Today’s Agenda 9:45-10:00 Introduction

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Presentation transcript:

PCM3 2019-20 End of Life Session 1

Today’s Agenda 9:45-10:00 Introduction Theresa Kristopaitis, MD 10:00-10:50 Caring for Seriously Ill and Dying Patients– Key Principles for all Physicians Theresa Kristopaitis, MD, Joyce Despe, APN 11-12:00pm Delivering Serious News Kelly Henry, MD 12:10-12:50 Pain and Other Symptom Management

EOL Session 2 – December 4, 2019 Palliative Care and Hospice End of Life Ethics Developing a Care Plan for a Dying Patient

Assessment TCM3 multiple choice exam- June 2020 Third year End of Life Clinical Skills Exercise ~April 2020 Pain Assessment Discuss Advance Directives Discuss Hospice Deliver Difficult News

Physician’s Responsibilities Caring for Patients with Life Limiting Illness & Dying Patients

A 57-year old man is diagnosed with widely metastatic pancreatic adenocarcinoma A 33-year old woman suffers multiple severe life-threatening injuries, including severe head injury, in an MVA. An 81 year old man with systolic heart failure (LVEF 45%), severe aortic stenosis, COPD, diabetes mellitus type 2, and mild dementia falls and sustains a complex pelvic fracture; the medical and orthopedics teams are discussing nonoperative vs operative management with the patient and his family An 11-year old with metastatic rhabdomyosarcoma has disease progression while on treatment A 27-year old man is declared brain dead after a skiing accident A 56-year old woman with advanced heart failure and multiple other medical problems is being evaluated for destination LVAD An 85-year old woman with severe dementia is hospitalized with aspiration pneumonia A 14-year old is shot while walking into his home and is moribound when paramedics arrive at the scene A 66-year old man with metastatic lung cancer is visited in his home by the hospice chaplain A 56-year old woman is hospitalized x 4 weeks with severe pancreatitis and has progressive ongoing multi-organ system failure A 33- year old woman is diagnosed with glioblastoma multiforme A 74-year old man has progressive ALS A full-term infant is still-born

We all live differently We all die differently

Are “we” good at taking care of seriously ill and dying patients?”

https://www.youtube.com/watch?v=VRkr09ZMI3w

Challenges…

For Today What are some key principles I need to know about taking care of a seriously ill patient, a dying patient, a patient who has died? How do I deliver Serious News to a patient and/or their family? How do I help relieve a patient’s distressing symptoms?