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Palliative Pearl:

Palliative Pearls – “Time Limited Trials”

August 2020 – Time limited trials of therapy are a powerful tool when the benefit/burden balance of treatment is uncertain.

This approach has many benefits

·         It names the elephant in the room: uncertainty.

·         It helps patients/families and providers think about goals of care, acceptable trade-offs and how to define success.

·         It buys time to allow a case to develop AND sets a specific time to re-evaluate progress.

Time limited trials can be applied to any difficult decisions including dialysis, ventilation, artificial feeding and inpatient rehabilitation.  We even have time limited trials of hospice care!

For more information contact Dr. Leslie Estep or Dr. Anita Meyer at Hospice of the Northwest, 360-814-5550, or  or

About Hospice of the Northwest

Hospice of the Northwest is a skilled, caring and compassionate team of nursing, medical, social and spiritual professionals, volunteers and generous donors. Together, we provide comprehensive care and comfort for patients facing serious illness and the loved ones who care for them. We’ve been serving the residents of Skagit, Island, San Juan and Snohomish Counties since 1989.

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