Anne Rohlfing
speaker
86 appearances
2 recordings
1 series
first heard Oct 2020
last heard Jun 2021
Anne Rohlfing’s voice in public audio — every appearance, attributed to the second.
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And, you know, just thinking about now what I've seen in my year of fellowship in terms of support that either once palliative care has already been involved and has been following a patient or hospice support, bereavement, think about all these things that just weren't there and weren't in place to support this patient and their family.
And so that's what I've been thinking a lot about prior to talking about this.
But I'd love to hear just a little bit more
When you think about palliative inotropes, who you think of in general as the patient population and who are appropriate candidates?
I was just going to ask, in the review you mentioned, the data initially from, I think it was like early 2010, 2014, showed that there's actually increasing numbers of patients being discharged with palliative inotropes.
Is that trend still continuing or anecdotally?
Is that what you've seen?
Obviously not in your practice when you're trying to be really considerate about that.
goals and comfort level, but is that something that- I've
And so getting back to when you said it,
In your experience, it takes a lot to make you think that this anatropic therapy is a good idea.
And it's necessarily, it's going to be in line with the patient's goals and provide them more comfort, better quality of life.
And when you do have a patient who fits all of that criteria, how do you talk about it to them?
And how do you explain these risk benefits, the mortality in terms of, you know, patient friendly terminology?
You mentioned earlier sort of weaning protocols and sort of how that works.
And I wonder, were you talking about weaning protocols?
Obviously, like you said, in the hospital, you want to try weaning.
But I'm thinking about our hospice nurses who are trying to manage like diuretics and how hospices, I mean, I'm assuming most of them don't have protocols for weaning.
I don't know if in your experience that has ever gone well with communication with hospice about how to do that at home or.
too
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