Palliative Care - Navy Medicine

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Case 2 Response Monitoring does NOT provide any additional comfort to the patient Can assess distress using physical exam and observation Family members may focus on monitor instead of the patient
Case 3 89 M with ESRD, respiratory failure, & sepsis. Wife selects comfort care and extubation. Nurse predicts that patient will have significant respiratory distress and suggests a dose of paralytic. What is your response?
Page 1 and 2: End of Life Care in the ICU C.M. St
Page 3 and 4: Outline (Sobering) epidemiology Def
Page 5 and 6: Comfort care: Definition - Care wit
Page 7 and 8: Case 1 89 M with ESRD, respiratory
Page 9: Case 2 89 M with ESRD, respiratory
Page 17 and 18: What meds may be helpful? Narcotics
Page 19 and 20: How much do I give? Retrospective r
Page 21 and 22: Doctrine of Double Effect “It is
Page 25 and 26: Debatable Case 6 Response Probably
Page 27 and 28: Case 7 Response 25% imminently dyin
Page 29 and 30: Process Create committee with stake
Page 31 and 32: 4 basic sections NMCSD Protocol - G

Palliative Care - Navy Medicine

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