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J Emerg Med. 2014 Feb;46(2):264-70. doi: 10.1016/j.jemermed.2013.08.087. Epub 2013 Nov 25.

Integration of palliative care into emergency medicine: the Improving Palliative Care in Emergency Medicine (IPAL-EM) collaboration.

Author information

1
Department of Emergency Medicine, Rutgers-New Jersey Medical School, Newark, New Jersey.
2
Department of Veteran's Affairs, Atlanta, Georgia; Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
3
Department of Emergency Medicine, MD Anderson Cancer Center, University of Texas, Houston, Texas.
4
The Institute for Palliative Medicine at San Diego Hospice, San Diego, California.
5
Department of Physiological Nursing, University of California, San Francisco, San Francisco, California; Emergency Department Clinical Decision Unit and Palliative Care Service, Stanford Hospital & Clinics, Stanford, California.
6
Department of Emergency Medicine, Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
7
Medical College of Wisconsin Palliative Care Center, Medical College of Wisconsin, Milwaukee, Wisconsin.

Abstract

BACKGROUND:

Emergency department (ED) providers commonly care for seriously ill patients who suffer from advanced, chronic, life-limiting illnesses in addition to those that are acutely ill or injured. Both the chronically ill and those who present in extremis may benefit from application of palliative care principles.

CASE REPORT:

We present a case highlighting the opportunities and need for better integration of emergency medicine and palliative care.

DISCUSSION:

We offer practical guidelines to the ED faculty/administrators who seek to enhance the quality of patient care in their own unique ED setting by starting an initiative that better integrates palliative principles into daily practice. Specifically, we outline four things to do to jumpstart this collaborative effort.

CONCLUSION:

The Improving Palliative Care in Emergency Medicine project sponsored by the Center to Advance Palliative Care is a resource that assists ED health care providers with the process and structure needed to integrate palliative care into the ED setting.

KEYWORDS:

collaboration; emergency department; emergency medicine; integration; palliative care

PMID:
24286714
DOI:
10.1016/j.jemermed.2013.08.087
[Indexed for MEDLINE]

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