Palliative care in the ambulatory geriatric practice

Thomas E. Finucane, Olivia Nirmalasari, Antonio Graham

Research output: Contribution to journalReview article

Abstract

Geriatrics and palliative care often overlap. This article focuses on 2 areas where the disciplines may differ in their approach. The first is planning for extreme illness and death, with explicit acknowledgment that limiting therapy might be a good idea. This situation is likely to have a different impact in the course of a routine geriatrics visit than in a palliative care context. The second is pain management, especially chronic pain. In patients with sharply limited life expectancy, the risk/benefit equation tilts easily toward narcotic use. In frail elders working to remain independent, the calculus may be quite different.

Original languageEnglish (US)
Pages (from-to)193-206
Number of pages14
JournalClinics in geriatric medicine
Volume31
Issue number2
DOIs
StatePublished - May 1 2015

Keywords

  • Advance care planning
  • Elderly
  • Geriatrics
  • Pain management

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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