Observe and competently perform a palliative care assessment on a patient with advanced disease with common symptoms and concerns, including physical, psychological, social, and spiritual experience and needs of patient and family.

Perform daily assessments of changing patient needs related to physical symptoms and psychological, social, and spiritual needs.
Demonstrate awareness of and respect for patients' needs for symptom relief, control, and dignity.
Estimate prognosis for patients with cancer, stroke/neurologic disease, dementia, COPD, CHF, ASCVD, ESRD, HIV.
Understand pharmacology: opioids, non-opioid analgesics, anxiolytics, antidepressants, antipsychotics, anticholinergics, cathartics, steroids, psychostimulants, antiemetics.

Formulate of initial management plan involving multiple disciplines in care, with attention to physical, psychological, social, and spiritual needs of patient and family.
Participate actively in interdisciplinary team rounds through attendance, presenting patients, offering opinions and information, and suggesting strategies and interventions.

Opioids and pain management
Advance directives and DNR orders
Use of artificial nutrition and hydration
Withdrawal of life support
Requests for hastening death
Symptom management (including constipation, nausea/vomiting, diarrhea, dyspnea, depression/anxiety, agitation/delirium, fatigue, anorexia, generalized weakness, oropharyngeal problems)
Anticipatory guidance regarding life completion and closure for terminally ill patients and their families