Ulteriori informazioni
"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.
Sommario
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
Info autore
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.
Riassunto
The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting.
