Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.
Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.
OCR for page 405
--> H American Board of Internal Medicine Clinical Competence in End-of-Life Care* Components Core Competencies Medical Knowledge Palliative care • Assessment and treatment of psychological distress • Pharmacological and nonpharmacological treatment of pain and other symptoms Interviewing/Counseling skills Listening Truth telling Giving bad news Discussing dying as a process Dealing with families of dying patients Team Approach Understanding multidisciplinary natures of end-of-life care (physician, nursing staff, social services, palliative care or hospice team, pharmacist, chaplain, patient, patient's family, patient advocate) * American Board of Internal Medicine, Caring for the Dying: Identification and Promotion of Physician Competency. Philadelphia, Author, 1996, p. 41. Used with permission.
OCR for page 406
--> Symptom Assessment and Management Communication skills Comfort Use of opioids, sedatives, or adjuvant analgesics, NSAIDs Control of dyspnea AHCPR and WHO guidelines Professionalism Altruism Accountability Confidentiality Transference and counter transference Nonabandonment Honoring patients' wishes Respect for colleagues Humanistic Qualities Integrity Compassion Sensitivity to patient needs for comfort and dignity Respect Courtesy Medical Ethics Advance directives, DNR/DNI orders, Conflicts of interest Futility Physician-assisted suicide Nutrition/hydration Surrogate decisionmaking Double effect
Representative terms from entire chapter: