Palliative care is an area of healthcare that focuses on
relieving and preventing the suffering of patients. Palliative medicine is appropriate for patients in all
disease stages, including those undergoing treatment for curable illnesses and
those living with chronic diseases, as well as patients who are nearing the end
of life.
And we as standardized
patients were tasked with presenting to the medical student an appropriate
palliative care scenario. And we
did….with aplomb! My role was the mother
whose husband had a heart attack on the golf course and is now in the ICU on
life-saving devices. My daughter, one of
three kids, is with me when the doctor comes in to explain to us just what has
happened. I am hysterical and
disbelieving while my daughter is trying to care for me and help me make sense
of it all.
The following day my two
sons join us. One is accepting of the
fact that the life-saving devices need to be pulled and let dad go which is
what he says dad wanted. The other son,
who has been home infrequently, just thinks we should all pray and pray again
to bring him back to life and argues that the hospital staff is not doing
enough and perhaps we should transfer him.
Much arguing and confusion
ensue for the benefit of the med student who, again, needs to experience as he
or she will experience when they hit the “real world.”
Definitely one of the
favorite “encounters” of us SP’s, as the opportunity for improvisational acting abounds!!
And for those of you who
really read to the end…..put advanced
directives in place today!!!!
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