Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach (Hospital Medicine: Current Concepts Book 8)

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 Hospital-based Palliative Medicine: A Practical, Evidence-based Approach Focuses On Improving A Hospitalist's Ability To Provide Quality Palliative Care In The Inpatient Hospital Setting. Although Several Large Textbooks Exist For The Palliative Care Provider, There Are Few Detailed Resources Aimed Specifically At The General Hospitalist And Hospital-based Staff. Existing Textbooks Dedicate At Most Only One Chapter To Palliative Care And They Lack The Detail And Specificity In Symptom Management And Communication Skills To Truly Guide Care. Hospital-based Palliative Medicine Addresses Each Of The Major Components Involved In The Delivery Of Inpatient Palliative Care. These Include The Management Of Complex Symptoms And The Use Of Specific Communication Techniques - Right Down To The Actual Words To Say To The Patient - To Convey Important Information Such As The Reason For And Use Of Medication And How To Handle Difficult Topics With Patients And Their Families And Caregivers. The Book's Authors Are All Leaders In The Field Of Palliative Care, And Most Of Them Also Practice As Hospitalists, And Thus Understand Both Perspectives. Chapters Are Presented In A Consistent Format With Particular Attention To Both Clinical Pearls And Pitfalls, Making The Material Practical And Easily Accessible To The Busy Hospitalist And Associated Hospital Staff--provided By Publisher. Hospital-based Palliative Medicine: A Practical, Evidence-based Approach; Copyright; Contents; Contributors; Chapter 1 Hospital Care For Seriously Ill Patients And Their Families; 1.1 Epidemiology Of Hospital Care For The Seriously Ill; 1.2 Palliative Care; 1.3 The Role Of The Hospital-based Clinician In Palliative Care; 1.4 The Structure Of This Book; 1.5 Rewarding Practice; 1.6 Caring For Mrs Morton; References; Section 1 Symptom Management; Chapter 2 Pain Management: A Practical Approach For Hospital Clinicians; 2.1 Etiology And Types Of Pain; 2.2 A Practical General Approach To Pain 2.3 Opioid Analgesics2.4 Nonopioid Classes Of Medications; 2.5 Nonpharmacological Interventions; 2.6 Transition To Outpatient; 2.7 Opioid Risk Evaluation And Mitigation Strategies; 2.8 Addiction And Diversion; References; Chapter 3 Dyspnea: Management In Seriously Ill Hospitalized Patients; 3.1 Definitions, Prevalence, And Trajectories; 3.2 Assessment; 3.3 Differential Diagnosis; 3.4 Diagnostic Procedures; 3.5 Treatment; References; Chapter 4 Nausea And Vomiting: Evaluation And Management In Hospitalized Patients; 4.1 Pathophysiology; 4.2 Management; 4.3 Approach To Common Causes 4.4 Intractable Nausea And Vomiting4.5 Conclusion; References; Additional Resources; Chapter 5 Delirium: Identification And Management In Seriously Ill Hospitalized Patients; 5.1 Clinical Features Of Delirium; 5.2 Differential Diagnosis Of Delirium; 5.3 Causes For Delirium; 5.4 Delirium Assessment; 5.5 Pharmacologic Treatment Of Delirium; 5.6 Nonpharmacologic Treatment Of Delirium; References; Online Resources; Chapter 6 Depression And Anxiety: Assessment And Management In Hospitalized Patients With Serious Illness; 6.1 Introduction 6.2 Recognizing Symptoms Of Depression And Anxiety In Seriously Ill Patients6.3 Differentiating Among Conditions Marked By Symptoms Of Depression And Anxiety; 6.4 Management Of Depression And Anxiety In Palliative Care; 6.5 Consultation With Other Specialists; 6.6 Conclusion; References; Additional Resources; Section 2 Communication And Decision Making; Chapter 7 Effective Communication With Seriously Ill Patients In The Hospital: General Principles And Core Skills; 7.1 Introduction; 7.2 Key Steps When Opening The Encounter; 7.3 Key Skills To Use Throughout The Encounter 7.4 Closing The Encounter7.5 Special Situations; References; Chapter 8 Family Meetings And Caring For Family Members; 8.1 Why Care For Families Of Palliative Care Patients?; 8.2 Effective Communication With Family Members; 8.3 Additional Interprofessional Support For Families; References; Chapter 9 Assessing Goals Of Care: A Case-based Discussion; 9.1 Road Map For Discussing Goals Of Care; 9.2 Use Of Interpreters; 9.3 Conclusion; References; Chapter 10 Documenting Goals Of Care And Treatment Preferences In The Hospital: A Case-based Discussion; 10.1 Practical In-hospital Documentation; 10.2 Troubleshooting. Edited By Steven Pantilat, Wendy Anderson, Matthew Gonzales, Eric Widera. Includes Bibliographical References And Index. Mode Of Access: World Wide Web. The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting. * 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. Also available in the in the __Hospital-Based Medicine: Current Concepts__ series: Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012 Perioperative Medicine: Medical Consultation and Co-Management Amir K. Jaffer and Paul J. Grant, Editors, 2012 Inpatient Cardiovascular Medicine Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013