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 AnticoagulationMargaret C. Fang, Editor, 2011Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to KnowAry L. Goldberger and Zachary D. Goldberger, Editors, 2012Perioperative Medicine: Medical Consultation and Co-ManagementAmir K. Jaffer and Paul J. Grant, Editors, 2012Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013Inpatient Cardiovascular MedicineBrahmajee K. Nallamothu and Timir S. Baman, Editors 2013

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 AnticoagulationMargaret C. Fang, Editor, 2011Hospital Images: A Clinical AtlasPaul B. Aronowitz, Editor, 2012Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to KnowAry L. Goldberger and Zachary D. Goldberger, Editors, 2012Perioperative Medicine: Medical Consultation and Co-ManagementAmir K. Jaffer and Paul J. Grant, Editors, 2012Clinical Care Conundrums: Challenging Diagnoses in Hospital MedicineJames C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013Inpatient Cardiovascular MedicineBrahmajee K. Nallamothu and Timir S. Baman, Editors 2013

Contributors viii1. Hospital Care for Seriously Ill Patients and Their Families1Steven Z. Pantilat, Wendy G. Anderson, Matthew J. Gonzales, andEric W. WideraSection 1 Symptom Management2. Pain Management: A Practical Approach for Hospital Clinicians11Solomon Liao, Kira Skavinski, Jamie Capasso, and Rosene D.Pirrello3. Dyspnea: Management in Seriously Ill Hospitalized Patients37Margaret L. Campbell and Michael A. Stellini4. Nausea and Vomiting: Evaluation and Management inHospitalized Patients 49Katherine Aragon and Matthew J. Gonzales5. Delirium: Identification and Management in Seriously IllHospitalized Patients 61Marieberta Vidal and Eduardo Bruera6. Depression and Anxiety: Assessment and Management inHospitalized 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 theHospital: 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 theHospital: A Case-Based Discussion 133Lynn A. Flint, Rebecca L. Sudore, and Brook Calton11. Prognostication: Estimating and Communicating Prognosis forHospitalized 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 Patients171Paul Glare, Yvona Griffo, Alberta Alickaj, and BarbaraEgan14. Withdrawing Life-Sustaining Interventions 195James M. Risser and Howard Epstein15. Artificial Nutrition and Hydration in Patients with SeriousIllness 206Thomas T. Reid16. Last Days of Life: Care for the Patient and Family 223Jason Morrow17. Palliative Care after Discharge: Services for the SeriouslyIll in the Home and Community 237Amy M. Corcoran, Neha J. Darrah, and Nina R.O'Connor18. Interdisciplinary Team Care of Seriously Ill HospitalizedPatients 250Dawn M. Gross and Jane Hawgood19. Self-Care and Resilience for Hospital Clinicians 260Sarah M. Piper, B.J. Miller, and Michael W. RabowIndex 273