Top Ten Tips Palliative Care Clinicians Should Know Before Their Patient Undergoes Surgery. J Palliat Med 2025 Jan;28(1):105-114
Date
07/15/2024Pubmed ID
39008413DOI
10.1089/jpm.2024.0222Scopus ID
2-s2.0-85198994917 (requires institutional sign-in at Scopus site)Abstract
Many seriously ill patients undergo surgical interventions. Palliative care clinicians may not be familiar with the nuances involved in perioperative care, however they can play a valuable role in enabling the delivery of patient-centered and goal-concordant perioperative care. The interval of time surrounding a surgical intervention is fraught with medical, psychosocial, and relational risks, many of which palliative care clinicians may be well-positioned to navigate. A perioperative palliative care consult may involve exploring gaps between clinician and patient expectations, facilitating continuity of symptom management or helping patients to designate a surrogate decision-maker before undergoing anesthesia. Palliative care clinicians may also be called upon to direct discussions around perioperative management of modified code status orders and to engage around the goal-concordance of proposed interventions. This article, written by a team of surgeons and anesthesiologists, many with subspecialty training in palliative medicine and/or ethics, offers ten tips to support palliative care clinicians and facilitate comprehensive discussion as they engage with patients and clinicians considering surgical interventions.
Author List
Hadler R, India L, Bader AM, Farber ON, Fritz ML, Johnston FM, Massarweh NN, Pathak R, Sacks SH, Schwarze ML, Streid J, Rosa WE, Aslakson RAAuthor
Lara India MD Assistant Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansPalliative Care
Surgical Procedures, Operative
