Palliative Care - Navy Medicine

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Problem Medical education dedicated to saving life yet little attention directed at end of life Is comfort care in the ICU a ‘procedure?’
Case 1 89 M with ESRD, respiratory failure, & sepsis. Wife selects comfort care. Fluids, labs, rads, and feeds are stopped. Daughter arrives from NY. Very angry about no feeding. “Starving him! Barbaric!” What do you tell her?
Page 1 and 2: End of Life Care in the ICU C.M. St
Page 3 and 4: Outline (Sobering) epidemiology Def
Page 5: Comfort care: Definition - Care wit
Page 9 and 10: 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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