Palliative Care Program
Palliative Care Program
University of Michigan Health recognizes that with serious illnesses, patient needs—and those of family and friends—go far beyond the physical to encompass emotional issues, legal issues, issues of faith and relationships, grieving and mourning. Our team of trained palliative care specialists offer comprehensive support for patients and families facing serious illnesses.
Our Approach
U-M Health helps patients of all ages with chronic conditions or life-limiting illnesses to enhance their quality of life. Palliative care is delivered by an interdisciplinary team of nurses, physicians, social workers, chaplains, pharmacists and others who offer individualized support for patients and their families. The team focuses on advanced disease management. They work with patients and families to determine specific needs and overall goals of care while helping to navigate the complex medical system. Our specialists help patients of all ages with chronic conditions or life-limiting illnesses to stay independent and symptom-free for as long as possible.
Services
We are able to provide many services, including:
- Pain and symptom management
- Treatment for distressing symptoms, such as anxiety and depression
- Physical, occupational, or speech therapy
- Discussion of patient wishes and overall goals of care and development of treatment plans
- Education for patients and families about palliative care, diseases, and treatment of symptoms
- Ongoing support and coordination of care with the primary physician
- Work with hospice programs, if appropriate, to coordinate care and address questions
- Assistance with accessing Medicare, Medicaid, and other benefits
- Support for family members experiencing caregiver stress, grief, and bereavement
- Help with difficult decisions often encountered, including:
- Assigning a durable power of attorney for healthcare
- Living wills and other advanced directives
- Decisions about “DNR” or resuscitation
- Decisions about feeding tubes, artificial nutrition, and hydration
- Decisions about hospice care
Appointment Information
U-M Health has options for our patients interested in palliative and supportive care. We have four Palliative and Supportive Care outpatient clinic locations, listed below, pediatric patients can be seen at C.S. Mott Children's Hospital.
Contact:
- East Ann Arbor Health Center's Palliative and Supportive Care Clinic at (734) 764-6831
- Rogel Cancer Center Symptom Management and Supportive Care Program at (877) 907-0859
- Briarwood Family Medicine Palliative and Supportive Care at (734) 539-5000
Pediatric Patients:
- C.S. Mott Children's Hospital Pediatric Palliative Care Service at (734) 232-9593
Patient Resources
Frequently Asked Questions
Palliative care services are designed for persons dealing with serious and advanced illness. Palliative care provides an additional layer of support for patients and families who feel overwhelmed by physical and emotional symptoms of disease, stress, caregiving, navigating a complex health system, and/or making complicated medical decisions.
Palliative care expands the traditional model of healthcare, which focuses on treating disease, to include enhancing quality of life, improving function, supporting caregiving, and helping with decision-making. It can be delivered in addition to usual life-prolonging care or as the main focus of care. Some illnesses that may benefit from palliative care are end-stage or advanced congestive heart failure, cirrhosis, kidney failure, chronic lung disease, dementia, Parkinson’s disease, multiple sclerosis, amyotrophic lateral sclerosis, cancer and recurrent stroke.
The typical palliative care team includes a physician, nurse practitioner and social worker specializing in palliative care. Many teams also include chaplains, clinical pharmacists, and other advanced practice providers. The palliative care team works collaboratively with patients, their families, and their primary health providers.
The role of the palliative care team is to support and advocate for the patient and their family. Its main goal is to improve or maintain a patient’s quality of life, wellbeing, and independence. It also aims to ensure patients receive medical treatment that is beneficial and in line with their personal goals and values.
Locations
-
Palliative Care Clinic | Briarwood Family Medicine 1801 Briarwood Cir
Briarwood Building 10
Ann Arbor, MI 48108-3347Get Directions -
Palliative Care Clinic | East Ann Arbor Health & Geriatrics Center 4260 Plymouth Rd
Level 1
Ann Arbor, MI 48109-2700Get Directions -
Palliative Care Clinic | Livonia Health Center 20321 Farmington Rd
Livonia, MI 48152-1411Get Directions
Doctors
Jane Estelle Chargot, MD
Assistant Professor
Family Medicine, Hospice & Palliative Medicine
Erika Rozalia Fulop-Cristiu, MD
Clinical Assistant Professor
Geriatric Medicine, Internal Medicine, Hospice & Palliative Medicine
Ellen Kirkendall Hummel, MD
Clinical Assistant Professor
Hospice & Palliative Medicine, Internal Medicine
Areeba Tasneem Jawed, MBBS
Clinical Associate Professor
Nephrology, Internal Medicine
Areeba Tasneem Jawed, MBBS
Clinical Associate Professor
Nephrology, Internal Medicine
Patricia Miriam Keefer, MD
Clinical Associate Professor
Pediatrics, Hospice & Palliative Medicine, Internal Medicine
Rafina Reema Khateeb, MD
Clinical Associate Professor
Internal Medicine, Hospitalist, Hospice & Palliative Medicine
Ayano Kiyota, MD
Clinical Assistant Professor
Family Medicine, Hospice & Palliative Medicine, Geriatric Medicine
Adam Douglass Marks, MD, MPH, FAAHPM
Clinical Associate Professor
Hospice & Palliative Medicine, Internal Medicine, Pediatrics
Laura M Marsh, DO
Clinical Assistant Professor
Family Medicine, Hospice & Palliative Medicine
Providers
Monica Gatica Barry, NP
Advanced Practice Nurse
Nurse Practitioner
Viripun Gift Chowchuvech, MSW
Social Worker
Licensed Clinical Social Worker
Sarah Elizabeth Doll, MSW
Social Worker
Licensed Clinical Social Worker
Amanda Patricia Eidemiller, MSW
Social Worker
Licensed Clinical Social Worker
Emily Jean Heys, NP
Advanced Practice Nurse
Nurse Practitioner
Lisa Michelle Heys, NP
Advanced Practice Nurse
Nurse Practitioner
April Diane Keys, NP
Advanced Practice Nurse
Nurse Practitioner, Nurse Practitioner - Community Health
Kathryn Erin Patterson, NP
Advanced Practice Nurse
Nurse Practitioner - Community Health, Nurse Practitioner
Paula Beth Slack, NP
Advanced Practice Nurse
Nurse Practitioner
Kira Liv Stalhandske, NP
Advanced Practice Nurse
Nurse Practitioner
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