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Essential Tips for Hospice & Palliative Care Clinicians Caring for Patients with Advanced Liver Disease Undergoing Liver Transplant Evaluation (FR252)
Abstract   Open access   Peer reviewed

Essential Tips for Hospice & Palliative Care Clinicians Caring for Patients with Advanced Liver Disease Undergoing Liver Transplant Evaluation (FR252)

Yuya Hagiwara, Carla Pies and Tomohiro Tanaka
Journal of pain and symptom management, Vol.63(5), pp.819-820
05/2022
DOI: 10.1016/j.jpainsymman.2022.02.275
url
https://doi.org/10.1016/j.jpainsymman.2022.02.275View
Published (Version of record) Open Access

Abstract

Outcomes 1. Identify components of the referral and liver transplant evaluation process 2. Describe characteristics and outcomes of patients evaluated for liver transplant requiring palliative care consultation 3. Identify the expanding role of palliative care for patients with advanced liver disease requiring evaluation for liver transplant Patients with advanced liver disease requiring liver transplantation have complicated care needs. The process of delivering palliative care for patients undergoing liver transplant evaluation is poorly described. It is advisable for palliative care clinicians to have a better understanding of the liver transplant evaluation process. Patients with advanced liver disease requiring liver transplant evaluation are infrequently referred to palliative care. Palliative care specialists should recognize the characteristics, symptom burden, and outcomes of patients evaluated for liver transplant requiring palliative care services. It is critical to integrate palliative care into these patients’ care. This session will be presented by interprofessional transplant hepatology and palliative care clinicians. The liver transplant evaluation process, the indications for liver transplant, and outcomes of patients being referred for liver transplant evaluation will be reviewed by a transplant hepatologist. This will include post-transplant outcomes and complications. With data from our institution, we will review the characteristics, symptom burden, and outcomes of patients evaluated for liver transplant requiring palliative care services. We will use case examples to demonstrate integration of palliative care into the liver transplant selection process for patients who are either listed, deferred, or rejected for liver transplant. Lastly, as a group we will discuss challenges that may result from working with patients undergoing transplant evaluation and how to best collaborate with transplant and hepatology providers.

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