Originally posted on NJEmergencyDocs:
You have probably heard the term “palliative medicine” a lot lately. At least I hope you have! But what does this type of medicine have to do with the Emergency Department? Let’s start with some basic questions…How often do you ask yourself : Why am I doing this tube/line/CPR/futile procedure on the poor person who will not get any benefit, and most likely get worse?” How many patients do you see per week that you do a full work-up and management that you would NOT be surprised if they died within the next 6 months? How often are you coding a patient that has obviously been declining for a while with a chronic/terminal condition such as CHF/COPD/dementia and the family…