Transport Home and Terminal Extubation by Emergency Medical Services: An Example of Innovation in End-of-Life Care.

Autor: Clemency BM; Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA; Erie County Medical Center, Buffalo, New York, USA. Electronic address: bc34@buffalo.edu., Grimm KT; Erie County Medical Center, Buffalo, New York, USA; Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA., Lauer SL; Erie County Medical Center, Buffalo, New York, USA., Lynch JC; Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA., Pastwik BL; Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA., Lindstrom HA; Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA., Dailey MW; Department of Emergency Medicine, Albany Medical Center, Albany, New York, USA., Waldrop DP; School of Social Work, University at Buffalo, Buffalo, New York, USA.
Jazyk: angličtina
Zdroj: Journal of pain and symptom management [J Pain Symptom Manage] 2019 Aug; Vol. 58 (2), pp. 355-359. Date of Electronic Publication: 2019 Mar 21.
DOI: 10.1016/j.jpainsymman.2019.03.007
Abstrakt: For most terminally ill patients, the preferred place of death is home. Previous literature has demonstrated the feasibility of at-home terminal extubation performed by critical care and hospice physicians. This case report describes a terminal extubation performed by a paramedic under the direct supervision of an Emergency Medical Services physician in the patient's home. Guided by a comprehensive plan and logistical support from a team of hospice providers, a successful out-of-hospital terminal extubation is possible. To truly achieve patient-centered care at end of life, the choice for an out-of-hospital death is necessary.
(Copyright © 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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