My last session for #ATS2022 day 3 is “Priorities from a Joint-Society ATS Policy Statement on Palliative Care in Serious Respiratory Illness”!
First we have Dr. Donald Sullivan with “Fundamental Principles of Palliative Care in Respiratory Disease and Highlights from the Policy Statement.” #ATS2022
Development process of the policy statement #ATS2022
Fundamental values and principles of palliative care #ATS2022
Next we have Larry Gershon with “Stakeholder Engagement: A PAR Perspective on Palliative Care in Serious Respiratory Disease.” #ATS2022
You should first understand who the patient is as person and what they want and need before explaining palliative care and other interventions. #ATS2022
Next we have @KathleenLindell with “Engaging Caregivers as Critical Members of the Care Team.” #ATS2022
The first step in supporting caregivers is identifying them. #ATS2022
There are condition specific needs for patients with serious respiratory illnesses, like lung transplant patients and those with medical equipment. #ATS2022
Caregiver support tools can help us identify how to help them and their needs. #ATS2022
There are a ton of validated symptom assessment tools for different symptoms. #ATS2022
Good symptom management follows from good disease-directed treatment. #ATS2022
After disease-directed treatment the next step in symptom management is non-pharmacologic approaches before pharmacologic treatment of those symptoms. We do not have enough good evidence-based treatments for symptoms. #ATS2022
In order to incorporate palliative care into disaster planning we must first ensure that we have enough available palliative cate services (hint: we don’t have enough already). #ATS2022
Eight critical elements in planning a palliative care response #ATS2022
It’s a difficult subject but it’s better to have the conversations in advance and plan for the worst case scenario. #ATS2022
And last but never least we have Dr. Anand Iyer (@anandiyermd) with “PalliPulm, the New Frontier: Integrating Palliative Care in Pulmonary Medicine Through Primary Palliative Care.” #ATS2022
He’s gonna focus on the first box of primary palliative care. #ATS2022
There are not enough palliative care specialists between too few fellowships, a growing aging population, and loss of providers due to burnout. #ATS2022
Options for training people in primary palliative care. These are great, but we need more accessible options! #ATS2022
There are multiple domains in quality palliative care. #ATS2022
We need to bridge these two specialities with primary #PalliPulm! #ATS2022
Here are a couple of references to review for more information. #ATS2022
How do you communicate with a patient who is confused about “competing” things happening simultaneously, like palliative referral and lung transplant work-up?
“We are going to hope for the best but prepare for the worst, and I’m going to be with you as we do both.” #ATS2022
What a great seminar by this awesome group of #PalliPulm advocates!
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Many of you have reached out, asking me what company I used to plan my trips. I actually plan the vast majority entirely myself. So since so many of you seem curious, here’s how I do it: 1/
Disclaimer 1: For certain polar locations I have booked cruises through Quark Expeditions. These include my trip to Antarctica, as well as upcoming trips to Greenland and Svalbard. I particularly like this company due to their focus on environmental protection and education. 2/
Disclaimer 2: I did use a travel agency for my most recent trip to Africa, because it is very difficult to book, safari and transfers there without someone with expert knowledge of the area. 3/
My final #SCCM2023 tweetucation session for today is “Late-Breaking Studies Affecting Patient Outcomes”!
First we have “Continued Enteral Nutrition Until Extubation Compared to Fasting Prior to Extubation in the Intensive Care Unit: A Clustered Randomized Trial” with Stephan Ehrmann (@stephanehrmann)! #SCCM2023
Nearly all ICUs impose some form of fasting before extubation, but this time seems to be decreasing. #SCCM2023
Next up for tweetucation at #SCCM2023 is “The Intersection of Climate Change and Critical Care” with Dr. Srinivas Murthy (@srinmurthy99) and Dr. Gloria Rodriquez-Vega!
We will talk about whether our ICUs are ready and what they can do to help. #SCCM2023
Case presentation - this is a code red for humanity! #SCCM2023
My next session for tweetucation is something I’m VERY passionate about!: “Moral Injury: Don’t Just Stand There, Do Something”! #SCCM2023
First up is “Recognizing the Signs, Symptoms, and Impacts of Moral Injury” with Kimberly Ichrist (@IchristKimberly)! #SCCM2023
The concept of moral injury is from military literature and is “a wound from doing something that violated one’s own ethics, beliefs, or attachments.” #SCCM2023