Medical College of Wisconsin Palliative Medicine Patient Care

The Palliative Care Consultation service was started in 1993 and currently sees 70-90 new patient consults per month from all hospital services. Fifty percent of patients have cancer as the primary diagnosis, the next most common diagnosis is a neurological disorder (dementia, stroke, Parkinson's disease, neurologic trauma). The remaining consults comprise one or more chronic organ system diseases, trauma, or post-operative complications. The most common reasons for referral are pain/symptom management and assistance in establishing the goals of care.

There are two separate consultation teams to manage the patient volume, each with an average daily census of 8-12; each team has a physician, nurse, and one or more student/resident/fellow trainees. The clinical psychologist sees patients and/or families from both teams in need of psychological diagnostic or counseling services. The team provides training for 3rd and 4th year medical students, Internal Medicine residents, Pain Clinic and Oncology fellows, the Palliative Care Fellow, and advance practice nurse trainees.

The consultation service works closely with each of the Internal Medicine, Oncology, Neurology and ICU teams for early patient identification.

The Palliative Care Program coordinates inpatient palliative care at the Center for Advanced Care, seventh floor (7CFAC). Patients admitted to palliative care have specialty level needs for complex pain/symptom management or complex family systems issues or are imminently dying.

The Palliative Care Consultation Team sees all unit patients but remains a consult service. A palliative care suite is available for families, along with family meeting rooms. Twice weekly interdisciplinary team meetings with nursing, social service, discharge planning, chaplaincy, and others helps to coordinate care.

The interdisciplinary outpatient palliative care clinic sees patients in the Quality of Life Clinic at the Froedtert Cancer Center. Our team includes physicians, nurses, and a psychologist. Our outpatient team sees both cancer and non-cancer patients, and addresses the full spectrum of quality of life needs for patients facing advanced or life-threatening illnesses. These include pain and other symptom management needs, emotional and psychological problems, family support, advance care planning, and helping patients and families make difficult decisions about medical care in light of progressive illness. Patients can be referred by their primary physician or oncologist, or can self-refer. Call (414) 805-6821 if you are interested in being seen in our clinic or have a patient you would like to be evaluated in our clinic.

Psychosocial care is provided by all team members, who recognize that patients with life-threatening illnesses face great challenges relating to their own psychological integrity as well as psychosocial and environmental stressors. Mackenzie T. Goertz, PhD, provides specialist psychological assessment and treatment.