title: Palliative Care for the Geriatric Anesthesiologist.
abstract: Many seriously ill geriatric patients are at higher risk for perioperative morbidity and mortality, and incorporating proactive palliative care principles may be appropriate. Advanced care planning is a hallmark of palliative care in that it facilitates alignment of the goals of care between the patient and the health care team. When these goals conflict, perioperative dilemmas can occur. Anesthesiologists must overcome many cultural and religious barriers when managing the care of these patients. Palliative care is gaining ground in several perioperative populations where integration with certain patient groups has occurred. Geriatric anesthesiologists must be aware of how palliative care and hospice influence and enhance the care of elderly patients.
authors: Department of Anesthesiology, Stritch School of Medicine, Loyola University Medicine, 2160 South 1st Avenue, Building 103, Room-3102, Chicago, IL 60153, USA. Electronic address: allen.gustin@lumc.edu.
authors: Allen N
authors: AN
authors: Gustin
authors: Department of Anesthesiology and Critical Care Medicine, Palliative Medicine Program at the Kimmel Comprehensive Cancer Center at Johns Hopkins, The Johns Hopkins School of Medicine, 1800 Orleans Street, Meyer 289, Baltimore, MD 21287, USA; Department of Health, Behavior, and Society, The Johns Hopkins Bloomberg School of Public Health, 1800 Orleans Street, Meyer 289, Baltimore, MD 21287, USA.
authors: Rebecca A
authors: RA
authors: Aslakson
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D000776:Anesthesiology / Q000379:methods*; D005853:Geriatrics / Q000379:methods*; D017051:Hospice Care; D006738:Hospices; D006801:Humans; D010166:Palliative Care / Q000379:methods*; D016414:Resuscitation Orders
keywords: Do not resuscitate; Ethical dilemma; Geriatrics; Hospice; Palliative care; Palliative sedation; Perioperative palliative care; Physician-assisted suicide