When and how should physicians determine the need for palliative

Am J Hosp Palliat Care · Jun 2014

Case Reports

When and how should physicians determine the need for palliative and hospice care for patients with end-stage liver disease?: an experience in Taiwan.

We analyzed one case of end-stage liver disease and discussed whether the palliative care should be considered for this case. The medical record of a 56-year-old woman with alcoholic liver cirrhosis admitted to our hospital due to hypovolemic shock and esophageal varices (EV) was reviewed. ⋯ The patient died postoperatively in the surgical intensive care unit due to bleeding tendency and hypovolemic shock. We suggest that palliative care and/or hospice care should have been considered for this patient before the crisis developed and that physicians require education about timely palliative and hospice care for patients with end-stage nonmalignant disease.

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- Po-Chu Lee, Chiao Lo, Wen-Je Ko, Sheng-Jean Huang, and Po-Huang Lee.
- 1Department of Trauma, National Taiwan University Hospital, Taipei, Taiwan.
- Am J Hosp Palliat Care. 2014 Jun 1; 31 (4): 454-8.
AbstractWe analyzed one case of end-stage liver disease and discussed whether the palliative care should be considered for this case. The medical record of a 56-year-old woman with alcoholic liver cirrhosis admitted to our hospital due to hypovolemic shock and esophageal varices (EV) was reviewed. The EV with active bleeding were arrested by panendoscopic intervention. However, repeat surgery revealed transmural laceration over the cardia, and immediate surgery and splenectomy were needed. The patient died postoperatively in the surgical intensive care unit due to bleeding tendency and hypovolemic shock. We suggest that palliative care and/or hospice care should have been considered for this patient before the crisis developed and that physicians require education about timely palliative and hospice care for patients with end-stage nonmalignant disease.

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When and how should physicians determine the need for palliative and hospice care for patients with end-stage liver disease?: an experience in Taiwan.

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