The inpatient rotation occurs at Saint Joseph Hospital which is a community teaching hospital and tertiary referral center that includes residents training in family medicine, internal medicine, surgery and OB/GYN. The hospital serves patients from Kaiser Permanente, National Jewish Health, and a large underserved population. The inpatient palliative care team has the support of chaplains, nurses, social workers and a pharmacist.
The Lutheran Hospice is where the fellow receives their hospice training. Lutheran Hospice has a busy free-standing inpatient care center with 22 beds where general inpatient level hospice is provided. At this care center, advanced symptom control strategies are provided. Lutheran home hospice provides hospice services to patients in their home and other care facilities.
Home-based palliative care
The fellow will spend two weeks on the Kaiser Permanente home-based palliative care program. This unique service provides an interdisciplinary team approach to patients who are home bound and are not yet aligned with hospice care. Fellows have the opportunity to visit patients in their home and provide expert symptom management in the home environment.
Fellows will spend one month with a board-certified hospice and palliative medicine pediatrician. The rotation consists of caring for patients at The Children’s Hospital in Denver, as well as providing ambulatory for pediatric patients facing advanced illness.
During this rotation, fellows will see Kaiser Permanente patients who are in a subacute nursing facility. The fellow will work with a board certified hospice and palliative medicine physician and social worker and will learn how to provide symptom management and conduct goals of care discussions in a nursing facility.