Palliative Care - Navy Medicine

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Case 1 Response Appetite / hunger are lost close to death Risk of increasing pulmonary secretions or causing pulmonary edema No compelling evidence that dehydration or forgoing nutrition in the dying patient leads to significant suffering Quill, JAMA, 1997.
Case 2 89 M with ESRD, respiratory failure, & sepsis. Wife selects comfort care. Fluids, labs, rads, feeds are stopped. Nurse asks, “Is it is ok to turn off the monitors?”
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: Case 1 89 M with ESRD, respiratory
Page 11 and 12: Case 3 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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