Annals for Hospitalists Inpatient Notes - Palliative Care Consultation—What a Hospitalist Should Know
Authors: Timothy C. Poore, Steven Z. Pantilat
Journal: Annals of Internal Medicine (2021)

Web ExclusivesSeptember 2021Annals for Hospitalists Inpatient Notes - Palliative Care Consultation—What a Hospitalist Should KnowTimothy C. Poore, MD and Steven Z. Pantilat, MDTimothy C. Poore, MDUniversity of California, San Francisco, San Francisco, California (T.C.P., S.Z.P.).Search for more papers by this author and Steven Z. Pantilat, MDUniversity of California, San Francisco, San Francisco, California (T.C.P., S.Z.P.).Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-3118 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail For people with serious illness, admission to the hospital is often a significant life event and inflection point in their illness trajectory (for example, kidney failure in a patient with progressive heart failure or aspiration pneumonia in a patient with advanced dementia). Hospitalists, who are typically meeting a patient for the first time, are well positioned to raise questions about treatments and goals of care and engage palliative care (PC) teams in a way that may be difficult for an outpatient physician with a long-term relationship. Given the increasing number of patients with serious illness—at least 12 million today and ...References1. Hayes SL, Salzberg CA, McCarthy D, et al. High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care—A Population-Based Comparison of Demographics, Health Care Use, and Expenditures. The Commonwealth Fund; August 2016. Google Scholar2. Lupu D, Quigley L, Mehfoud N, et al. The growing demand for hospice and palliative medicine physicians: will the supply keep up. J Pain Symptom Manage. 2018;55:1216-1223. [PMID: 29410071] doi:10.1016/j.jpainsymman.2018.01.011 CrossrefMedlineGoogle Scholar3. Weissman DE, Meier DE. Identifying patients in need of a palliative care assessment in the hospital setting: a consensus report from the Center to Advance Palliative Care. J Palliat Med. 2011;14:17-23. [PMID: 21133809] doi:10.1089/jpm.2010.0347 CrossrefMedlineGoogle Scholar4. Kamal AH, Bull JH, Swetz KM, et al. Future of the palliative care workforce: preview to an impending crisis [Editorial]. Am J Med. 2017;130:113-114. [PMID: 27687068] doi:10.1016/j.amjmed.2016.08.046 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of California, San Francisco, San Francisco, California (T.C.P., S.Z.P.).Acknowledgment: The authors would like to thank Dr. Michelle Mourad, Dr. Sarah Apgar, Dr. Molly Kantor, and Dr. Adeena Khan for their helpful comments and input on this commentary.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-3118.Corresponding Author: Timothy C. Poore, MD, UCSF Division of Palliative Medicine, Box 0125, 521 Parnassus Avenue, Floor 05, San Francisco, CA 94143-0125; e-mail, Timothy.[email protected]edu.Current Author Addresses: Drs. Poore and Pantilat: UCSF Division of Palliative Medicine, Box 0125, 521 Parnassus Avenue, Floor 05, San Francisco, CA 94143-0125. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - September 2021 Megan Mack , Matthew Luzum , and David H. Wesorick Metrics September 2021Volume 174, Issue 9Page: HO2-HO3KeywordsHospitalistsPalliative care ePublished: 21 September 2021 Issue Published: September 2021 Copyright & PermissionsCopyright © 2021 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...