Palliative Skills for Frontline Clinicians

Kate Aberger,Director of Palliative and Geriatric Medicine,St. Joseph’s Health,Paterson, NJ,USA.Attending Physician, Emergency,Department Robert Wood Johnson,University Hospital,Somerset, NJ,USA.David Wang,Director of Palliative Medicine,Scripps Health, San Diego,CA, USA.

“I am full of admiration and hope that this book succeeds. … People who work in palliative care will enjoy it and get a few pointers about working alongside palliative care-sympathetic specialists from other fields.” (Roger Woodruff, IAHPC Book Reviews, hospicecare.com, Vol. 22 (1), January, 2021)

• Part I: Emergency Medicine.- High Yield Approach to the ED Goals of Care Conversation.- A Palliative Approach to End Stage COPD.- This POLST Makes No Sense.- Treating Pain and Prognosticating in Metastatic Cancer.- Complex Pain Management and Goals of Care in a Debilitated Cancer Patient.- To Intubate or Not to Intubate: Ask the Right Questions.- ED Approach to the Hospice patient.- Part II: Inpatient Internal Medicine.- “We can’t let him starve”: Artificial Nutrition in Patients with Advanced Dementia.- Shared Decision-Making in the Setting of a Large Ischemic Stroke.- Prognostication and Goals of Care in Advanced Parkinson’s Disease.- Saying Yes to Aggressive Measures: The Role of Neuropalliative Care in Critically Ill Patients with Potential for Recovery.- “I am a Fighter”: Recognizing and Responding to Cancer Metaphors.- “What does the awake ventilated patient really want?”: Shared-decision making in the ICU.- A Mother’s Love – Support Despite Disagreeing with Goals of Care.- End-Stage Renal Disease and Shared Decision-Making Dilemmas.- Discontinuing Continuous Renal Replacement Therapy (CRRT) in the Intensive Care Unit.- Teaching Learners How to Approach Family Decisions as a Process.- Part III: Surgery.- Trach/PEG Consult in the ICU.- Rescinding DNR Orders in the Operating Room.- A Threshold Moment, Preserving Patient Dignity, and the Value of a Time Limited Trial.- Between a Rock and a Hard Place: Anticipating Poor Surgical Outcomes while Honoring Patient Autonomy.- Surgery for the Hospice Patient: When is it Appropriate?.- Non-Operative Approach To Caring For The Ischemic Limb.- Placing a Feeding Tube in a Patient with Dementia.- Malignant Bowel Obstruction In A Dying Patient: To Operate Or Not?.- Geriatric Trauma Decision-Making Based on Functional Outcomes.- Part IV: Specialty Medicine.- Decision by Surrogates for a Patient with a Psychiatric History.- Palliative Approach to Patients with Concurrent Serious Illness and Substance Use Disorder.- Responding To Spiritual Suffering And Hope During A Goals Of Care Conversation.- Trisomy 18: Early And Concurrent Palliative Care Enhances Delivery And Neonatal Planning.- Navigating Colleagues and Parents in the Pediatric ICU.