Palliative Care and End-of-Life Considerations for the Frail Patient.

Abstract:

:Patients with frailty experience substantial physical and emotional distress related to their condition and face increased morbidity and mortality compared with their nonfrail peers. Palliative care is an interdisciplinary medical specialty focused on improving quality of life for patients with serious illness, including those with frailty, throughout their disease course. Anesthesiology providers will frequently encounter frail patients in the perioperative period and in the intensive care unit (ICU) and can contribute to improving the quality of life for these patients through the provision of palliative care. We highlight the opportunities to incorporate primary palliative care, including basic symptom management and straightforward goals-of-care discussions, provided by the primary clinicians, and when necessary, timely consultation by a specialty palliative care team to assist with complex symptom management and goals-of-care discussions in the face of team and/or family conflict. In this review, we apply the principles of palliative care to patients with frailty and synthesize the evidence regarding methods to integrate palliative care into the perioperative and ICU settings.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Crooms RC,Gelfman LP

doi

10.1213/ANE.0000000000004763

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

1504-1515

issue

6

eissn

0003-2999

issn

1526-7598

pii

00000539-202006000-00009

journal_volume

130

pub_type

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