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Don’t use oxygen therapy to treat non-hypoxic dyspnea
Choosing Wisely Canada
Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto
Oxygen is frequently used to relieve shortness of breath in patients with advanced illness; however, supplemental oxygen does not benefit patients who are breathless but not hypoxic. Supplemental flow of air has been found equally effective to oxygen in this context.
ver más ... 2014Don’t delay advance care planning conversations
Choosing Wisely Canada
Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto
Advance care planning is a process, which includes choosing a surrogate or alternate decision-maker and communicating values or wishes for medical care. This helps prepare a person for in-the-moment medical decision-making, as well as guiding their surrogate or alternate decision-maker should the person lose capacity for decision-making. Advance care planning is appropriate for healthy adults and patients with their family and healthcare providers, early, recurrently, and as circumstances ...
ver más ... 2014Don’t delay palliative care for a patient with serious illness who has physical, psychological, social or spiritual distress because they are pursuing disease-directed treatment
Choosing Wisely Canada
Canadian Society of Palliative Care Physicians - Canadian Medical Association -University of Toronto
Palliative care provides an added layer of support to patients with life-limiting disease and their families. Symptomatic patients can benefit regardless of their diagnosis, prognosis or disease treatment regimen. Studies show that integrating palliative care with disease-modifying therapies improves pain and symptom control, as well as patient quality of life and family satisfaction. Early access to palliative care has been shown to reduce aggressive therapies at the end of life, prolong life ...
ver más ... 2014Don’t routinely use extensive locoregional therapy in most cancer situations where there is metastatic disease and minimal symptoms attributable to the primary tumour (e.g., colorectal cancer)
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
For further information please visit the website of the initiative (link below)
ver más ... 2014Don’t deliver care (e.g., follow-up) in a high-cost setting (e.g., inpatient, cancer center) that could be delivered just as effectively in a lower-cost setting (e.g., primary care)
Choosing Wisely Canada
Canadian Association of Medical/Radiation/Surgical Oncology and Can. Partnership Against Cancer
For further information please visit the website of the initiative (link below)
ver más ... 2014