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Palliative Care in the Emergency Department 

Palliative Care in the Emergency Department
Chapter:
Palliative Care in the Emergency Department
Author(s):

Angela Starkweather

DOI:
10.1093/med/9780190204747.003.0006
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date: 22 October 2019

The emergency department often serves as a port of entry to palliative care services for patients with chronic life-limiting disease(s), individuals with complex symptoms and/or care coordination as well as people at the end-of-life. This chapter outlines the role of the palliative advanced practice registered nurse in the emergency department and highlights the integration of palliative care in the emergency department setting as well as common barriers to implementation. Various models that may be used are described along with strategies to operationalize the provision of palliative care to patients in the emergency department. Methods to identify patients at greatest need for palliative care and the evaluation of palliative care services are discussed. Guidelines for death notification by telephone is offered. . This chapter’s case study demonstrates the important role of the palliative care advanced practice registered nurse in the emergency department, as well as approaches that positively influence patient and family interactions with the healthcare team and directly contribute to quality palliative care outcomes.

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