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American Journal of Hospice and Palliative Medicine®
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A Day in the Life: A Case Series of Acute Care Palliative Medicine—The Cleveland Model

Ruth Lagman, MD, MPH

Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Declan Walsh, MSc, FACP, FRCP (Edin)

Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio, walsht{at}ccf.org

Jessica Heintz, MD

Capital Hospice, Washington, DC

Susan B. LeGrand, MD, FACP

Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Mellar P. Davis, MD, FCCP

Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio

Palliative care in advanced disease is complex. Knowledge and experience of symptom control and management of multiple complications are essential. An interdisciplinary team is also required to meet the medical and psychosocial needs in life-limiting illness. Acute care palliative medicine is a new concept in the spectrum of palliative care services. Acute care palliative medicine, integrated into a tertiary academic medical center, provides expert medical management and specialized care as part of the spectrum of acute medical care services to this challenging patient population. The authors describe a case series to provide a snapshot of a typical day in an acute care inpatient palliative medicine unit. The cases illustrate the sophisticated medical care involved for each individual and the important skill sets of the palliative medicine specialist required to provide high-quality acute medical care for the very ill.

Key Words: palliative medicine • acute care • academic medical center • hospital

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 1, 24-32 (2008)
DOI: 10.1177/1049909107307375
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