Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach focuses on improving a Hospitalists 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 books 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.

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Contributors viii 1. Hospital Care for Seriously Ill Patients and Their Families 1Steven 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 11Solomon Liao, Kira Skavinski, Jamie Capasso, and Rosene D. Pirrello 3. Dyspnea: Management in Seriously Ill Hospitalized Patients 37Margaret L. Campbell and Michael A. Stellini 4. Nausea and Vomiting: Evaluation and Management in Hospitalized Patients 49Katherine Aragon and Matthew J. Gonzales 5. Delirium: Identification and Management in Seriously Ill Hospitalized Patients 61Marieberta Vidal and Eduardo Bruera 6. Depression and Anxiety: Assessment and Management in Hospitalized Patients with Serious Illness 71Nathan 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 95Kristen A. Chasteen and Wendy G. Anderson 8. Family Meetings and Caring for Family Members 108Sara K. Johnson 9. Assessing Goals of Care: A Case-Based Discussion 121Elizabeth Lindenberger and Amy S. Kelley 10. Documenting Goals of Care and Treatment Preferences in the Hospital: A Case-Based Discussion 133Lynn A. Flint, Rebecca L. Sudore, and Brook Calton 11. Prognostication: Estimating and Communicating Prognosis for Hospitalized Patients 143Joshua R. Lakin and Eric W. Widera 12. Managing Conflict over Treatment Decisions 160Robert M. Arnold and Eva Reitschuler-Cross Section 3 Practice 13. Palliative Care Emergencies in Hospitalized Patients 171Paul Glare, Yvona Griffo, Alberta Alickaj, and Barbara Egan 14. Withdrawing Life-Sustaining Interventions 195James M. Risser and Howard Epstein 15. Artificial Nutrition and Hydration in Patients with Serious Illness 206Thomas T. Reid 16. Last Days of Life: Care for the Patient and Family 223Jason Morrow 17. Palliative Care after Discharge: Services for the Seriously Ill in the Home and Community 237Amy M. Corcoran, Neha J. Darrah, and Nina R. OConnor 18. Interdisciplinary Team Care of Seriously Ill Hospitalized Patients 250Dawn M. Gross and Jane Hawgood 19. Self-Care and Resilience for Hospital Clinicians 260Sarah M. Piper, B.J. Miller, and Michael W. Rabow Index 273