McGillDukeHarvardEmerita 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?
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)
Licensed Clinical Social
No…not that kind of social
Palliative Care IS…
A team that can help your patients and families
manage the pain, symptoms, and stress of serious
Available at any age and at any stage in a serious
illness and can be provided along with curative
Expert communication for challenging situations.
Partnering with you for better outcomes by helping
your patients tolerate curative treatment.
Routine Medical Care:
antibiotics, dialysis, chemotherapy, surgery
“Nothing more to do”?
“Pt / family request”?
“Really, really sick”?