May 15, 2020
In this episode, Drs. Agboola
and Jubanyik discuss Palliative Care in the Emergency Department.
They cover a wide range of subjects including: How to deliver “Bad
News”, navigating surrogate decision makers, and the “Surprise
Question”.
Host: Isaac Agboola, MD, MS
- Yale New Haven School of
Medicine, PGY-2
Guest: Karen Jubanyik, MD
- Academic Advisor in the Dean of Student Affairs Office
- Past National Chair of SAEM Palliative Care Interest Group
- Associate Professor at Yale New Haven School of Medicine
Key Points:
- “Treat bad news conversations, just like you would a procedure”
- Palliative Care is an ER doctor’s responsibility because sometimes palliative care is an emergency
- In regards to code status, only offer what options you feel are medically indicated
- Empower surrogate decision makers to make the decision their loved one would want
- There are over 130 ACGME Hospice and Palliative Care Fellowships that are available if you desire further education in the subject
References/Resources:
- EMRA Palliative Care Fellowship guide https://www.emra.org/books/fellowship-guide-book/18-palliative-care/
- SAEM Palliative Care https://community.saem.org/communities/community-home?CommunityKey=fc4c2027-6ee3-4bfb-ada7-e1d9e84990ba
- Academic Life in Emergency Medicine- PV Card http://www.aliem.com/pv-card-palliative-care-screening/