Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: We wholeheartedly support the suggestion
by Ms Demarest that NPs be included in the care of family caregivers at the
end of life. Generally, the complexity and difficulty of caregiver support
demands the multiple perspectives, expertise, and services of a committed
interdisciplinary team. As we noted, physicians have opportunities to assist
family caregivers in their role, both as individual clinicians and as members
of an interdisciplinary team. Although we focused on the physician's role
in initiating, orchestrating, and supervising the teamwork necessary for home
care, collaboration among all those serving patients in any setting is critical.
With their expertise in education and counseling, NPs, especially those skilled
in end-of-life care, have much to add.
Rabow MW, Hauser JM, Adams J. The Role of Nurse Practitioners in End-of-Life Care—Reply. JAMA. 2004;291(20):2432. doi:10.1001/jama.291.20.2432-b