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The Howell Service: Who, What & When KYLE P. EDMONDS, MD DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE

The Howell Palliative Care Service: Who, What & When?

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A brief introduction to what the Doris A. Howell, MD, Palliative Care Consultation Service at UCSD Health System is and is not.

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Page 1: The Howell Palliative Care Service: Who, What & When?

The Howell Service:Who, What & WhenKYLE P. EDMONDS, MD

DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE

Page 2: The Howell Palliative Care Service: Who, What & When?

Dr. Doris A. Howell

Dr. Howell, pediatric oncologist (and all-around pioneer)

Page 3: The Howell Palliative Care Service: Who, What & When?

Who?

Multi-disciplinary teamLicensed Clinical Social

WorkerNo…not that kind of social

workerNurse PractitionerFellowship-trained

physician

Page 4: The Howell Palliative Care Service: Who, What & When?

What?

Page 5: The Howell Palliative Care Service: Who, What & When?

Not…hospice.

Page 6: The Howell Palliative Care Service: Who, What & When?

Not…a type or philosophy of care.

Page 7: The Howell Palliative Care Service: Who, What & When?

Not…secret resource keepers.

Page 8: The Howell Palliative Care Service: Who, What & When?

Not…a place to go.

Page 9: The Howell Palliative Care Service: Who, What & When?

Not…bringers of death.

Page 10: The Howell Palliative Care Service: Who, What & When?

Palliative Care IS…

A team that can help your patients and families manage the pain, symptoms, and stress of serious illness.

Available at any age and at any stage in a serious illness and can be provided along with curative treatment.

Expert communication for challenging situations. Partnering with you for better outcomes by

helping your patients tolerate curative treatment.

Page 11: The Howell Palliative Care Service: Who, What & When?

When?

Time

Palliative

Care

Routine Medical Care:antibiotics, dialysis, chemotherapy, surgery

“Dying”?

“Nothing more to do”?

“Pt / family request”?

“Really sick”?

“Really, really sick”?

Page 12: The Howell Palliative Care Service: Who, What & When?

When?

Page 13: The Howell Palliative Care Service: Who, What & When?

The Howell Service:Who, What & WhenKYLE P. EDMONDS, MD

DORIS A. HOWELL, MD, PALLIATIVE CARE CONSULT SERVICE