The Howell Service:
Who, What & When
KYLE P. EDMONDS, MD
DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE
Dr. Doris A. Howell
Dr. Howell, pediatric oncologist
(and all-around pioneer)
Who?
 Multi-disciplinary team
Licensed Clinical Social
Worker
No…not that kind of social
worker
Nurse Practitioner
Fe...
What?
Not…hospice.
Not…a type or philosophy of care.
Not…secret resource keepers.
Not…a place to go.
Not…bringers of death.
Palliative Care IS…
 A team that can help your patients and families
manage the pain, symptoms, and stress of serious
ill...
When?
Time
Palliative
Care
Routine Medical Care:
antibiotics, dialysis, chemotherapy, surgery
“Dying”?
“Nothing more to do...
When?
The Howell Service:
Who, What & When
KYLE P. EDMONDS, MD
DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE
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The Howell Palliative Care Service: Who, What & When?

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A brief introduction to what the Doris A. Howell, MD, Palliative Care Consultation Service at UCSD Health System is and is not.

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  • McGillDukeHarvardEmerita Professor of Clinical PediatricsFormer chair of the UCSD Dept of Family & Preventative Medicine
  • This model portrays how people who give these answers see palliative care. “Philosophy of care”Very distinct line where aggressive curative treatment ends and palliative care begins once it has been decided that “everything else has been done”
  • The Howell Palliative Care Service: Who, What & When?

    1. 1. The Howell Service: Who, What & When KYLE P. EDMONDS, MD DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE
    2. 2. Dr. Doris A. Howell Dr. Howell, pediatric oncologist (and all-around pioneer)
    3. 3. Who?  Multi-disciplinary team Licensed Clinical Social Worker No…not that kind of social worker Nurse Practitioner Fellowship-trained physician
    4. 4. What?
    5. 5. Not…hospice.
    6. 6. Not…a type or philosophy of care.
    7. 7. Not…secret resource keepers.
    8. 8. Not…a place to go.
    9. 9. Not…bringers of death.
    10. 10. Palliative Care IS…  A team that can help your patients and families manage the pain, symptoms, and stress of serious illness.  Available at any age and at any stage in a serious illness and can be provided along with curative treatment.  Expert communication for challenging situations.  Partnering with you for better outcomes by helping your patients tolerate curative treatment.
    11. 11. When? Time Palliative Care Routine Medical Care: antibiotics, dialysis, chemotherapy, surgery “Dying”? “Nothing more to do”? “Pt / family request”? “Really sick”? “Really, really sick”?
    12. 12. When?
    13. 13. The Howell Service: Who, What & When KYLE P. EDMONDS, MD DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE

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