Hospital-Based Palliative Medicine A Practical, Evidence-Based Approach

The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting.

Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers: 

• Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills,
• Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients,
• Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner,
• Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options,
• Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care,
• A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff.

This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient’s front-line hospital providers.

Also available in the in the Hospital-Based Medicine: Current Concepts series:

Inpatient Anticoagulation
Margaret C. Fang, Editor, 2011

Hospital Images: A Clinical Atlas
Paul B. Aronowitz, Editor, 2012

Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know
Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012

Perioperative Medicine: Medical Consultation and Co-Management
Amir K. Jaffer and Paul J. Grant, Editors, 2012

Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine
James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013

Inpatient Cardiovascular Medicine
Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013

Steven Z. Pantilat, MD, is a Professor of Medicine in the Department of Medicine at the University of California, San Francisco, the Alan M. Kates and John M. Burnard Endowed Chair in Palliative Care, and the founding Director of the UCSF Palliative Care Program. Dr. Pantilat is also the Director of the UCSF Palliative Care Leadership Center that trains teams from hospitals across the country on how to establish Palliative Care Services.  In 2007 he was a Fulbright Senior Scholar studying palliative care at the Royal Prince Alfred Hospital, University of Sydney, and Curtin University in Sydney, Australia. Dr. Pantilat is also a hospitalist, and is a nationally recognized expert in hospital medicine as well as in Palliative Medicine.

Contributors viii

1. Hospital Care for Seriously Ill Patients and Their Families 1
Steven Z. Pantilat, Wendy G. Anderson, Matthew J. Gonzales, and Eric W. Widera

Section 1 Symptom Management

2. Pain Management: A Practical Approach for Hospital Clinicians 11
Solomon Liao, Kira Skavinski, Jamie Capasso, and Rosene D. Pirrello

3. Dyspnea: Management in Seriously Ill Hospitalized Patients 37
Margaret L. Campbell and Michael A. Stellini

4. Nausea and Vomiting: Evaluation and Management in Hospitalized Patients 49
Katherine Aragon and Matthew J. Gonzales

5. Delirium: Identification and Management in Seriously Ill Hospitalized Patients 61
Marieberta Vidal and Eduardo Bruera

6. Depression and Anxiety: Assessment and Management in Hospitalized Patients with Serious Illness 71
Nathan Fairman, Jeremy M. Hirst, and Scott A. Irwin

Section 2 Communication and Decision Making

7. Effective Communication with Seriously Ill Patients in the Hospital: General Principles and Core Skills 95
Kristen A. Chasteen and Wendy G. Anderson

8. Family Meetings and Caring for Family Members 108
Sara K. Johnson

9. Assessing Goals of Care: A Case-Based Discussion 121
Elizabeth Lindenberger and Amy S. Kelley

10. Documenting Goals of Care and Treatment Preferences in the Hospital: A Case-Based Discussion 133
Lynn A. Flint, Rebecca L. Sudore, and Brook Calton

11. Prognostication: Estimating and Communicating Prognosis for Hospitalized Patients 143
Joshua R. Lakin and Eric W. Widera

12. Managing Conflict over Treatment Decisions 160
Robert M. Arnold and Eva Reitschuler-Cross

Section 3 Practice

13. Palliative Care Emergencies in Hospitalized Patients 171
Paul Glare, Yvona Griffo, Alberta Alickaj, and Barbara Egan

14. Withdrawing Life-Sustaining Interventions 195
James M. Risser and Howard Epstein

15. Artificial Nutrition and Hydration in Patients with Serious Illness 206
Thomas T. Reid

16. Last Days of Life: Care for the Patient and Family 223
Jason Morrow

17. Palliative Care after Discharge: Services for the Seriously Ill in the Home and Community 237
Amy M. Corcoran, Neha J. Darrah, and Nina R. O’Connor

18. Interdisciplinary Team Care of Seriously Ill Hospitalized Patients 250
Dawn M. Gross and Jane Hawgood

19. Self-Care and Resilience for Hospital Clinicians 260
Sarah M. Piper, B.J. Miller, and Michael W. Rabow

Index 273

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.