Palliative care consults for clinician distress: Part of the job? Journal Article


Authors: Schenker, Y.; Rosa, W. E.; Arnold, R. M.
Article Title: Palliative care consults for clinician distress: Part of the job?
Abstract: Clinician distress is common in serious illness care. Palliative specialists are often consulted for cases involving significant distress among primary teams. Consults involving clinician distress can be challenging to navigate when it feels like 1) palliative specialists do not have the right skills to be helpful or 2) palliative specialists are being asked to ‘fix’ difficult situations that would require changing other people's attitudes, beliefs, or behaviors, or healthcare systems writ large. This article uses three composite cases to illustrate types of clinician distress and examine the benefits and risks of palliative specialist involvement. We conclude with a discussion of potential impacts of palliative care consults for clinician distress on the field of palliative care and consider next steps in critically important efforts to support and sustain the entire workforce—both palliative specialists and nonspecialists alike—when caring for patients with serious illness and their family caregivers. © 2024 American Academy of Hospice and Palliative Medicine
Keywords: adult; clinical article; aged; middle aged; case report; palliative care; palliative therapy; psychology; intensive care; resident; colon cancer; distress syndrome; health care personnel; referral and consultation; medical specialist; caregiver; health personnel; therapy; workforce; patient referral; mental stress; stress, psychological; psychological distress; spine surgery; burnout; procedures; clinician; life sustaining treatment; humans; human; male; female; article; x-ray computed tomography; moral distress; professional burnout; ethical dilemma; specialty palliative care; clinician distress; serious illness care
Journal Title: Journal of Pain and Symptom Management
Volume: 68
Issue: 6
ISSN: 0885-3924
Publisher: Elsevier Inc.  
Date Published: 2024-12-01
Start Page: 641
End Page: 646
Language: English
DOI: 10.1016/j.jpainsymman.2024.08.032
PUBMED: 39214261
PROVIDER: scopus
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledge in the PDF -- Source: Scopus
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  1. William   Rosa
    199 Rosa