Palliative care: a quiet revolution in patient care -- Suffering: the hundred little deaths before dying -- Comprehensive assessment -- Communication skills -- Negotiating goals of care: changing goals along the trajectory of illness -- Multiple symptoms and multiple illnesses -- Pain -- Nausea/vomiting, anorexia/cachexia, and fatigue -- Depression, anxiety, and delirium -- Constipation -- Urinary incontinence -- Sexuality -- Dyspnea -- Loss, bereavement, and adaptation -- Understanding and respecting cultural differences -- Advance care planning -- Responding to requests for euthanasia and physician-assisted suicide -- Withholding and withdrawing life-sustaining therapies -- Last hours of living -- Legal and ethical issues in the United States -- Hematology/oncology -- HIV/AIDS -- Heart disease -- Kidney failure -- Gastrointestinal malignancies -- Neurodegenerative diseases -- Principles of palliative surgery -- Chronic diseases and geriatrics -- Pulmonary palliative medicine -- Pediatric palliative care -- Palliative care in the intensive care unit -- Emergency medicine and palliative care -- The interdisciplinary team -- Palliative care nursing -- Social workers: the connective tissue of the health care system -- Spiritual care -- Palliative care in long-term care settings -- Integrating palliative care into disease management -- Palliative care services and programs -- The economic burden of end-of-life illness -- Palliative care in developing countries -- App. I: Formulary: medication tables -- App. II: Coding for physician services related to palliative care -- App. III: Resources for palliative and end-of-life care.