Palliative Pearls

Showering often becomes the most difficult physical exertion in COPD patients.

Watch for a change in facial expression, body language, avoiding eye contact, and the more obvious tears or anger.

Even a small degree of urinary retention can contribute to nocturnal agitation.

All hospice is palliative care; not all palliative care is end-of-life or hospice care.

It can be hard to bring up “hospice” but it doesn’t have to feel like giving up. 

It can be hard to bring up “hospice” but it doesn’t have to feel like giving up. 

We are seeing more patients who are referred too late to benefit fully from hospice care. The surprise question is simple: “Would you be surprised if this patient died within the next year?” A “No” answer from a medical provider is more predictive than other...

Many interventions have a time to benefit interval. As people age they may not have time to benefit from some preventative measures. Keeping Hgb A1c less than 7 takes 8 years for most patients to prevent dialysis and retinopathy. This tool from UCSF can help put some...

Poop.  Pee.  Pain. When patients with dementia are unusually agitated or unusually withdrawn, check for constipation, urinary retention and untreated pain.  Behavior is communication. For more information, call our providers at 360-814-5550 or email: Erika...

UpToDate is filled with information about palliative management of symptoms and disease states. Just search with the words “Palliative care for . . .”, then the symptom or condition, such as cough or congestive heart failure. Bonus resource:  Palliative Care Network...