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Covenant Palliative Care

What is palliative care?

Palliative care focuses on managing symptoms in patients with acute, chronic, or life-threatening illness – regardless of the diagnosis. Symptoms might include but are not limited to, pain, nausea, shortness of breath, and fluid retention. Palliative care strives to help patients better understand treatment options and customize treatments for individual needs, with a goal of promoting the highest quality of life for patients and their families.


How does palliative care work?

Palliative care can be delivered on an inpatient and outpatient basis anytime during a patient’s illness. Palliative care can be provided throughout treatment for a serious illness and may be provided in conjunction with all other medical treatments.


Palliative care team

Palliative care uses an interdisciplinary team of health care professionals to address physical, emotional, and spiritual needs. The team looks at the whole person, which also includes family members, and works with the patient and family to establish individualized goals of care. Regular family meetings are an essential component of our palliative care program. The palliative care team includes:

  • Primary physician
  • Palliative care medical director
  • Palliative care nurse practitioner
  • Certified palliative care nurses
  • Case managers
  • Social workers
  • Rehabilitation specialists
  • Pharmacists
  • Chaplains
  • Volunteers
  • Benefits of palliative care

The palliative care team supports you and your family every step of the way by controlling symptoms and by helping you understand treatment options and goals. The palliative care team also works with your physician to provide an extra resource for support.


Palliative care benefits include:

  • Expert management of pain and other symptoms
  • Education for patients and families about the disease process, treatment options, and prognosis
  • Assistance in understanding treatment options and goals of care
  • Guidance with navigating the healthcare system
  • Emotional and spiritual support for patients and families
  • Help identifying spiritual or religious concerns
  • Aid in advance care planning
  • Help with accessing community resources

How is palliative care different from hospice care?

  • Palliative care is available at any time during a serious or life-threatening illness. It is for patients receiving treatment who need help managing pain and other symptoms.
  • Hospice care is for terminally ill patients with a prognosis of six months or less if the disease runs its normal course and curative or life-prolonging treatments have been stopped. You do not have to be in hospice to receive palliative care.

How to get palliative care

  • Patients already established with Thompson Oncology Group may receive palliative care on an outpatient basis.
  • Inpatient palliative care is available at Fort Sanders Regional Medical Center, Methodist Medical Center, and Parkwest Medical Center with a physician consult.

Ask your doctor for a palliative care referral if you feel you or your family member would benefit from palliative care services.


Tips for talking with your doctor about palliative care:

  • Tell your doctor you are considering palliative care and ask what services are available in your area.
  • Ask your doctor to explain your illness and treatment options.
  • Explain to your doctor what quality of life means to you. This list may include being able to spend time with loved ones, having pain and other distressing symptoms treated aggressively, the ability to make your own decisions for care and your preferred location of treatments (home vs. in the hospital).
  • Be sure your doctor is aware of any personal, religious, cultural beliefs, values, or practices that are important to consider in your care and treatment decisions.
  • Tell your doctor what curative treatments you may or may not want, including:
    • resuscitation if your heart were to stop
    • being placed on a mechanical ventilator if your lungs were to fail
    • undergoing dialysis if your kidneys were to fail
    • artificial nutrition by a feeding tube if you become unable to eat
  • If you have completed a living will or health care proxy, be sure to inform your doctor and provide him or her with a copy.
  • If you are suffering from pain and other symptoms because of a serious illness, ask your doctor for a palliative care referral. 

About our Medical Director

David Wooten, MD

David Wooten, MD, is the medical director of Hospice and the new Palliative Care program at Covenant Health. In addition to an internal medical career that spans nearly three decades, Dr. Wooten brings 18 years of experience directing hospice and palliative care programs. Board certified Dr. Wooten is a graduate of the University of Tennessee, UT College of Medicine, and a fellow of the American College of Physicians.

“Palliative care sees patients in hospital intensive care units who have a poor prognosis,” Dr. Wooten explains, “and it helps patients and families decide when it is appropriate to withdraw care that is likely to be ineffective or contradict patient wishes or advance directives. “Palliative care focuses on management of symptoms such as pain, nausea, shortness of breath, or other symptoms that may be distressing,” says Dr. Wooten. “We see patients with cancer, chronic medical illnesses including dementia, heart and lung disease, advanced liver or kidney disease, and any patients with a life-threatening illness.”

Dr. Wooten says palliative care is different from hospice care in that hospice is usually intended for patients who have six months or less to live and requires most patients stop aggressive or life-prolonging treatments. Palliative care provides help for patients after life-limiting diagnoses, but before they are ready for hospice. It can be appropriate for a variety of diagnoses including:

  • Cancer
  • Dementia
  • Heart Disease
  • Lung Disease
  • Advanced Liver Disease
  • Advanced Kidney Disease

Palliative care can be helpful in providing comfort and management of symptoms:

  • Chronic pain
  • Nausea
  • Shortness of breath

Palliative care is a medical specialty and can be accessed by making a request to a patient’s attending physician.