Palliative Skills for Frontline Clinicians

Kate Aberger,Director of Palliative and Geriatric Medicine,St. Joseph’s Health,Paterson, NJ,USA.Attending Physician, Emergency,Department Robert Wood Johnson,University Hospital,Somerset, NJ,USA.David Wang,Director of Palliative Medicine,Scripps Health, San Diego,CA, USA.

• Part I: Emergency Medicine.- High Yield Approach to the ED Goals of Care Conversation.- A Palliative Approach to End Stage COPD.- This POLST Makes No Sense.- Treating Pain and Prognosticating in Metastatic Cancer.- Complex Pain Management and Goals of Care in a Debilitated Cancer Patient.- To Intubate or Not to Intubate: Ask the Right Questions.- ED Approach to the Hospice patient.- Part II: Inpatient Internal Medicine.- “We can’t let him starve”: Artificial Nutrition in Patients with Advanced Dementia.- Shared Decision-Making in the Setting of a Large Ischemic Stroke.- Prognostication and Goals of Care in Advanced Parkinson’s Disease.- Saying Yes to Aggressive Measures: The Role of Neuropalliative Care in Critically Ill Patients with Potential for Recovery.- “I am a Fighter”: Recognizing and Responding to Cancer Metaphors.- “What does the awake ventilated patient really want?”: Shared-decision making in the ICU.- A Mother’s Love – Support Despite Disagreeing with Goals of Care.- End-Stage Renal Disease and Shared Decision-Making Dilemmas.- Discontinuing Continuous Renal Replacement Therapy (CRRT) in the Intensive Care Unit.- Teaching Learners How to Approach Family Decisions as a Process.- Part III: Surgery.- Trach/PEG Consult in the ICU.- Rescinding DNR Orders in the Operating Room.- A Threshold Moment, Preserving Patient Dignity, and the Value of a Time Limited Trial.- Between a Rock and a Hard Place: Anticipating Poor Surgical Outcomes while Honoring Patient Autonomy.- Surgery for the Hospice Patient: When is it Appropriate?.- Non-Operative Approach To Caring For The Ischemic Limb.- Placing a Feeding Tube in a Patient with Dementia.- Malignant Bowel Obstruction In A Dying Patient: To Operate Or Not?.- Geriatric Trauma Decision-Making Based on Functional Outcomes.- Part IV: Specialty Medicine.- Decision by Surrogates for a Patient with a Psychiatric History.- Palliative Approach to Patients with Concurrent Serious Illness and Substance Use Disorder.- Responding To Spiritual Suffering And Hope During A Goals Of Care Conversation.- Trisomy 18: Early And Concurrent Palliative Care Enhances Delivery And Neonatal Planning.- Navigating Colleagues and Parents in the Pediatric ICU.

“I am full of admiration and hope that this book succeeds. … People who work in palliative care will enjoy it and get a few pointers about working alongside palliative care-sympathetic specialists from other fields.” (Roger Woodruff, IAHPC Book Reviews, hospicecare.com, Vol. 22 (1), January, 2021)