Search Results for

*

1-50 of 62 ResultsHelp using search on aafp.org Sort by Relevance , Date , Title

ACP Releases Recommendations for Palliative Care at the End of Life - Practice ...

Nov 1, 2008 - The Clinical Efficiency Assessment Subcommittee of the American College of Physicians (ACP) has released guidelines to improve palliative care for patients with seriously disabling or symptomatic chronic conditions at the end of life.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1101/p1093.html

Advance Care Planning Increases Execution of Advance Directives and Surrogate ...

Dec 1, 2018 - In this study, an intensive advance care planning intervention dramatically increased the completion of advance directives and the identification of surrogate decision makers.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p682a.html

Advance Directives in Patient Care: If You Ask, They Will Tell You - Editorials - ...

Feb 1, 1999 - Advertisement << Previous article Next article >> Feb 1, 1999 Issue Editorials Advance Directives in Patient Care: If You Ask, They Will Tell You DAVID DOUKAS, M.D., University of Michigan School of Medicine, Ann Arbor, Michigan Am Fam Physician. 1999 Feb 1;59(3):530-533. Related...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0201/p530.html

Advance Directives: Navigating Conflicts Between Expressed Wishes and Best Interests - ...

Apr 1, 2015 - Clinicians and surrogates can be faced with challenging decisions when a patient loses the capacity to participate in medical decision making. A significant number of hospitalized and critically ill adults lose decision-making capacity during hospital stays and cannot make treatment ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0401/p480.html

Antipsychotics Worsen Symptoms in Patients with Delirium Who Receive Palliative Care - ...

Mar 15, 2017 - For hospitalized patients with acute delirium and symptoms of distress who are receiving palliative care, the use of risperidone (Risperdal) or haloperidol at conservative oral doses worsens symptoms and may shorten overall survival.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0315/od3.html

Approaching a Terminally Ill Patient in Denial - Curbside Consultation - American ...

Oct 1, 1999 - Denial is a common coping mechanism for those facing a terminal illness—most people use denial to one degree or another, denying some aspects of their illness at least some of the time.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/1999/1001/p1556.html

Beyond Analgesia in Palliative Care and End-of-Life Interventions - Editorials - ...

Jul 1, 2014 - Family physicians need a basic skill set that includes facilitating discussions on advance planning and goals, identifying and treating depression and anxiety, and managing pain and symptoms at the end of life.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0701/p20.html

Breaking Bad News - American Family Physician

Dec 15, 2001 - Breaking bad news is one of a physician's most difficult duties, yet medical education typically offers little formal preparation for this daunting task. Without proper training, the discomfort and uncertainty associated with breaking bad news may lead physicians to emotionally ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1215/p1975.html

Caring for Older Patients Who Have Significant Hearing Loss - Curbside Consultation - ...

Mar 1, 2013 - This scenario illustrates issues related to end-of-life care and placement in a long-term care facility for older individuals with significant hearing loss. An analysis of data from the 1999 to 2006 cycles of the National Health and Nutrition Examination Survey, and statistics from the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2013/0301/p360.html

Challenges in Pain Management at the End of Life - American Family Physician

Oct 1, 2001 - Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales. It is also important to determine if the pain is nociceptive (somatic or visceral ...

American Family Physician : Article

https://www.aafp.org/afp/2001/1001/p1227.html

Completing and Signing the Death Certificate - Curbside Consultation - American Family ...

Nov 1, 2004 - This scenario is becoming less common in primary care practice because the most common place of death (in nearly 80 percent of cases) in the United States has changed from the patient’s home to a hospital or long-term care facility. This shift in death location means that family ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2004/1101/p1813.html

Cultural Diversity at the End of Life: Issues and Guidelines for Family Physicians - ...

Feb 1, 2005 - Ethnic minorities currently compose approximately one third of the population of the United States. The U.S. model of health care, which values autonomy in medical decision making, is not easily applied to members of some racial or ethnic groups. Cultural factors strongly influence ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0201/p515.html

Death Certificates: Let's Get It Right - Editorials - American Family Physician

Feb 15, 2005 - Advertisement << Previous article Next article >> Feb 15, 2005 Issue Editorials Death Certificates: Let’s Get It Right GEOFFREY R. SWAIN, M.D., M.P.H., GLORIA K. WARD, B.A., PAUL P. HARTLAUB, M.D., M.S.P.H. University of Wisconsin Medical School and City of Milwaukee Health...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0215/p652.html

Delirium at the End of Life - Clinical Evidence Handbook - American Family Physician

May 15, 2010 - What are the effects of interventions at the end of life in persons with delirium caused by underlying terminal illness?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2010/0515/p1260.html

Delivering Bad or Life-Altering News - American Family Physician

Jul 15, 2018 - Delivering serious, bad, or life-altering news to a patient is one of the most difficult tasks physicians encounter. Broadly defined as information that may alter a patient’s view of his or her future, bad news may include information related to a chronic disease (e.g., diabetes ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0715/p99.html

Determining Prognoses for Patients with Terminal Illnesses - Curbside Consultation - ...

Jun 1, 2006 - Physicians often overestimate a terminal patient's life expectancy.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0601/p2062.html

Differentiating Grief and Depression in Patients Who Are Seriously Ill - Editorials - ...

Aug 1, 2012 - Differentiating between grief and depression in a patient who is seriously ill is important because the management strategies for each condition are different. It can be difficult to distinguish between depression and grief because they have overlapping symptoms (i.e., sadness, crying, ...

American Family Physician : Editorials

https://www.aafp.org/afp/2012/0801/p232.html

Discussing Life Expectancy with Older Patients: Prediction and Patient Preferences - ...

Sep 1, 2019 - Evidence shows that physicians need more training in discussing life expectancy, and there are resources available to support this process for certain conditions.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0901/p265.html

Discussing Terminal Illness with a Patient - Curbside Consultation - American Family ...

Jul 1, 2006 - Communication training stresses that breaking bad news is more about listening and asking questions than it is about relaying information.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2006/0701/p175.html

End-of-Life Care - American Family Physician

Apr 1, 2019 - This collection features AFP content on end-of-life care and related issues, including advance directives, hospice care, legal and ethical issues, nursing home care, palliative care, and terminal illness. This collection features AFP content on end-of-life care and related issues, ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=57

End-of-Life Care - Editorials - American Family Physician

Mar 1, 2002 - Advertisement << Previous article Next article >> Mar 1, 2002 Issue Editorials End-of-Life Care RUSSELL G. ROBERTSON, M.D., Medical College of Wisconsin, Milwaukee, Wisconsin Am Fam Physician. 2002 Mar 1;65(5):787-791. Organized medicine has proved to be somewhat unprepared for the...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0301/p787.html

End-of-Life Care and Family Practice - Editorials - American Family Physician

Mar 15, 1999 - Advertisement << Previous article Next article >> Mar 15, 1999 Issue Editorials End-of-Life Care and Family Practice WILLIAM REICHEL, M.D., Georgetown University School of Medicine, Washington, D.C. Am Fam Physician. 1999 Mar 15;59(6):1388-1391. The June 1998 issue of FP Report...

American Family Physician : Editorials

https://www.aafp.org/afp/1999/0315/p1388.html

End-of-Life Care: Guidelines for Patient-Centered Communication - American Family ...

Jan 15, 2008 - When patients are diagnosed with cancer, primary care physicians often must deliver the bad news, discuss the prognosis, and make appropriate referrals. When delivering bad news, it is important to prioritize the key points that the patient should retain. Physicians should assess the ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0115/p167.html

End-of-Life Care: Managing Common Symptoms - American Family Physician

Mar 15, 2017 - Physicians should be proficient at managing symptoms as patients progress through the dying process. When possible, proactive regimens that prevent symptoms should be used, because it is generally easier to prevent than to treat an acute symptom. As swallowing function diminishes, ...

American Family Physician : Article

https://www.aafp.org/afp/2017/0315/p356.html

End-Stage Renal Disease: Symptom Management and Advance Care Planning - American Family...

Apr 1, 2012 - The prevalence of end-stage renal disease continues to increase, and dialysis is offered to older and more medically complex patients. Pain is problematic in up to one-half of patients receiving dialysis and may result from renal and nonrenal etiologies. Opioids can be prescribed ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0401/p705.html

Family Physicians Should Be Experts in Palliative Care - Editorials - American Family ...

Feb 1, 2000 - Advertisement << Previous article Next article >> Feb 1, 2000 Issue Editorials Family Physicians Should Be Experts in Palliative Care ROBERT B. GWINN, D.O., Hospice of Coshocton County, Coshocton, Ohio Am Fam Physician. 2000 Feb 1;61(3):636-642. Related Article I will not endure...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0201/p636.html

Feeding Tubes in Patients with Severe Dementia - American Family Physician

Apr 15, 2002 - Patients with advanced dementia are among the most challenging patients to care for because they are often bedridden and dependent in all activities of daily living. Difficulty with eating is especially prominent and distresses family members and health care professionals. Health care ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0415/p1605.html

Guidelines for Delivering Quality Palliative Care - Practice Guidelines - American ...

Mar 15, 2006 - The National Consensus Project for Quality Palliative Care (NCP), representing five major U.S. palliative care organizations, has established guidelines to promote consistent and high-quality palliative care and to guide the structure and development of existing services.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0315/p1104.html

Hospice Care in the Nursing Home - American Family Physician

Feb 1, 1998 - Hospice care is being used more frequently to provide skills and services that are not otherwise available in nursing homes. For eligible terminally ill patients, the Medicare Hospice Benefit supplies an interdisciplinary team with skills in pain management, symptom control and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0201/p491.html

Identifying and Managing Preparatory Grief and Depression at the End of Life - American...

Mar 1, 2002 - Grief and depression present similarly in patients who are dying. Conventional symptoms (e.g., frequent crying, weight loss, thoughts of death) used to assess for depression in these patients may be imprecise because these symptoms are also present in preparatory grief and as a part of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p883.html

Implementing Advance Directives in Office Practice - American Family Physician

Mar 1, 2012 - Patients prepare advance directives in an effort to maintain autonomy during periods of incapacity or at the end of life. Advance directive documents are specific to the state in which the patient lives, but an effective strategy in the family physician’s office involves more than ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0301/p461.html

Incorporating Advance Care Planning into Family Practice - American Family Physician

Feb 1, 1999 - Despite widespread support for the concept of advance care planning, few Americans have a living will or a health care proxy. Advance care planning offers the patient the opportunity to have an ongoing dialog with his or her relatives and family physician regarding choices for care at ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0201/p605.html

Initiating Discussions About Advance Directives - Editorials - American Family Physician

Jun 15, 2002 - Advertisement << Previous article Next article >> Jun 15, 2002 Issue Editorial Initiating Discussions About Advance Directives: The Family Physician's Role BLAKE SYPHER, PH.D. Marshall University School of Medicine Huntington, West Virginia Am Fam Physician. 2002 Jun...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0615/p2443.html

Life Expectancy with Hospice Care - FPIN's Help Desk Answers - American Family Physician

Mar 1, 2018 - Patients with terminal lung, pancreatic, or metastatic melanoma receiving hospice care have a minimally increased life expectancy. Receiving at least one day of hospice care may increase life expectancy by up to three months.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0301/od2.html

Lorazepam Added to Haloperidol Effective for Agitated Delirium in End-of-Life Cancer ...

Feb 15, 2018 - Using a single dose of lorazepam in combination with haloperidol decreases agitation in end-of-life patients with cancer who had persistent agitated delirium despite scheduled haloperidol. A recent POEM reported that haloperidol increases symptoms of distress in patients with cancer and...

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0215/od4.html

Making Decisions with Families at the End of Life - American Family Physician

Aug 15, 2004 - Because advance directives are not yet the norm, end-of-life decisions for patients without medical decision-making capacity are made regularly within discussions between the patient's physician and family. Communication and decision making in these situations require a complex ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p719.html

Management of Common Symptoms in Terminally Ill Patients: Part I. Fatigue, Anorexia, ...

Sep 1, 2001 - Physical symptoms other than pain often contribute to suffering near the end of life. In addition to pain, the most common symptoms in the terminal stages of an illness such as cancer or acquired immunodeficiency syndrome are fatigue, anorexia, cachexia, nausea, vomiting, constipation, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p807.html

Management of Common Symptoms in Terminally Ill Patients: Part II. Constipation, ...

Sep 15, 2001 - In addition to pain, patients who are approaching the end of life commonly have other symptoms. Unless contraindicated, prophylaxis with a gastrointestinal motility stimulant laxative and a stool softener is appropriate in terminally ill patients who are being given opioids. Patients ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p1019.html

Management of Constipation in Patients Receiving Palliative Care - Cochrane for ...

Dec 1, 2011 - There is insufficient evidence to recommend one laxative over another for the treatment of constipation in patients receiving palliative care. Methylnaltrexone can increase the frequency of bowel movements at four hours (odds ratio = 7.0; 95% confidence interval, 3.8 to 12.6) and at 24 ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/1201/p1227.html

Managing Grief and Depression at the End of Life - American Family Physician

Aug 1, 2012 - Psychological distress is common in terminally ill persons and can be a source of great suffering. Grief is an adaptive, universal, and highly personalized response to the multiple losses that occur at the end of life. This response may be intense early on after a loss manifesting ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0801/p259.html

Managing Pain at the End of Life - Editorials - American Family Physician

Oct 1, 2001 - Advertisement << Previous article Next article >> Oct 1, 2001 Issue Editorials Managing Pain at the End of Life ALAN B. DOUGLASS, M.D. Middlesex Hospital Family Practice Residency Program, Middletown, Connecticut Am Fam Physician. 2001 Oct 1;64(7):1154-1161. Related Article As a...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/1001/p1154.html

Managing Pain in the Dying Patient - American Family Physician

Feb 1, 2000 - End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Starting with an appropriate assessment and following recommended guidelines on the use of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p755.html

Medical Aid in Dying - Curbside Consultation - American Family Physician

Mar 1, 2018 - Requests for hastened death are not unusual from patients with life-limiting illness, and many primary care physicians encounter these requests over the course of their career. Medical aid in dying is the practice of a physician providing a competent, terminally ill patient—at the ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2018/0301/p339.html

Methylphenidate for Management of Fatigue in the Palliative Care Setting - FPIN's ...

Jan 15, 2014 - No recent evidence demonstrates that methylphenidate improves fatigue in patients receiving palliative care. Methylphenidate can be used to minimally improve fatigue symptom scores in patients with cancer-related fatigue.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/0115/p124.html

Moving Beyond Cultural Stereotypes in End-of-Life Decision Making - Editorials - ...

Feb 1, 2005 - Advertisement << Previous article Next article >> Feb 1, 2005 Issue Editorials Moving Beyond Cultural Stereotypes in End-of-Life Decision Making HOWARD BRODY, M.D., PH.D., and LINDA M. HUNT, PH.D.,Michigan State University College of Human Medicine, East Lansing, Michigan Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0201/p429.html

Palliative Care in Advanced Dementia - Curbside Consultation - American Family Physician

Apr 1, 2019 - What is the best way for family physicians to determine prognosis and applicability of palliative care for patients with dementia?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2019/0401/p456.html

Palliative Care Through Illness Trajectory - Curbside Consultation - American Family ...

Mar 15, 2017 - Persons with multimorbidity often have unmet multidimensional needs related to their health. For example, Y.S. may also be experiencing poorly controlled symptoms, financial distress, and increasing anxiety. His family is likely distressed by his decline in health and unsure about what ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2017/0315/p386.html

Palliative Care: Benefits, Barriers, and Best Practices - Editorials - American Family ...

Dec 15, 2013 - Palliative care improves the quality of life for patients with a life-threatening illness and for their families. Despite documented benefits, palliative care is underutilized in the management of advanced or terminal illnesses.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/1215/p807.html

Palliative Sedation for a Patient with Terminal Illness - Curbside Consultation - ...

May 1, 2011 - A patient has the right to make an informed decision about discontinuing life-prolonging treatments. The patient in this scenario is requesting palliative sedation to control her anxiety while electrolyte replacement is stopped.

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2011/0501/p1094.html

Pharmacologic Management of Pain at the End of Life - American Family Physician

Jul 1, 2014 - Although many patients experience debilitating pain at the end of life, there are many options to improve analgesia and quality of life. Pain assessment using a validated tool, with attention to patient function and specific goals, helps tailor individual treatment plans. The World ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p26.html

Page  1 2 Next

25 50 100 results per page