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Dying with Dignity: A New Paradigm for the Emergency Department

Dying with Dignity: A New Paradigm for the Emergency Department

Dying with Dignity: A New Paradigm for the Emergency Department

Dr Kevin Haselhorst MD
Dr Kevin Haselhorst MD

$39.99 $ 39.99 $ 39.99

$39.99 $ 39.99 $ 39.99

$ 39.99 $ 39.99 $ 39.99
$ 39.99 $ 39.99 $ 39.99
Normal Price: $39.99 $39.99


Launch date: 30 May 2017
Expiry Date:

Last updated: 27 Nov 2019

Reference: 184011

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An emergency department (ED) physician asserts that there needs to be a different paradigm in place when end-of-life patients present to the ED staff. This would support palliative or hospice care and preclude the ordering of diagnostic and other tests when they will not change the patient’s condition for the better.

1 Overview
The SOAP Mnemonic
Standardizing End-of-Life Care
Educating Patients
Breakdowns in the System
An 0pportune Moment

2 SOAP: Subjective (Triage)
Distinguishing Patients
Timing is Everything
Personal Motivation
Patient Credibility
The Overriding Need to Know

3 SOAP: Objective
I’d Rather Be Carefree than Suffering
Fresh Eyes on the Subject
The Goal to Find Something Wrong
The Objective to Determine Medical Necessity
Free Rein Over the End of Life

4 SOAP: Assessment
Medical Condition
Medical Prognosis
Quality of Life
Personal Preference
Good Conscience

5 SOAP: Care Plan
The Best Plan for a Good Death
Implied Consent for Appropriate Care
Plan for Peace of Mind
Free Choice Rules End-of-Life Decisions
Death Through Palliation


On completion of this course the learner will be able to:
1. Explain a proposed new social compact regarding end-of-life care that could emphasize personal dignity over medical intervention.
2. Distinguish that DNR orders are not designed to provide comfort measures but apply only after the patient has died.
3. Discuss why the mind–body connection needs to be part of the clinical picture when determining the level of medical intervention.
4. Summarize that end-of-life assessment includes medical condition, medical prognosis, quality of life, personal preference, and good conscience.
5. Teach that the best care plan takes into account implied consent, peace of mind, and both palliative and hospice choices.
Dr Kevin Haselhorst MD

Author Information Play Video Bio

Dr Kevin Haselhorst MD

Dr. Kevin Haselhorst has enjoyed a lively career as an emergency medicine physician. While often caring for patients near the end of life, he has become painfully aware that these individuals rarely seem to end life peacefully. These patients are typically burdened by multiple medical conditions, yet are repeatedly admitted to the hospital in hopes of holding off the inevitable. This results in patients and caregivers feeling more self-defeated and less personally fulfilled. In his book, Wishes To Die For, Dr. Haselhorst has caregivers support a loved one’s passage through focusing more on what matters and less on what is feared.
Raised on the outskirts of Trenton, Illinois, Dr. Haselhorst credits his parents for providing and instilling the value of a Catholic education from elementary school to his Jesuit training at Saint Louis University. His goal of becoming a family doctor at Southern Illinois University Medical School evolved into an Internal Medicine residency at Mercy Hospital in St. Louis. While there he moonlighted in the Emergency Department, becoming intrigued by the prospect of making a profound difference in patients’ lives in a short amount of time. He continued to work at Mercy’s Level 1 Trauma Center after his residency and years later moved to the Valley of the Sun – Phoenix Arizona.
What was at first exciting, eventually became exhausting as Haselhorst became a workaholic. This led him to study psychotherapy, live an examined life and contribute to the well-being of children. He began with volunteering as a buddy with St. Louis Effort for AIDS and became a big brother for Big Brothers Big Sisters of Arizona. He participated in Landmark Education and studied under the mystic, Brugh Joy, acquiring a deeper knowledge of coping strategies and spiritual awareness, respectively. The crowning achievement for Haselhorst occurred at the white coat ceremony for his nephew’s induction into the medical field.
Intrigued by what lies in the unconscious, his curiosity and desire for new adventures have catapulted Kevin around the world. From snowboarding in Chile, diving Australia’s Great Barrier Reef to sharing the practice of yoga in Cuba. He has even marched to the beat of a world champion drum corps, the Cavaliers. He contends that if hiking the Grand Canyon rim to rim, each way on subsequent days and running a marathon in Dublin with no prior training, then he can write a book without necessarily being an experienced writer. The wealth of his background is the abundance he shares with his readers.
Dr. Haselhorst is an active participant in the recently formed Valley Death Café. He is a keynote speaker, contributing writer for the Arizona Republic’s Ask the Expert Column and posts blogs on and With the publication of Wishes To Die For, he aspires to help guide compassionate end-of-life care.

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