Approaching Death Improving Care at the End of Life (1997) / Chapter Skim
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Appendix H
Appendix H
Pages 405-406
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From page 405... ...
H American Board of Internal Medicine Clinical Competence in End-of-Life Caret Components Medical Knowledge Core Competencies 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.
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From page 406... ...
406 Symptom Assessment and Management Professionalism Humanistic Qualities Medical Ethics APPROACHING DEATH Communication skills Comfort Use of opioids, sedatives, or adjuvant analgesics, NSAIDs Control of dyspnea AHCPR and WHO guidelines Altruism Accountability Confidentiality Transference and countertransference Nonabandonment Honoring patients' wishes Respect for colleagues Integrity C ompasslon Sensitivity to patient needs for comfort and dignity Respect Courtesy Advance directives, DNR/DNI orders, Conflicts of interest Futility Physician-assisted suicide Nutrition/hydration Surrogate decisionmaking Double effect
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