///Palliative Care Inpatient Services
Palliative Care Inpatient Services 2018-10-31T12:36:23+00:00

Palliative Care Inpatient Services

The UAMS Palliative Care Team sees patients in the hospital at the request of the patient’s hospital physician. Our team can assist with:

  • Treating pain and other distressing symptoms
  • Goals of care discussions
  • Advance care planning
  • Coordination of care after hospital discharge
  • Hospice referrals
  • End of life care

The Palliative Care Team consists of a physician, nurse, social worker and chaplain. A palliative care physician is on-call 24 hrs/day, 7 days/week, and consults may be seen anywhere in the hospital.

Learn more about the UAMS Palliative Care Program

Meet the Team

Dr. James Fletcher

Dr. James Fletcher received his medical degree from Eastern Virginia Medical School. Commissioned in the US Navy, he completed internship and residency in Internal Medicine at Naval Medical Center Portsmouth. After a tour as Chief of Residents, he completed a fellowship in Nephrology at the National Capital Consortium. He served as a nephrologist and hospitalist for several years before completing a Hospice and Palliative Medicine fellowship at Virginia Commonwealth University Health System. He is board certified in Internal Medicine, Nephrology, and Hospice and Palliative Medicine. His interests include end of life care, cancer pain and symptom management, and end stage renal disease.


Dr.  Carrie Hyde

Dr. Carrie Hyde received her medical degree from the University of Arkansas for Medical Sciences in Little Rock in 2009 and completed her residency in Internal Medicine at UAMS in 2013.  She held multiple leadership positions including membership in the Residency Development Council and Graduate Medical Education Council.  Dr. Hyde followed her residency training with a fellowship in Hospice and Palliative Medicine at UAMS.  She is board certified in Internal Medicine.  She currently serves as an Assistant Professor in the Hospice and Palliative Medicine Program and practices in the Winthrop P. Rockefeller Cancer Institute, as both an outpatient and inpatient provider.  Her interests include hospice and palliative care, cancer pain, and symptom management.  She also volunteers at Harmony Health Clinic, which provides care to uninsured patients.  She is proud to be a life-long Arkansan and enjoys providing the best quality of life with those suffering with life limiting illness at UAMS.

Courtney Mosley, PA

Courtney Mosley received her Master’s degree in Physician Assistant Studies from UAMS. She was President of the inaugural class of PA students at UAMS and was Founding President of the UAMS PA Program Student Society. She graduated at the top of her class as valedictorian and was listed on the Dean’s List for academic excellence throughout her time at UAMS.  She then worked in hospital medicine for 3 years in Conway, AR where she took a special interest in caring for patients at the end of life. She is passionate about empowering patients and families in their goals of care, providing support and symptom management at the end of life, and working with patients who have terminal illnesses while maximizing quality of life.  She is thrilled to come back and work with the Palliative Care team at UAMS and continue providing support to those in need and advancing palliative care in Arkansas.

Jennifer Hernandez, RN

Jennifer Hernandez graduated from the UAMS Bachelor of Nursing program in 2009 with honors and multiple accolades.  She has been devoted to patient care and has provided excellent bedside nursing care to Oncology and Stem Cell Transplant patients at UAMS for ten years before joining the Palliative Care team.  As the Palliative Care team coordinator, Jennifer works directly with patients, families and staff to provide and expedite quality care.  She is a pivotal member of the team, bridging any gaps in care to ensure smooth transition after discharge.   She has a special interest in communication with the multiple care teams, research, and quality improvement for the Palliative Care Team.  She is fluent in conversational Spanish and takes an important role in caring for our Hispanic patients.

Leigh Madison, LCSW

Leigh Madison graduated from Alfred University in New York in 2006 with a Bachelor Degree in Clinical and Experimental Psychology. She received her Master’s Degree in Social Work from Spalding University in Louisville, KY.   She has extensive experience in supporting patients and families, providing counseling and improving quality of life.  She understands the importance of the mind body connection and focuses on improving symptoms through therapeutic interventions.  She has loved working at UAMS as the inpatient Palliative Care Team Social Worker, providing the highest level of support and care for patients and families.  Leigh’s special interests include advance care planning, supportive counseling, grief, and bereavement care.  She has a special place in her heart for fostering and caring for animals.  She is an advocate for underserved women and volunteers her time at a local women’s supportive home.

Contact Information




4301 W. Markham Slot 508
Little Rock, AR 72205

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