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Related Experiment Videos

Consultation in palliative medicine

D E Weissman1

  • 1Department of Medicine, Medical College of Wisconsin, Milwaukee, USA. dweissmn@hemonc.mcw.edu

Archives of Internal Medicine
|April 14, 1997
PubMed
Summary

Palliative medicine consultations in the US address physical, psychological, and spiritual needs. These consultations also assess patient support systems, prognosis, and discharge planning for comprehensive end-of-life care.

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Area of Science:

  • Palliative Medicine
  • End-of-Life Care
  • Medical Consultation

Background:

  • Palliative medicine is an emerging discipline in the US, inspired by international models.
  • Academic medical centers are establishing palliative medicine programs, including inpatient consultation services.

Purpose of the Study:

  • To describe the essential components of a palliative medicine consultation.
  • To outline a framework for effective end-of-life care consultations.

Main Methods:

  • The study is based on the author's experience with over 600 patient encounters.
  • A descriptive approach is used to outline consultation components.

Main Results:

  • A palliative medicine consultation encompasses six key features:
Keywords:
Death and EuthanasiaMedical College of WisconsinProfessional Patient Relationship

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  • 1. Assessment and management of physical symptoms.
  • 2. Assisting patients in identifying end-of-life care goals.
  • 3. Assessment and management of psychological and spiritual needs.
  • 4. Assessment of the patient's support system.
  • 5. Assessment and communication of estimated prognosis.
  • 6. Assessment of discharge planning issues.

    • Conclusions:

    • Effective palliative medicine consultations require a comprehensive, multidimensional approach.
    • These consultations are crucial for improving end-of-life care and patient support.