Clinician-family communication in surgical intensive care units should focus on reducing value incongruence and nonbeneficial operations.

Seeming incongruity between surgery and palliation reiterates patients’ needs for clinicians to be able to identify when and how they should coexist.

Clinicians and police are positioned to help persons experiencing homelessness, but little has been said about how their best impulses to serve could most productively overlap.

Chicago Street Medicine implements HHC to improve health outcomes and care continuity for patients experiencing homelessness.

Most clinicians receive little training in integrating Native healing into allopathic practice, which undermines patients’ autonomy and cultural values.

Tribal-university partnerships are fewer in education than in research, but just as important for expanding opportunity and improving health infrastructure.

The high prevalence of violence experienced by Native American women and femme-identifying individuals requires clinicians and staff to better understand social determinants of violence.

Futility can function as a moral counterweight to a duty to treat, helping clinicians  find balance between over- and undertreatment. 

Some individuals with severe and enduring anorexia nervosa experience dramatically degraded quality of life in the face of refractory illness and compulsory treatment. 

This article examines conceptual limitations of extant accounts of palliative psychiatry, with a focus on obligations to distinguish among and clearly formulate goals of care.