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 Analgesics -- 2.4 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 Vomiting -- 4.5 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 Patients -- 6.3 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 Encounter -- 7.5 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 -- 10.3 Suggested Resources -- References -- Chapter 11 Prognostication: Estimating and Communicating Prognosis for Hospitalized Patients -- 11.1 What is Prognostication? -- 11.2 Why is Prognostication Important? -- 11.3 Overview of Methods to Estimate Prognosis -- 11.4 Tools for Estimating Non-Disease-Specific Prognosis -- 11.5 Tools for Estimating Disease-Specific Prognosis -- 11.6 How to Communicate Prognosis to Patient or Surrogate? -- 11.7 Challenges in Communicating Prognosis -- 11.8 Ways to Communicate Prognosis -- 11.9 Tips for Delivering Prognostic Estimates -- 11.10 Conclusion -- References.

Chapter 12 Managing Conflict over Treatment Decisions -- 12.1 Using a Nonjudgmental Starting Point to Find Common Values and Goals -- 12.2 Managing Conflict -- 12.3 Two Clinical Examples of Conflict -- 12.4 Understanding Requests to "Do Everything" -- 12.5 Understanding Beliefs in Miracles -- 12.6 Summary -- References -- Section 3 Practice -- Chapter 13 Palliative Care Emergencies in Hospitalized Patients -- 13.1 What Constitutes an Emergency in Palliative Care? -- 13.2 Traditional Oncologic Emergencies in Palliative Care Patients -- 13.3 Other Emergencies in the Hospitalized Palliative Care Patient -- 13.4 Summary and Conclusion -- References -- Chapter 14 Withdrawing Life-Sustaining Interventions -- 14.1 Ethical Considerations -- 14.2 Medical-Legal Considerations -- 14.3 Communication and the Critical Role of the Family -- 14.4 Ventilator Withdrawal -- 14.5 Medication Protocols -- 14.6 ICU Policies to Support Families -- 14.7 Withdrawal of Other Life-Sustaining Interventions -- References -- Additional Resources -- Chapter 15 Artificial Nutrition and Hydration in Patients with Serious Illness -- 15.1 Introduction -- 15.2 EN -- 15.3 PN -- 15.4 Artificial Hydration Only? -- 15.5 Decision-Making Around ANH -- 15.6 Discussing ANH at EOL -- 15.7 Law and Ethics -- 15.8 Principles and Tools for the ANH Conversation -- References -- Online Resources -- Chapter 16 Last Days of Life: Care for the Patient and Family -- 16.1 Introduction: Care During the Last Days of Life -- 16.2 Last Days: Empathic Communication and Interdisciplinary Care -- 16.3 Last Days: Signposting and Symptom Management -- 16.4 Last Days: An Approach to Pronouncing Death -- 16.5 Last Days: Documenting and Disclosing Death -- Further Reading -- Web Resources -- Chapter 17 Palliative Care after Discharge: Services for the Seriously Ill in the Home and Community -- 17.1 Introduction.

17.2 Hospice -- 17.3 Palliative Care -- 17.4 Conclusion -- References -- Chapter 18 Interdisciplinary Team Care of Seriously Ill Hospitalized Patients -- 18.1 Definition of a Team -- 18.2 Core Values -- 18.3 Key Team Members for Palliative Care -- 18.4 Additional AD HOC Team Members -- 18.5 Becoming a High-Functioning Team -- 18.6 Conflict Resolution -- 18.7 Conclusion -- References -- Web Resources -- Chapter 19 Self-Care and Resilience for Hospital Clinicians -- 19.1 Introduction -- 19.2 Defining the Challenges -- 19.3 Rewards of Caring for the Seriously Ill and Dying -- 19.4 Cultivating Physician Well-Being and Resilience -- 19.5 Conclusions -- References -- Index -- End User License Agreement.