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Patient Care

Patient Care


Services & Programs

Inpatient Consult Service

Access:
The inpatient service is available for consults 7:30 a.m. 5:00p.m., Monday through Friday.  A Palliative Care Physician is on call 24 hours/7 days a week.  The Palliative Care Team covers The James Cancer Hospital, University Hospital, Ross Heart Hospital, and the Neuropsych Hospital. Team members are assigned cases by the inpatient Attending Physcian.  Inpatients are rounded on everyday as needed by a Team member.  The Attending sees all new consults and complex patient follow-up.

Team Composition:
The Attendings, APNs, Fellows, Pharmacist, Social Worker meet at 7:30 a.m. (M-F) to discuss inpatients/new consults.  A Chaplain position is also allocated to the Palliative Care Service and consulted as needed.  The Health Psychologist is available when consulted by referring physician or the Palliative Care Team.  Walking rounds within the health system begin at approximately 9:00 a.m. and continues until all patients are seen.

Team members also meet throughout the day with the primary team, social workers, primary care service, NPs, and Patient Care Resource Managers (PCRMs).

Interdiciplinary Team Rounds:
(IDT):  IDT is held every bi-monthly from 12:30 to 1:30.  The Fellows are assigned to pick a current inpatient case to present to the group.  Members from the primary team, social workers, PCRMs, nursing staff and palliative care staff are also in attendance.

Family Meetings:
The Palliative Care Service often works with patients and families to discuss goals of care at which the Attending is present.  One of the Team members coordinates these meetings with primary service, social worker, and/or PCRM.

Outpatient Clinic/Service:

Clinic:
The outpatient service has three half-day clinics on the first floor of The James Clinic Tuesday and Thursday afternoons. The Palliative Care Team is often asked to provide follow up appointments for patients discharged from The James with complex pain and symptom management issues and/or palliative care needs.

Referrals are made by the primary service.  Appointments are set up by the Palliative Care office staff.

The Palliative Care Service is following approximately 800 patients in the ambulatory setting.

Non-Clinic Outpatients:
The Palliative Care Service may also receive consults from the outpatient Intermediate Care Center, Radiation Oncology, and/or other physician-based clinics in which a patient is demonstrating poorly controlled symptoms.  A member from the outpatient Palliative Care Service will evaluate and develop a plan of care with the outpatient Palliative Care Physician.

Team Composition:
Atending, Fellow, RN, Health Psychologist and Office Associate. These members cover clinics, outpatient consults, triage phone calls/issues, coordinate community resources and manage the prescription line.

Interdisciplinary Team rounds (IDT)/Quality Improvement (QI): IDT is held every Wednesday morning from 8:00 to 9:00 a.m.  Outpatient cases are discussed by the whole consult team.  Quality improvement initiatives are also presented.

Invidual and Family Couseling:
Opens dialogue between patient, family and medical team.  Identifies goals and wishes unique to the patient.  Provides patient and family with information and resources.

Evaluation and Spiritual Support:
Encompasses the whole person, body, mind and spirit.  Offers respect and reinforcement of spiritual needs of the patient.  Assists in providing information on care in Hospice, other patient settings, or at home.  Offers smooth transition in referrals to Hospice, assistance with treatment choices and decisions.