal conditions.
  • Patients often experience acute medical emergencies and symptom exacerbations.
  • The end of life, even when expected, can present as a family emergency.

Purpose of the Study:

  • To outline the incidence, causes, and management of common palliative care emergencies.
  • To discuss treatments for sudden severe symptom exacerbations.
  • To address the 'family emergency' of death in terminally ill patients.

Main Methods:

  • Review of common palliative care emergencies: hemorrhage, convulsions, fractures, spinal cord compression, acute confusion.
  • Discussion of management strategies for symptom exacerbations (pain, breathlessness).

Related Experiment Videos

  • Focus on a core set of medications for emergency treatment.
  • Main Results:

    • Identified five key medical emergencies and symptom exacerbations requiring prompt intervention.
    • Presented a concise pharmacopeia for managing these critical events.
    • Highlighted the importance of communication, team involvement, and family support during emergencies.

    Conclusions:

    • Effective management of palliative care emergencies requires a focused medical approach and a supportive team.
    • Addressing patient comfort, family needs, and clear communication is crucial for all emergency events.
    • Recognizing and managing the 'family emergency' of death is an integral part of palliative care.