{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:24:22Z","timestamp":1760660662831,"version":"build-2065373602"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Updated knowledge of the palliative care (PC) literature is needed to maintain competency and best address the PC needs of hospitalized patients. We critiqued the recent PC literature with the highest potential to impact hospital practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>We reviewed articles published between January 2016 and December 2016, which were identified through a handsearch of leading journals and a MEDLINE search. The final 9 articles selected were determined by consensus based on scientific rigor, relevance to hospital medicine, and impact on practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Key findings include the following: scheduled antipsychotics were inferior to a placebo for nonterminal delirium; a low\u2010dose morphine was superior to a weak opioid for moderate cancer pain; methadone as a coanalgesic improved high\u2010intensity cancer pain; many hospitalized patients on comfort care still receive antimicrobials; video decision aids improved the rates of advance care planning (ACP) and hospice use and decreased costs; standardized, PC\u2010led intervention did not improve psychological outcomes in families of patients with a chronic critical illness; caregivers of patients surviving a prolonged critical illness experienced high and persistent rates of depression; people with non\u2010normative sexuality or gender faced additional stressors with partner loss; and physician trainees experienced significant moral distress with futile treatments.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Recent research provides important guidance for clinicians caring for hospitalized patients with serious illnesses, including symptom management, ACP, moral distress, and outcomes of critical illness.<\/jats:p><\/jats:sec>","DOI":"10.12788\/jhm.2895","type":"journal-article","created":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T12:04:23Z","timestamp":1513771463000},"page":"419-423","source":"Crossref","is-referenced-by-count":2,"title":["Update in Hospital Palliative Care: Symptom Management, Communication, Caregiver Outcomes, and Moral Distress"],"prefix":"10.1002","volume":"13","author":[{"given":"Rachel D.","family":"Havyer","sequence":"first","affiliation":[{"name":"Division of Primary Care Internal Medicine and Center for Palliative Medicine Mayo Clinic Rochester Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel H.","family":"Pomerantz","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Department of Family Medicine (Palliative Care) Albert Einstein College of Medicine Bronx New York"},{"name":"Department of Medicine Montefiore New Rochelle Hospital New Rochelle New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert L.","family":"Jayes","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Palliative Medicine George Washington University Medical Faculty Associates Washington, D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia F.","family":"Harris","sequence":"additional","affiliation":[{"name":"Division of Geriatrics Department of Medicine David Geffen School of Medicine University of California Los Angeles"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie M.","family":"Harman","sequence":"additional","affiliation":[{"name":"Department of Medicine School of Medicine Stanford University Stanford California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aziz A.","family":"Ansari","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine Loyola University Medical Center Maywood Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp035232"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1215620"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.54"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216312457214"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2003.51063.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14076"},{"volume-title":"Cancer Pain 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