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Dealing with Death & Dying
in Medical Education and Practice
© 2001 Kirsti A. Dyer, MD, MS Email:griefdoc@kirstimd.com
AMSA Convention March 30, 2001
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Clinical Indications
for Discussing End-of-Life Care
Urgent Indications
• Patients facing imminent
death
• Patients talk about wanting to
die
• Patients or Families inquiries
about hospice or palliative care
• Patient recently hospitalized for
severe progressive illness
• Patient suffering out of proportion
to prognosis
Routine Indications
• Discussing Prognosis
• Discussing treatment with low probability
of success
• Discussing hopes and fears
• Physician would not be surprised
if the patient died in the next 6-12 months.
Source
Quill TE. Initiating End-of-Life Discussions
With Seriously Ill Patients: Addressing the "Elephant in the Room." JAMA
2000;284:2502-2507. |
Compilation of resources for this presentation
© 2001 Kirsti A. Dyer, MD, MS. Journey of Hearts, www.journeyofhearts.org
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