Guest(s)
Dr. Mark McIntosh
Topic
End of Life Care, Diabetes, and Thanksgiving
Topic Info
They are decisions no one wants to make. How do you treat a person who may be terminally ill and in their last phase of life? What decisions need to be made? How does this factor into the emergency room setting? What do emergency physicians deal with and what important information can they provide the public on this sensitive issue? Plus, Alzheimer’s Disease is a major part of this issue. We’ll have a discussion about it all.
Guest Info
Mark McIntosh, MD, MPH is the University of Florida and Shands Jacksonville Director of Integrative Palliative, University of Florida and Shands Director of Corporate Wellness and Associate Professor in the Department of Emergency Medicine.
He received his Bachelors of Science and Doctor in Medicine from Duke University and Masters of Public Health from the Harvard School of Public Health. Dr. McIntosh completed a combined residency program in Internal Medicine and Pediatrics at Duke University Medical Center and an Emergency Medicine residency at the UF and Shands Health Science Center in Jacksonville, Florida. He completed one year of Biblical and Theological Training at Columbia International University in Columbia, South Carolina designed for mission support personnel. Dr. McIntosh recently completed the Associate Fellowship in Integrative Medicine at the University of Arizona.
He is Board Certified in Emergency Medicine, the subspecialty of Pediatric Medicine, Internal Medicine and Pediatrics.
In a joint partnership with Community Hospice of NE Florida Dr.McIntosh developed an emergency department hospice/palliative care pilot project which incorporated a hospice nurse into the emergency department staff to assist with implementation of the philosophy and principles of hospice and palliative care into a busy academic emergency department. A curriculum was developed to train emergency physicians and nurses to address more effectively symptom management, clarify patient and family goals of care and facilitate comfort with discussion of advance directives.
The content of the house staff and faculty curriculum included 1) Simulation of pediatric and adult scenarios on death and dying, breaking bad news, spirituality in the emergency department, advanced directive decisions, hospice referral and futile admissions; 2) Referral guidelines for end-stage diagnoses; 3) Referral process for sudden death and bereavement services. As a result of the pilot project there were 454 referrals to hospice from the emergency department with 251 admissions in the first year (only 6 referrals in the prior year). The success of the program gave him the opportunity to start a palliative care program supported jointly by UF and Shands/Jacksonville and Community Hospice of NE Florida. In his first of service, completed on September 15, 2011Dr. McIntosh and his team provided over 930 new in-patient palliative care consults. Dr. McIntosh believes that this model of care with early emergency department intervention has the potential to decrease emergency department admissions and overcrowding, increase patient and family satisfaction while addressing goals of care and symptom management and ultimately reduce emergency department and total care costs.
He received his Bachelors of Science and Doctor in Medicine from Duke University and Masters of Public Health from the Harvard School of Public Health. Dr. McIntosh completed a combined residency program in Internal Medicine and Pediatrics at Duke University Medical Center and an Emergency Medicine residency at the UF and Shands Health Science Center in Jacksonville, Florida. He completed one year of Biblical and Theological Training at Columbia International University in Columbia, South Carolina designed for mission support personnel. Dr. McIntosh recently completed the Associate Fellowship in Integrative Medicine at the University of Arizona.
He is Board Certified in Emergency Medicine, the subspecialty of Pediatric Medicine, Internal Medicine and Pediatrics.
In a joint partnership with Community Hospice of NE Florida Dr.McIntosh developed an emergency department hospice/palliative care pilot project which incorporated a hospice nurse into the emergency department staff to assist with implementation of the philosophy and principles of hospice and palliative care into a busy academic emergency department. A curriculum was developed to train emergency physicians and nurses to address more effectively symptom management, clarify patient and family goals of care and facilitate comfort with discussion of advance directives.
The content of the house staff and faculty curriculum included 1) Simulation of pediatric and adult scenarios on death and dying, breaking bad news, spirituality in the emergency department, advanced directive decisions, hospice referral and futile admissions; 2) Referral guidelines for end-stage diagnoses; 3) Referral process for sudden death and bereavement services. As a result of the pilot project there were 454 referrals to hospice from the emergency department with 251 admissions in the first year (only 6 referrals in the prior year). The success of the program gave him the opportunity to start a palliative care program supported jointly by UF and Shands/Jacksonville and Community Hospice of NE Florida. In his first of service, completed on September 15, 2011Dr. McIntosh and his team provided over 930 new in-patient palliative care consults. Dr. McIntosh believes that this model of care with early emergency department intervention has the potential to decrease emergency department admissions and overcrowding, increase patient and family satisfaction while addressing goals of care and symptom management and ultimately reduce emergency department and total care costs.
Website
Website
Host
Dr. Leigh Vinocur
Original Air Date
11 / 18 / 2011
