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Letters |6 May 2014

Goals of Palliative Care

Jane T. Broxterman, MD

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This essay was not designed to be a case report but was a reflection on the importance of patient continuity and the physical examination. Because of the space limitations and peer-reviewed editing suggestions, specific patient-related details were intentionally not explained. You are correct that, when one reads this excerpt out of context and was not at the bedside, this therapy can seem aggressive and perhaps inappropriate. However, when goals of care remain uncertain (for example, extubation with or without reintubation and full treatment vs. full comfort care) in the setting of an unexpected finding on physical examination, one must proceed cautiously.
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Broxterman JT. Goals of Palliative Care. Ann Intern Med. 2014;160:656–657. doi: 10.7326/L14-5009-7

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Published: Ann Intern Med. 2014;160(9):656-657.

DOI: 10.7326/L14-5009-7

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