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The Palliative Care Service at UCSF Medical Center is dedicated to the care and comfort of seriously ill patients and their families. The goal is to maximize a patient's comfort, while providing appropriate medical treatment, in the advanced stage of illness.

Palliative care is commonly seen as a way to improve the quality of a person's last phase of life. But at UCSF Medical Center, the service is available to others, when appropriate, at any stage of serious illness such as cancer, chronic liver disease, emphysema, heart failure, kidney failure and stroke. All patients can ask their doctor or nurse for a consultation with the Palliative Care Service.

The UCSF program was honored in 2007 with the American Hospital Association's Circle of Life Award that recognizes innovation in palliative and end-of-life care. The award is co-sponsored by the American Association of Homes and Services for the Aging, American Medical Association and the National Hospice and Palliative Care Organization, with support in part by a grant from the Robert Wood Johnson Foundation.

The goals of palliative care are:

• Promote the highest quality of life by controlling symptoms such as pain, shortness of breath, nausea, vomiting, fatigue and anxiety.
• Provide support for patients, families and staff.
• Facilitate communication about the illness process and the options for care.
• Teach palliative care to our residents, nurses, medical students and staff.
• Conduct research and promote national efforts to continuously improve the quality of care for people with serious and life-threatening illness.

Comfort Care Suites

The Palliative Care Service includes a two-bed hospital unit, called Comfort Care Suites, that provides a more home-like setting for patients and their families. Comfort Care Suites offer the following special features:

• Quiet, private rooms with art, music and warm lighting.
• Facilities for family members who wish to provide company around the clock.
• Attention to psychological and spiritual needs of the patient and family.
• Music therapy to help patients and families relax and relieve stress.
• Healing touch, guided imagery and other complementary and alternative therapies to help alleviate symptoms and promote relaxation.
• Visiting privileges for children to help them cope with loss, grieving and death.

The Team

Patients are cared for by their doctors with consultation from the palliative care staff. The palliative care team includes doctors, nurses, pharmacists, social workers, chaplains and ethicists who help patients address a broad range of issues.

The palliative care staff is headed by Dr. Steven Pantilat, director and founder of the service, and hospitalist. Hospitalists are doctors who specialize in coordinating the sometimes complex array of care and issues patients face while in the hospital. Assistant director of the service is Dr. Eva Chittenden, a hospitalist and palliative medicine specialist.

Other doctors on the team include:

Dr. Wendy Anderson, hospitalist and palliative medicine specialist
Dr. Rachelle Bernacki, hospitalist, geriatrician and palliative medicine specialist
Dr. Heather Harris, hospitalist
Dr. Meredith Heller, hospitalist
Dr. Thierry Jahan, cancer specialist
Dr. Stephen McPhee, general internist
Dr. B.J. Miller, hospitalist and palliative medicine specialist
Dr. Daniel Pound, senior care and palliative medicine specialist

Team members also include:

Tom Bookwalter, pharmacist
Jane Hawgood, social worker
Julie Koppel, nurse manager
Denah Joseph, chaplain
Allison Kestenbaum, chaplain
Rose Moore, registered nurse and assistant patient care manager
Rev. Dr. Michele Shields, chaplain

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