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Abstract Details
Top Ten Tips Palliative Care Clinicians Should Know About End-Stage Liver Disease
J Palliat Med. 2021 Mar 16.
doi: 10.1089/jpm.2021.0097. Online ahead of print.
Brittany L Waterman1, Sinthana U Ramsey1, Maureen P Whitsett2, Arpan A Patel34, Jacob A Radcliff5, Drew L Kotler6, Adam C Winters3, Christopher D Woodrell78, Nneka N Ufere9, Marina Serper2, Anne M Walling410, Christopher A Jones11, Sean G Kelly12
Author information
1Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
2Division of Gastroenterology and Hepatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
3Division of Digestive Diseases, David Geffen School of Medicine at University of California, Los Angeles, California, USA.
4Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA.
5Department of Pharmacy and Palliative Care Program, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
6Division of Palliative Care, Department of Medicine, Main Line Health, Radnor, Pennsylvania, USA.
7Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
8Geriatric Research, Education, and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA.
9Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
10Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine University of California, Los Angeles, USA.
11Department of Medicine and Palliative Care Program, Duke University School of Medicine, Durham, North Carolina, USA.
12Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Abstract
End-stage liver disease (ESLD) is an increasingly prevalent condition with high morbidity and mortality, especially for those ineligible for liver transplantation. Patients with ESLD, along with their family caregivers, have significant needs related to their quality of life, and there is increasing attention being paid to integration of palliative care (PC) principles into routine care throughout the disease spectrum. To provide upstream care for these patients and their family caregivers, it is essential for PC providers to understand their complex psychosocial and physical needs and to be aware of the unique challenges around medical decision making and end-of-life care for this patient population. This article, written by a team of liver and PC experts, shares 10 high-yield tips to help PC clinicians provide better care for patients with advanced liver disease.