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Bringing Palliative Care to Emergency Medicine — A Roundtable Discussion in Journal of Palliative Medicine
New Rochelle, NY, September 25, 2012—Palliative care has become increasingly important in emergency medicine as physicians aim to combine treatment of urgent medical conditions with a greater emphasis on pain management—offering more individualized therapeutic options, and improving quality of life. Leading experts explore this rapidly changing field in a Roundtable discussion published in Journal of Palliative Medicine, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers and the Official Journal of the Center to Advance Palliative Care (CAPC). The Roundtable is available free online on the Journal of Palliative Medicine website.
One significant change, for example, has been a shift away from the assumption that every patient brought into the emergency room needs resuscitation or aggressive, life-saving treatment and admission to the hospital. There is a growing understanding among emergency physicians that treatment limitation at the end of life, as part of an advanced care plan, may be an appropriate option.
Moderator Tammie Quest, MD, Director, Emory Palliative Care Center at Emory University School of Medicine, Atlanta, GA, led the distinguished Roundtable panel in a discussion of progress made in integrating the principles and practices of palliative medicine into the emergency room and the special challenges presented by emergency medicine.
Participants in the Roundtable “Palliative Care in Emergency Medicine: Past, Present, and Future” were: Garrett Chan, PhD, Associate Clinical Director, Emergency Department Clinical Decision Unit, Stanford Hospital & Clinics, CA; Arthur Derse, MD, JD, Director, Center for Bioethics and Medical Humanities, Medical College of Wisconsin in Milwaukee; Susan Stone, MD, MPH, Director, Palliative Care and House Calls Program, HealthCare Partners, Los Angeles, CA; Knox Todd, MD, MPH, Department Chair, Department of Emergency Medicine, University of Texas MD Anderson Cancer Center, Houston; and Robert Zalenski, MD, Director, Center to Advance Palliative Care Excellence, Wayne State University, Detroit, MI.
“Every patient with serious illness coming to the Emergency Room has an emergency from their point of view,” says Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine, and Clinical Professor of Medicine, University of California, San Diego. “Bringing palliative medicine into the ER can bring the right expertise to the right patient and family at the right time—yielding the right care and avoiding unnecessary, unwanted, or harmful care that would happen if they were treated like a ‘usual’ ER patient.”
“Every seriously ill hospitalized patient who enters the Emergency Room should have access to palliative care,” says Diane E. Meier, MD, Director of the Center to Advance Palliative Care. “With improvement of the integration of palliative care and emergency medicine we expect to see an enormous positive impact on both patients and their families.”
About the Journal
Journal of Palliative Medicine published monthly in print and online, is an interdisciplinary journal that reports on the clinical, educational, legal, and ethical aspects of care for seriously ill and dying patients. The Journal includes coverage of the latest developments in drug and non-drug treatments for patients with life-threatening diseases including cancer, AIDS, cardiac disease, pulmonary, neurological, and respiratory conditions, and other diseases. The Journal reports on the development of palliative care programs around the United States and the world and on innovations in palliative care education.
About the Publisher
Mary Ann Liebert, Inc. is a privately held, fully integrated media company known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research, including Population Health Management, AIDS Patient Care and STDs, and Briefings in Palliative, Hospice, and Pain Medicine & Management, a weekly e-News Alert. Its biotechnology trade magazine, Genetic Engineering & Biotechnology News (GEN), was the first in its field and is today the industry’s most widely read publication worldwide. A complete list of the firm’s 70 journals, newsmagazines, and books is available on the Mary Ann Liebert, Inc. website.