CHAPTER 11: Clinical Care: End-of-Life

Deepak Mandi, MD

Michael A. Silverman, MD, MPH

James F. Tischler, MD

Adam G. Golden, MD, MBA

Learning Objectives

After completing this chapter, the reader should be able to:

  • Recognize characteristics of information exchange that support patient autonomy.

  • Identify challenges, inconsistencies, and gaps in information exchange across healthcare continuums.

  • Assess documentation indicators of palliative care.

  • Recognize emerging issues in end-of-life care.

Introduction

Dying a “good death” is a universal need. However, achieving this goal can be elusive and many Americans continue to have difficult experiences caring for a dying family member (Institute of Medicine [IOM], 2014).

Efforts to make informed ...

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