Hospital-Based Palliative Medicine (eBook)

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