Northeast Florida Medicine, Spring 2016

DCMS online

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Northeast Florida Medicine

Vol. 67, No. 1 2016

VOLUME 67, NUMBER 1

Palliative Care

Spring 2016

EDITOR IN CHIEF

Ruple Galani, MD

MANAGING EDITOR

Kristy Wolski

ASSOCIATE EDITORS

James Altomare, MD

Shelly Bansal, MD

Megan Deacon-Casey, MD

Mark Fleisher, MD

Sunil Joshi, MD

Ali Kasraeian, MD

John Long, MD

Amy Pollak, MD

James St. George, MD

CHEIF EXECUTIVE OFFICER

Bryan Campbell

DCMS FOUNDATION

BOARD OF DIRECTORS

President: Todd Sack, MD

Secretary: Allen Seals, MD

Treasurer: Malcolm Foster, MD

At Large Seat 1: Ruple Galani, MD

At Large Seat 2: Eli Lerner, MD

2016 FOUNDATION DONORS

William Parker Clarke, MD

Jerry A. Dorsch, MD

George H. Fink, MD

Allan A. Girouard, MD

Robert G. Harmon, MD

Kenneth A. Horn, MD

Russell D. Metz, MD

Guy T. Selander, MD

ontents

Spring 2016

Please note: Editorial and contents of this magazine reflect the records of the Duval County Medical Society (DCMS). The DCMS has done their best to provide useful and accurate information, but please

take into account that some information does change. E&M Consulting, Inc., publishers and the DCMS take no responsibility for the accuracy of the information printed, inadvertent omissions, printing

errors, nor do they endorse products and services. We take no responsibility regarding representations or warranties concerning the content of advertisements of products/services for a particular use, including

all information, graphics, copyrighted materials, and assertions included in the advertisements. The reader is advised to independently check all information before basing decisions on such information.

From the Editor’s Desk From the President’s Desk From the Chief Executive Officer’s Desk Residents’ Corner Guest Editorial Patient Page Creative Corner

Departments

Spring CME

Advance CarePlanning: Infrastructure for Having the Conversation By Andrew P. Daigle, MD & Jamie Buller, LCSW, ACHP-SW Advance care planning (ACP) is a process of understanding, reflecting and discussing goals, values and preferences for future healthcare decisions. ACP should be integrated into routine medical care and practiced across the continuum of care in all health settings and in the community. 27 Spring CME Domestic Violence/ Intimate Partner Violence: Screening, Detection and Intervention By Kaitlin R. McCurdy, MD, Ozdemir Kanar, MD, Brittany Lyons, DO, Jeffrey Winder, DO, Linda R. Edwards, MD Domestic Violence/intimate partner abuse is prevalent throughout the United States, as well as the rest of the world. It is therefore important for healthcare providers to be aware of the prevalence of domestic violence and become familiar with appropriate screening and referral tools in order to identify victims and provide resources. 43 11 7 6 8 59 13 60

Features

Palliative Care in the Emergency Department: What Can Happen? By Andrea Sharp, MD Radiation Oncology is an Essential Component of Effective Palliative Care for Patients with Cancer By Corey Hobbs, MD, Jamie Cesaretti, MD, MS, Mitchell Terk, MD and Michael Olson, MD, PhD Compassionate Terminal Weaning: Putting an End to Suffering By Neel Karnani, MD, FAAFP, FAAHPM Palliative Care for Primary Care Providers: Isn’t this what we all do? By Robert P. Shannon, MD, FAAHPM, Alva Roche’-Green, MD, Kristin M Scott, MD Spiritual Assessment: An Important Role in Alleviating Pain and Suffering in Patients and their Families with Advanced Serious Illness By David G. Morrell, MDIV, CT and Andrew Daigle, MD 19 15 34 37 54