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This issue of Surgical Clinics of North America focuses on Practicing Primary Palliative Care and is edited by Dr. Pringl Miller. Articles will include: Advantages of a Multidisciplinary Team Approach to Surgical Care; Concurrent Palliative Care has Clinical Outcome Benefits; Goals of Care Discussions - Understanding the Outcomes that Matter Most; Prognostic Tools and Shared Decision Making; Peri-Operative Advance Directives - DNR in the OR; Optimizing Pain Control During the Opioid Epidemic; Wound and Stoma Care - Less is More; Image-Guided Palliative Interventions; Palliative Care and the Pregnant Surgical Patient; Tracheostomies, PEGs, and Hemodialysis Vascular Access - When Are They Really Indicated?; Post-Operative Recovery & Survivorship after Acute Hospitalization for Serious Life Limiting Illness; Spiritual Dimensions of Surgical Palliative Care; Transitioning to Comfort-Focused Care at the End-of-Life; Mitigating Burnout; Surgical Palliative Care Education; and more!

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Forthcoming Issues - p. xii 7. Foreword - p. xiii 8. With Gratitude - p. xv 9. Dedication: Honoring Balfour Michael Morgan Mount, OC, OQ, MD, FRCSC, LLD - The Father of North American Palliative Care - p. xvii 10. Preface - p. xix 11. Advantages and Challenges of an Interdisciplinary Palliative Care Team Approach to Surgical Care - p. 815 12. Concurrent Palliative Care for Surgical Patients - p. 823 13. Goals of Care: Understanding the Outcomes that Matter Most - p. 833 14. Discussing Prognosis and Shared Decision-Making - p. 849 15. Perioperative Advance Directives: Do Not Resuscitate in the Operating Room - p. 859 16. Optimizing Pain Control During the Opioid Epidemic - p. 867 17. Ostomy Management: A Model of Interdisciplinary Care - p. 885 18. Palliative Wound Care: Less Is More - p. 899 19. Image-Guided Palliative Interventions - p. 921 20. Palliative Care and the Pregnant Surgical Patient: Epidemiology, Ethics, and Clinical Guidance - p. 941 21. Tracheostomies and PEGs: When Are They Really Indicated? - p. 955 22. Beyond the Technical: Determining Real Indications for Vascular Access and Hemodialysis Initiation in End-Stage Renal Disease - p. 967 23. Postoperative Recovery and Survivorship After Acute Hospitalization for Serious Life-Limiting Illness - p. 977 24. Navigating the Murky Waters of Hope, Fear, and Spiritual Suffering: An Expert Co-Captain’s Guide - p. 991 25. Transitioning to Comfort-Focused Care at the End of Life - p. 1019 26. Mitigating Burnout - p. 1029 27. Surgical Palliative Care Education - p. 1037

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This issue of Surgical Clinics of North America focuses on Practicing Primary Palliative Care and is edited by Dr. Pringl Miller. Articles will include: Advantages of a Multidisciplinary Team Approach to Surgical Care; Concurrent Palliative Care has Clinical Outcome Benefits; Goals of Care Discussions - Understanding the Outcomes that Matter Most; Prognostic Tools and Shared Decision Making; Peri-Operative Advance Directives - DNR in the OR; Optimizing Pain Control During the Opioid Epidemic; Wound and Stoma Care - Less is More; Image-Guided Palliative Interventions; Palliative Care and the Pregnant Surgical Patient; Tracheostomies, PEGs, and Hemodialysis Vascular Access - When Are They Really Indicated?; Post-Operative Recovery & Survivorship after Acute Hospitalization for Serious Life Limiting Illness; Spiritual Dimensions of Surgical Palliative Care; Transitioning to Comfort-Focused Care at the End-of-Life; Mitigating Burnout; Surgical Palliative Care Education; and more!

1. Cover image - p. i 2. Title page - p. i 3. Table of Contents - p. i 4. Copyright - p. ii 5. Contributors - p. iii 6. Forthcoming Issues - p. xii 7. Foreword - p. xiii 8. With Gratitude - p. xv 9. Dedication: Honoring Balfour Michael Morgan Mount, OC, OQ, MD, FRCSC, LLD - The Father of North American Palliative Care - p. xvii 10. Preface - p. xix 11. Advantages and Challenges of an Interdisciplinary Palliative Care Team Approach to Surgical Care - p. 815 12. Concurrent Palliative Care for Surgical Patients - p. 823 13. Goals of Care: Understanding the Outcomes that Matter Most - p. 833 14. Discussing Prognosis and Shared Decision-Making - p. 849 15. Perioperative Advance Directives: Do Not Resuscitate in the Operating Room - p. 859 16. Optimizing Pain Control During the Opioid Epidemic - p. 867 17. Ostomy Management: A Model of Interdisciplinary Care - p. 885 18. Palliative Wound Care: Less Is More - p. 899 19. Image-Guided Palliative Interventions - p. 921 20. Palliative Care and the Pregnant Surgical Patient: Epidemiology, Ethics, and Clinical Guidance - p. 941 21. Tracheostomies and PEGs: When Are They Really Indicated? - p. 955 22. Beyond the Technical: Determining Real Indications for Vascular Access and Hemodialysis Initiation in End-Stage Renal Disease - p. 967 23. Postoperative Recovery and Survivorship After Acute Hospitalization for Serious Life-Limiting Illness - p. 977 24. Navigating the Murky Waters of Hope, Fear, and Spiritual Suffering: An Expert Co-Captain’s Guide - p. 991 25. Transitioning to Comfort-Focused Care at the End of Life - p. 1019 26. Mitigating Burnout - p. 1029 27. Surgical Palliative Care Education - p. 1037

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