Addressing end-of-life care in the chronically ill: Conversations in the emergency department
Baker, Eileen F
Knowles, Heidi C
Clayborne, Elizabeth P
Goett, Rebecca R
JournalJournal of the American College of Emergency Physicians Open
MetadataShow full item record
AbstractPatients present to the emergency department in various stages of chronic illness. Advance directives (ADs) aid emergency physicians in making treatment decisions, but only a minority of Americans have completed an AD, and the percentage of those who have discussed their end-of-life wishes may be even lower. This article addresses the use of common ADs and roadblocks to their use from the perspectives of families, patients, and physicians. Cases to examine new approaches to optimizing end-of-life conversations in patients who are chronically ill, such as the Improving Palliative Care in Emergency Medicine Project, a decision-making framework that opens discussion for patients to gain understanding and determine preferences, and the Brief Negotiated Interview, a 7-minute, scripted, motivational interview that determines willingness for behavior change and initiates care planning, are used.
Rights/Terms© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.
brief negotiated interview
do not resuscitate orders
durable power of attorney
improving palliative care in emergency medicine project
physician orders for life‐sustaining treatment
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/16845
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