1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. Citation List Month Backlog URL Address <a href="http://doi.org/10.7326/0003-4819-148-2-200801150-00009" target="_blank" rel="noreferrer">http://doi.org/10.7326/0003-4819-148-2-200801150-00009</a> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Evidence-based interventions to improve the palliative care of pain, dyspnea, and depression at the end of life: a clinical practice guideline from the American College of Physicians Publisher An entity responsible for making the resource available Annals Of Internal Medicine Date A point or period of time associated with an event in the lifecycle of the resource 2008 Subject The topic of the resource Humans; Caregivers/psychology; referral and consultation; Palliative Care/standards; social support; Intervention; Interventions; Continuity of Patient Care/standards; Pain/therapy; Patient Care Team/standards; Advance Care Planning/standards; Depression/therapy; Dyspnea/therapy Creator An entity primarily responsible for making the resource Qaseem A; Snow V; Shekelle PG; Casey DE; Cross JT; Owens DK; Assessment Subcommittee of the American College of Physicians Clinical Efficacy; Dallas P; Dolan NC; Forciea MA; Halasyamani L; Hopkins RH; Shekelle PG Description An account of the resource RECOMMENDATION 1: In patients with serious illness at the end of life, clinicians should regularly assess patients for pain, dyspnea, and depression. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 2: In patients with serious illness at the end of life, clinicians should use therapies of proven effectiveness to manage pain. For patients with cancer, this includes nonsteroidal anti-inflammatory drugs, opioids, and bisphosphonates. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 3: In patients with serious illness at the end of life, clinicians should use therapies of proven effectiveness to manage dyspnea, which include opioids in patients with unrelieved dyspnea and oxygen for short-term relief of hypoxemia. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 4: In patients with serious illness at the end of life, clinicians should use therapies of proven effectiveness to manage depression. For patients with cancer, this includes tricyclic antidepressants, selective serotonin reuptake inhibitors, or psychosocial intervention. (Grade: strong recommendation, moderate quality of evidence.) RECOMMENDATION 5: Clinicians should ensure that advance care planning, including completion of advance directives, occurs for all patients with serious illness. (Grade: strong recommendation, low quality of evidence.). 2008 Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.7326/0003-4819-148-2-200801150-00009" target="_blank" rel="noreferrer">10.7326/0003-4819-148-2-200801150-00009</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s). Type The nature or genre of the resource Journal Article 2008 Advance Care Planning/standards Annals Of Internal Medicine Assessment Subcommittee of the American College of Physicians Clinical Efficacy Backlog Caregivers/psychology Casey DE Continuity of Patient Care/standards Cross JT Dallas P Depression/therapy Dolan NC Dyspnea/therapy Forciea MA Halasyamani L Hopkins RH Humans Intervention Interventions Journal Article Owens DK Pain/therapy Palliative Care/standards Patient Care Team/standards Qaseem A Referral And Consultation Shekelle PG Snow V Social Support