Hospital-based palliative medicine : a practical, evidence-based approach / edited by Steven Pantilat, Wendy Anderson, Matthew Gonzales, Eric Widera.

Includes bibliographical references and index.

"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.

Description based on print version record and CIP data 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.