Watch for a change in facial expression, body language, avoiding eye contact, and the more obvious tears or anger.
Palliative Pearls
Tamsulosin Trial for Agitation in Dementia
Even a small degree of urinary retention can contribute to nocturnal agitation.
What is the difference between Palliative Care and Hospice?
All hospice is palliative care; not all palliative care is end-of-life or hospice care.
DNAR Not Required
It can be hard to bring up “hospice” but it doesn’t have to feel like giving up.
The “H” Word
It can be hard to bring up “hospice” but it doesn’t have to feel like giving up.
Time to Dust Off the Surprise Question
We are seeing more patients who are referred too late to benefit fully from hospice care. The surprise question is simple: “Would you be surprised if this patient died within the next year?” A “No” answer from a medical provider is more predictive than other...
It Takes Time
Many interventions have a time to benefit interval. As people age they may not have time to benefit from some preventative measures. Keeping Hgb A1c less than 7 takes 8 years for most patients to prevent dialysis and retinopathy. This tool from UCSF can help put some...
The Three P’s in Dementia
Poop. Pee. Pain. When patients with dementia are unusually agitated or unusually withdrawn, check for constipation, urinary retention and untreated pain. Behavior is communication. For more information, call our providers at 360-814-5550 or email: Erika...
What Would We Do Without UpToDate?
UpToDate is filled with information about palliative management of symptoms and disease states. Just search with the words “Palliative care for . . .”, then the symptom or condition, such as cough or congestive heart failure. Bonus resource: Palliative Care Network...
When the Cough Won’t Stop
If a patient's cough won't stop, the first-line medication for palliative treatment is benzonatate (Tessalon Perles) After evaluating and treating the underlying causes of cough, treat the symptom of cough with benzonatate. Treating cough can be invaluable for the...