The UI Supportive and Palliative Care Service provides care for patients and families who face life-threatening illnesses.

This service offers pain and symptom management, support in dealing with emotional stress and social issues, and spiritual support. The overall goal of palliative care is to improve your quality of life while you are ill and can be provided at a hospital, nursing home, assisted living facility or at your home.

Palliative care is provided by a team, including a palliative doctor, nurses and other professionals. The team works with the patient's primary medical doctor to provide both inpatient consultant service and outpatient clinical service.

About the Program

What is Palliative Care?

Palliative care is defined as "relieving or soothing the symptoms of a disease or disorder." Many people mistakenly believe this means you receive palliative care only when you can't be cured. Actually, palliative medicine can be provided by one doctor while other doctors work with you to try to cure your illness. Palliative care is for people of any age, and at any stage in an illness, whether that illness is curable, chronic or life-threatening. In fact, palliative care may actually help you recover from your illness by relieving symptoms such as pain, anxiety or loss of appetite, as you undergo sometimes-difficult medical treatments or procedures, such as surgery or chemotherapy.

Goals of Palliative Care

The overall goal of palliative care is to improve your quality of life while you are ill, and can be provided at a hospital, nursing home, assisted living facility or at your home. Palliative care is provided by a team, including a palliative doctor, nurses and other professionals. The palliative team:

  • Provides relief from pain and other uncomfortable symptoms.
  • Assists you in making difficult medical decisions.
  • Coordinates care with your other doctors and helps you navigate the often-complex health care system.
  • Guides you in making a plan for living well, based on your needs, concerns and goals for care.
  • Provides you and your loved ones emotional and spiritual support and guidance.
Hospice Care

There is a specific type of palliative care - called hospice - for people for whom a cure is no longer possible and who likely have six months or less to live. Hospice care can be provided at your home, at a hospice facility, a hospital or a nursing home. Hospice care is about giving you control, dignity and comfort so you have the best possible quality of life during the time you have. Hospice care also provides support and grief therapy for your loved ones.

Palliative Care Providers

Palliative care providers are specially trained in palliative medicine. They may provide palliative medicine through a hospital, through a hospice program or both, and head up a team of medical and non-medical professionals and volunteers who provide palliative care.

Our People

Program Leadership

 

Bryan Struck, MD
Clinical Professor of Internal Medicine
Director - Supportive & Palliative Care

Yuya Hagiwara, MD
Clinical Associate Professor of Internal Medicine
Director, Hospice and Palliative Medicine Fellowship Program

W. David Clark, MD
Clinical Associate Professor of Family Medicine and Internal Medicine
Associate Director, Hospice and Palliative Medicine Fellowship Program 

Administrative Support

Jamie Paul
Division Administrator
General Internal Medicine

Greg Hamilton, JD
Administrator
Supportive & Palliative Care

Jennie Reed
Division Coordinator
General Internal Medicine

Kathy Francois
Administrative Services Coordinator
Supportive & Palliative Care

Patient Care

Compassionate care for patients and families living with a serious or life-threatening illness.

Education

We provide clinical knowledge and judgment, professionalism, interpersonal skills, and abilities necessary to become a leader in hospice and palliative medicine

Contact Us


Bryan Struck, MD
Director, Supportive & Palliative Care

Greg Hamilton, JD
Administrator, Supportive & Palliative Care
319-353-8201

News

Advocating for clearer end-of-life decision-making in Iowa
Wednesday, November 6, 2024
Katie Ries, MSW, LMSW, a social worker on the Supportive and Palliative Care team, is championing reform in Iowa’s guardianship laws to protect the rights of terminally ill patients.
Faculty recognized by medical students
Thursday, June 6, 2024
James B. Ray, PharmD was among the nominees for the 2024 Ben Pardini Interdisciplinary Teaching Award.
Winners of the inaugural ICVA Chief of Staff Awards announced
Thursday, October 19, 2023
Dr. Broderick has been awarded the 2023 Clinical Care and Service Award from the Iowa City VA Health Care System.
Wilde uses pilot grant to explore impact of touch in patient care
Wednesday, May 17, 2023
John Wilde, DO, clinical assistant professor in Palliative Care, has received a UIHC-CCOM Clinical and Educational Program Pilot Grant from the Carver College of Medicine.
Hagiwara to develop combined curriculum for geriatrics and palliative care
Wednesday, October 2, 2019
Yuya Hagiwara, clinical assistant professor of General Internal Medicine and program director of the Hospice and Palliative Care Fellowship, received a four-year, $300,000 Geriatrics Academic Career Award, a K01 from Health Resources & Services Administration in the Department of Health and Human Services.

Why Iowa

 

Our interdisciplinary program provides a focus on learning in a vibrant, safe and comfortable living environment.

Experienced Interdisciplinary Teams

Our interdisciplinary teams works in 3 different sites to provide comprehensive hospice and palliative care. The team members include:

  • Social worker 
  • Music therapists
  • Chaplains  
  • Nurse practitioners
  • Pharmacist  
  • Physicians 

Faculty with Broad Interests

Although Palliative Medicine is administratively housed in Internal Medicine, there are 7 specialties represented on our faculty: Internal Medicine, Pediatrics, Vascular Surgery, Critical Care, Psychiatry, Family Medicine, and Cardiology. In addition we also have the expertise of an ethicist, and the presence of these clinicians provides an environment for robust training. Different points of view from clinician team members are encouraged as they promote creative thinking and problem-solving. 

Focus on Learning

Consults are provided throughout the medical center. In addition to goal clarification the consults may address symptom management; emotional, psychological or spiritual distress; decision-making and advance care planning; cessation of life-prolonging therapy, or potential hospice enrollment. On average the fellow takes 1-2 new patients daily and makes 3-5 follow up visits on patients seen at initial consultation.

Treat the Patient, Treat the System

In addition to providing care for patients, we expect fellows to "treat the system" by selecting one system-focused quality improvement project for the year. These projects can enhance patients' quality of care for years to come, and for the fellow may potentially develop into a lifetime academic focus.

Our City

The Iowa City/Coralville area provides a vibrant assortment of attractions and events. With an abundance of museums, festivals, theaters, and sports/wellness/recreational activities, Iowa City offers a lively culture, but also a safe and comfortable living environment.

Learn more about life in Iowa City.