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Hospital-Based Palliative Medicine
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Table of Contents

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

About the Author

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.

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