BookKate Aberger, David Wang, editors.
Summary: Rooted in everyday hospital medicine, Palliative Skills for Frontline Clinicians addresses the challenges of delivering complex care to patients living with serious illnesses. Spanning emergency medicine, internal medicine, surgery and various subspecialties, each chapter reads like a story, comparing usual care with a step-by-step palliative-based approach. This case-based book features a multidisciplinary, palliative-trained authorship, including neurologists, nephrologists, emergency physicians, surgeons, intensivists, and obstetricians. Divided into four parts, Palliative Skills for Frontline Clinicians outlines common clinical scenarios across settings and specialties to highlight unmet needs of patients with potentially terminal illnesses. Each case is broken down into the usual standard approach, and delves into detail regarding different palliative interventions that can be appropriate in those scenarios. These are meant to be practice changing; down to the actual words used to communicate with patients. In addition to the books focus on the principles of palliative care and the "art" of treating the patient, approaches to communication with the patients families for the best long-term outcomes are discussed. Concise and pragmatic, Palliative Skills for Frontline Clinicians is meant to be practice changing. It provides readers with both a new conceptual framework, as well as actual words to communicate with patients and medication doses for symptom management. It is an invaluable resource for non-palliative trained clinicians who wish to strengthen their palliative care skills.
Contents:
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 cant 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 Parkinsons 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 Mothers 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 Seriou s 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.