Caring for Patients at the End of Life

Palliative care and hospice emerged as a specialty in 2008, with the need to better understand the pathophysiology of chronic suffering, major symptoms at the end of life, and evidence-based management of these symptoms. The common symptoms at the end of life are few, and if appropriately identified and treated, 90 percent or more of patients experience a comfortable, dignified, and peaceful death at their place of preference. Although traditional medical education and training is focused on curing the patient, often we are faced with situations where a cure is not possible and a patient will suffer due to the disease itself or complications of treatment. This book discusses understanding disease patterns, progression, prognostication, preferences, and goals of treatment. Other topics covered include hospice philosophy, Medicare guidelines, and structure of services.