Abstract：
:Management of chronic diseases is often palliative by definition. Empowering primary care providers to manage symptoms and effectively prognosticate is necessary for this challenging population. In this article, the authors focus specifically on end-stage congestive heart failure, chronic obstructive pulmonary disease, end-stage kidney disease, and end-stage liver disease and how palliative principles can guide decision making and symptom management in these disease states. Special considerations in advance care planning, initiation and cessation of advanced therapies, and discussions on when to initiate hospice are included in this article.
journal_name
Prim Carejournal_title
Primary careauthors
Mechler K,Liantonio Jdoi
10.1016/j.pop.2019.05.008subject
Has Abstractpub_date
2019-09-01 00:00:00pages
415-432issue
3eissn
0095-4543issn
1558-299Xpii
S0095-4543(19)30036-3journal_volume
46pub_type
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