Inpatient Consultation Services
Your primary physician may request a palliative care consultation. Individuals in the hospital and their loved ones may also ask their primary physician about palliative care. Some of the reasons why the medical team, families, or patients may seek assistance from palliative care include:
- Management of troubling symptoms, such as pain, difficulty breathing, nausea, vomiting, and agitation.
- Assistance with developing a plan of care that places patient and family’s goals as a central focus
- Emotional support
- Help with determining whether a person may or may not benefit from hospice
- Development of a discharge plan
What Kinds of Patients Benefit from Office Based Palliative Care?
Patients who have symptoms from advanced illnesses can be helped by palliative care, such as patients with:
- Congestive Heart Failure/Heart Valve Problems
- Kidney Problems
- Advanced Dementia or Strokes
- Pulmonary Hypertension
Nursing Home Care
Palliative care in the skilled nursing facility provides an additional layer of specialized evaluation and management for a sick population by addressing symptom management, communicating with caregivers about the disease process, and appropriately using hospitalization and other medical interventions. Patients who are receiving rehabilitation services (SAR) and need symptom management or may otherwise have qualified for hospice can receive palliative services concurrently with their subacute rehabilitation (whereas hospice cannot be given concurrently with rehabilitation). Long term care nursing home residents with progressive declines from dementia or other chronic illnesses may have frequent hospitalizations near the end-of-life which result in further physical deterioration such as pressures ulcers, without much improvement in overall quality or quantity of life. Palliative care in the nursing home can help address goals of care with patients and their caregivers and provide symptom relief and emotional support.
Emotional, Social, and Spiritual Care
Living with illness may cause emotional distress or social concerns that affect relationships. Adapting to illness may be difficult. Our palliative care social worker and hospital-based psychologist are available to assist you and your family.
Sometimes spiritual or religious questions arise in the setting of serious illness. A chaplain is available to talk or pray with you and listen to your concerns. One of our hospital chaplains may coordinate your spiritual care with your community rabbi, priest, Imam, or spiritual leader. Visit our Pastoral Care page for more information.