By Steven Z. Pantilat, Wendy Anderson, Matthew Gonzales, Eric Widera, Scott A. Flanders, Sanjay Saint

The first accomplished, clinically targeted consultant to aid hospitalists and different hospital-based clinicians supply caliber palliative care within the inpatient setting.

Written for working towards clinicians by way of a workforce of specialists within the box of palliative care and sanatorium care, Hospital-Based Palliative drugs: a realistic, Evidence-Based Approach offers:

  • Comprehensive content material over 3 domain names of inpatient palliative care: symptom administration, communique and choice making, and sensible skills,
  • Detailed info on overview and administration of indicators as a rule skilled through heavily ailing patients,
  • Advise at the use of particular communique suggestions to handle delicate subject matters akin to analysis, objectives of care, code prestige, increase care making plans, and kin conferences in a sufferer- and family-centered manner,
  • Targeted content material for particular situations, together with palliative care emergencies, care on the finish of lifestyles, and an summary of post-hospital palliative care options,
  • Self-care techniques for resilience and clinician well being which might be used to assist continue an empathic, engaged, staff and top of the range sufferer care,
  • A constant bankruptcy layout with highlighted medical pearls and pitfalls, making sure the cloth is well obtainable to the busy hospitalist and linked sanatorium staff.

This name should be of use to all health center clinicians who deal with heavily in poor health sufferers and their households. Specialist-trained palliative care clinicians also will locate this identify precious via outlining a framework for the supply of palliative care via the patient’s front-line sanatorium providers. 

Also to be had within the within the Hospital-Based medication: present Concepts series:

Inpatient Anticoagulation
Margaret C. Fang, Editor, 2011

Hospital pictures: A medical Atlas
Paul B. Aronowitz, Editor, 2012

Becoming a Consummate Clinician: What each scholar, condominium Officer, and sanatorium Practitioner must Know 
Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012

Perioperative drugs: clinical session and Co-Management
Amir okay. Jaffer and Paul J. provide, Editors, 2012

Clinical Care Conundrums: demanding Diagnoses in sanatorium Medicine      
James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013

Inpatient Cardiovascular Medicine 
Brahmajee okay. Nallamothu and Timir S. Baman, Editors 2013

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Extra info for Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach

Example text

4 Opioid Titration Opioid titration is usually necessary in the management of pain in the hospital. There is no theoretical dose ceiling as long as opioids are titrated safely. However, practically speaking, most opioids are limited in their dose by the neurotoxic effect of their metabolites. The use of an intravenous opioid is the most rapid way to provide pain relief for a patient who has poorly controlled acute pain. All IV opioids are short acting with the exception of methadone. If a patient is still in severe pain 30 min after administration of IV pain medication, the dose can be doubled and given again.

Of critically ill patients, including those mechanically ­ ventilated, dyspnea is the most distressing reported symptom [5]. Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach, First Edition. Edited by Steven Pantilat, Wendy Anderson, Matthew Gonzales, and Eric Widera. © 2015 John Wiley & Sons, Inc. Published 2015 by John Wiley & Sons, Inc. 2 ASSESSMENT High-quality palliative care for dyspnea requires comprehensive, valid, and reliable measurement. ” The numeric rating scale, for those able to report, is an appropriate palliative care tool, although limited since only presence and intensity are identified [6].

The most popular of these are music therapy and guided imagery. Music therapy has been shown in studies to help with pain and relaxation. It has been effective in reducing anxiety and the need for medications in critically ill patients on ventilators [11]. Unfortunately, few hospitals have trained music therapist available. Guided imagery involves the generation or recall of different mental images, such as perception of objects or events, and engages mechanisms used in cognition, memory, and emotional and motor control [12].

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