By the end of postgraduate training, using a patient-centred approach and appropriate selectivity, a resident, considering the patient’s cultural and gender contexts, will be able to...
Key Feature 3b: In patients approaching the end of life: Attempt to address the issues identified as important to the patient.
Skill: Patient Centered, Clinical Reasoning
In a recent post I reviewed the domains (physical, emotional, social, and spiritual) from which concerns arise in patients who are approaching end of life. In this post I will provide an overview of the management of some of the more common issues that arise out of these domains in the patient receiving palliative care. There are many potential options to treat these common problems, but here I will list some preferred first-line choices.
Assessing and treating each symptom that arises is important in its own right. It's also important to have a sense of the global health status of each patient in allowing for conversations that guide care moving forward. The Palliative Performance Scale (PPS) is a tool used by many palliative care physicians to anticipate and communicate with the care team to be able to optimize palliative care for the whole person.