Navigation Links
Beyond the terminal: Palliative care
Date:4/15/2008

Palliative care was once reserved for patients when all curative options had been exhausted and death was imminent, but now it is considered an integral part of the care that should be available to patients with serious respiratory disorders and critical illnesses.

The American Thoracic Society (ATS) has published an official clinical policy statement to serve as a guideline for clinicians and other healthcare professionals who provide such care in the April 15 issue of the American Journal of Respiratory and Critical Medicine.

These guidelines represent an important milestone for pulmonary and critical care specialists and others whose patients suffer from serious respiratory diseases or critical illnesses. In the past 15 years, palliative care has emerged from near obscurity to become a board-certified medical specialty for physicians and a prominent part of contemporary healthcare for all providers and their patients.

"This is the first statement from the society on this topic. It's comprehensive and covers palliative care for children and adults, as well as for patients with pulmonary disorders or critical illnesses," said Paul N. Lanken, M.D., professor of medicine and medical ethics at the Hospital of the University of Pennsylvania and co-chair of the ATS task force that wrote the statement. "It recognizes palliative care as an important part of what doctors, nurses and other healthcare professionals should be doing."

The statement also puts forth a number of tenets designed to serve as long-standing guides and values to providing palliative care. "We tried to focus not on prescriptive details that can be quickly outdated, but rather on overarching principles that can be applied regardless of advances in medical technology," said Peter B. Terry, M.D., professor of medicine at Johns Hopkins University and co-chair of the task force. "We augmented those principles by including citations to websites that we expect to be revised and updated much more quickly and frequently than can ATS statements."

Defining palliative care as an integral part of the treatment of seriously ill patients, the statement promotes:

  • Individualized care that is patient- and family-focused;
  • Integrated care that is offered when suffering begins, and should continue even after the patient's death with the psychological, spiritual and practical support of his or her bereaved caretakers;
  • Comprehensive symptom management to control shortness of breath, pain and other physical complications as well as the psychological challenges related to illness or dying; and
  • Professional competence and development of specific skills for healthcare providers who are involved in palliative care, especially the ability to communicate compassionately and effectively in order to help patients and/or family members make decisions about their care by determining treatment goals, developing appropriate strategies in line with those goals and preparing advance directives.

The statement also provides practical information for clinicians, such as when to consider referral to hospice care and how to withdraw mechanical ventilation.

Finally, the statement emphasizes the need for training, education and research. "We hope that the statement will spur more and better palliative care curricula in schools and hospitals to help develop or enhance those skills in interested physicians," says Dr. Terry.


'/>"/>

Contact: Keely Savoie
ksavoie@thoracic.org
212-315-8620
American Thoracic Society
Source:Eurekalert

Related medicine news :

1. BioElectronics CEO Andrew Whelan: Positioning the Company for Growth During 2008 and Beyond
2. VisionFirst to Create Birminghams Next Reality Star with Beyond the Big E Contest
3. mtvU & The Jed Foundation Go Beyond March Madness, Spring Break & 5th Anniversary of Iraq War, Dedicating March Programming to College Students Mental Health
4. During National Nutrition Month and Beyond, Find the Facts on Nutrition by Focusing on the Science
5. Prime Your Immune System During the Peak of Cold Season and Beyond
6. Beyond Vanity: New Treatment Brings Relief to Women After Years of Silent Suffering
7. Moving beyond tamoxifen: Drug discovery and the future of selective hormone receptor modulators
8. Legislative and Regulatory Outlook - 2009 and Beyond for Pharma, Biotech Players
9. Michigan Kidney Patient Goes Above and Beyond to Help His Community - Awarded National DPC Hero Award
10. Fourth Annual James E. Marshall OCD Foundation Beyond Beauty Dinner to Honor E. Scott Beattie, Chairman and CEO, Elizabeth Arden, Inc. and Charles H. Townsend, President and CEO, Conde Nast Publications
11. Ashley Forms Partnership With Roger Burgess and ProCare Rx to Carry Gotham Banner into 2008 and Beyond
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal trainer is ... a fitness app. The fitness app plans to fix the two major problems leading the ... one size fits all type program , They don’t eliminate all the reasons ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the ... several important health care topics including advance care planning, healthcare costs and patient ...
(Date:6/25/2016)... ... ... temporary closing of Bruton Memorial Library on June 21 due to a possible lice infestation, ... aspect of head lice: the parasite’s ability to live away from a human host, and ... necessary one in the event that lice have simply gotten out of control. , As ...
(Date:6/25/2016)... ... 25, 2016 , ... First Choice Emergency Room , the largest network ... the Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased ... location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/25/2016)... , ... June 25, 2016 , ... ... and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a ... area —Johnson is one of the first doctors to perform the treatment. Orthobiologics ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that ... PCT (procalcitonin) assay as a dedicated testing solution for ... clearance, Roche is the first IVD company in the ... risk assessment and management. PCT is a ... in blood can aid clinicians in assessing the risk ...
(Date:6/23/2016)... , June 23, 2016 Research and ... News Issue 52" report to their offering. ... influenza treatment creates a favourable commercial environment for MedImmune to ... patient base that will serve to drive considerable growth for ... would serve to cap sales considerably, but development is still ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, ... a Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, ... winners, announced today online at www.diabetesscholars.org by ... 1 diabetes stand in the way of academic and ... the Foundation,s scholarship program since 2012, and continues to ...
Breaking Medicine Technology: