Hospital-Based Palliative Medicine

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 viii1. Hospital Care for Seriously Ill Patients and Their Families 1Steven Z. Pantilat, Wendy G. Anderson, Matthew J. Gonzales, and Eric W. WideraSection 1 Symptom Management2. Pain Management: A Practical Approach for Hospital Clinicians 11Solomon Liao, Kira Skavinski, Jamie Capasso, and Rosene D. Pirrello3. Dyspnea: Management in Seriously Ill Hospitalized Patients 37Margaret L. Campbell and Michael A. Stellini4. Nausea and Vomiting: Evaluation and Management in Hospitalized Patients 49Katherine Aragon and Matthew J. Gonzales5. Delirium: Identification and Management in Seriously Ill Hospitalized Patients 61Marieberta Vidal and Eduardo Bruera6. Depression and Anxiety: Assessment and Management in Hospitalized Patients with Serious Illness 71Nathan Fairman, Jeremy M. Hirst, and Scott A. IrwinSection 2 Communication and Decision Making7. Effective Communication with Seriously Ill Patients in the Hospital: General Principles and Core Skills 95Kristen A. Chasteen and Wendy G. Anderson8. Family Meetings and Caring for Family Members 108Sara K. Johnson9. Assessing Goals of Care: A Case-Based Discussion 121Elizabeth Lindenberger and Amy S. Kelley10. Documenting Goals of Care and Treatment Preferences in the Hospital: A Case-Based Discussion 133Lynn A. Flint, Rebecca L. Sudore, and Brook Calton11. Prognostication: Estimating and Communicating Prognosis for Hospitalized Patients 143Joshua R. Lakin and Eric W. Widera12. Managing Conflict over Treatment Decisions 160Robert M. Arnold and Eva Reitschuler-CrossSection 3 Practice13. Palliative Care Emergencies in Hospitalized Patients 171Paul Glare, Yvona Griffo, Alberta Alickaj, and Barbara Egan14. Withdrawing Life-Sustaining Interventions 195James M. Risser and Howard Epstein15. Artificial Nutrition and Hydration in Patients with Serious Illness 206Thomas T. Reid16. Last Days of Life: Care for the Patient and Family 223Jason Morrow17. Palliative Care after Discharge: Services for the Seriously Ill in the Home and Community 237Amy M. Corcoran, Neha J. Darrah, and Nina R. O’Connor18. Interdisciplinary Team Care of Seriously Ill Hospitalized Patients 250Dawn M. Gross and Jane Hawgood19. Self-Care and Resilience for Hospital Clinicians 260Sarah M. Piper, B.J. Miller, and Michael W. RabowIndex 273