State-of-the-Art Review: Use of Antimicrobials at the End of Life
Daniel Karlin, Christine Pham, Daisuke Furukawa, Ishminder Kaur, Emily J. Martin, Olivia S. Kates, Tara Vijayan
Abstract
Navigating antibiotics at the end of life is a challenge for infectious disease (ID) physicians who remain deeply committed to providing patient-centered care and engaging in shared decision making. ID physicians, who often see patients in both inpatient and outpatient settings and maintain continuity of care for patients with refractory or recurrent infections, are ideally situated to provide guidance that aligns with patients' goals and values. Complex communication skills, including navigating difficult emotions around end-of-life care, can be used to better direct shared decision making and assist with antibiotic stewardship.
Topics & Concepts
Antimicrobial stewardshipStewardship (theology)SituatedMedicineAntibiotic StewardshipEnd-of-life careIntensive care medicineState (computer science)NursingAntibioticsAntibiotic resistancePalliative carePolitical scienceComputer scienceAlgorithmArtificial intelligenceLawPoliticsMicrobiologyBiologyPalliative Care and End-of-Life IssuesFamily and Patient Care in Intensive Care UnitsPatient-Provider Communication in Healthcare