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Clin Geriatr Med. 2015 May;31(2):207-18. doi: 10.1016/j.cger.2015.01.001. Epub 2015 Feb 18.

Interaction of palliative care and primary care.

Author information

1
Pain and Palliative Care Service, 10 Center Drive, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA.
2
Division of General Internal Medicine, Program in Palliative Care, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Blalock 359, Baltimore, MD 21287, USA; University of Cambridge School of Clinical Medicine, Forvie Site, Robinson Way, Cambridge CB2 0SR, UK.
3
Pain and Palliative Care Service, 10 Center Drive, Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA. Electronic address: mok-chung.cheng@nih.gov.

Abstract

Primary care physicians are often the first medical providers patients seek out, and are in an excellent position to provide primary palliative care. Primary palliative care encompasses basic skills including basic evaluation and management of symptoms and discussions about goals of care and advance care planning. Specialty palliative care consultation complements primary care by assisting with complex psychosocial-spiritual patient and family situations. This article reviews primary palliative care skill sets and criteria for when to consider referring patients to specialty palliative care and hospice services.

KEYWORDS:

Primary palliative care; Referral; Specialty palliative care

PMID:
25920056
DOI:
10.1016/j.cger.2015.01.001
[Indexed for MEDLINE]

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