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Medical News & Perspectives
June 26, 2019

New Guidelines Aim to Expand Palliative Care Beyond Specialists

JAMA. 2019;322(3):193-195. doi:10.1001/jama.2019.5939

Years ago, Martha L. Twaddle, MD, cared for a patient with pulmonary fibrosis. In the years between diagnosis and death, as the patient transitioned from office-based visits to home care to hospice, Twaddle, an internist and palliative care specialist, oversaw this person’s supportive care. During the entire duration of the illness, there were no hospitalizations or emergency department visits, she recalls. Her team’s coordination and communication—some of the basic tenets of caring for people with serious illness—helped keep those all-too-common occurrences at bay.