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The 1000th Thread!
This is the 1000th presentation to my bioethics blog since starting on Google Blogspot.com in 2004.There has been many topics covered. Though comments by the visitors has always been encouraged and, since as a "discussion blog", comments leading to discussions I have felt was the definitive function here. Virtually none of the thread topics have gone unread and most have had some commentary, some with mainly particularly strong and emphatic opinions http://bioethicsdiscussion.blogspot.com/2013/01/should-pathologists-be-physicians.html, some with extensive up to 12 years long continued discussion http://bioethicsdiscussion....
Source: blog.bioethics.net - December 24, 2017 Category: Medical Ethics Authors: Maurice Bernstein, M.D. Tags: Health Care syndicated Source Type: blogs

PhRMA Releases New Policy Proposals
On December 11, 2017, the Pharmaceutical Research and Manufacturers of America (PhRMA) issued statements of support for several policy proposals focused on resolving the opioid crisis. The proposals included: limits on prescribing, a ban on prescribing of Schedule II opioids in an office setting, ongoing prescriber training, and expanded access to addiction treatment options. Along with the policy proposals came an announcement that PhRMA and the Addiction Policy Forum have entered into a multi-year, multi-million dollar initiative to combat the opioid crisis and implement the Forum's plan to help solve the opioid crisis....
Source: Policy and Medicine - December 21, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Pallimed Roundup: #Endwell17 Attendees and Speakers Reflect on Personal Meaning of Ending Well
Curated by Lizzy MilesLast week, I attended theEndwell Symposium in San Francisco. (You could read my reviewhere). Collectively, we were examining how we can improve the end of life experience for all. It occurred to me as we talked about individual desire and diversity that the attendees might have unique expectations and hopes for their own personal ending. So I asked around. You ' ll note some trends, but also some very unique answers.What would it mean for you personally to “end well?”“Being present to the experience. I don’t want to control it, I just want to know.”-Karen Van DykeSenior Care by Design“To e...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 15, 2017 Category: Palliative Care Tags: conference endwell endwell 17 lizzy miles ostaseski roundup Source Type: blogs

The Differences Between Palliative Care and Hospice Can be Confusing
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. View slideshow on HealthCentral about how hospice and palliative care are alike and how they differ: Purchase Minding Our Elders: Caregivers Share Their Personal Stories ...
Source: Minding Our Elders - December 15, 2017 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Why I ' m Bored With the Debate About Physician Assisted Suicide
by Drew Rosielle (@drosielle)I ’m a little bored of all the discussion about physician-assisted suicide. Mostly it’s because legalizing PAS is going to have zero impact on nearly all of my patients, and I think the significant amount of press and energy it gets is a distraction from other things which actually would improve t he lives (and deaths) of the patients and families I care for as a palliative doc.The last time I blogged about PAS waspart of my euphemisms series last year, when I elaborated why I did not like terms like ‘assisted death’ or ‘aid-in-dying’ and prefer ‘assisted suicide’ and ‘euthana...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 13, 2017 Category: Palliative Care Tags: ethics euthanasia/suicide health policy rosielle Source Type: blogs

Conference Review: 2017 End Well Symposium – Design for the End of Life Experience
By Lizzy Miles (@LizzyMiles_MSW)End Well advertised itself as“a first of its kind gathering of design, tech, health care and activist communities with the goal of generating human-centered, interdisciplinary innovation for the end of life experience.”  I feel privileged to have been able to attend. The Symposium was capped at 400 attendees and sold out early. There was a serendipitous momentary technology glitch that allowed me and two friends to register after it was sold out. Fortunately, the organizers graciously agreed to squeeze us in since we had paid.The single-day event took place at the Intercontinental H...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 11, 2017 Category: Palliative Care Tags: end of life End Well miles Source Type: blogs

National Hospice and Palliative Care Month: Divide and Conquer
by Christian Sinclair (@ctsinclair)Now thatNational Hospice and Palliative Care Month (NHPCM) is in the books for 2017, December is a good time to reflect on what these awareness months can (and cannot) accomplish and how we can make a better strategy for the future. Awareness campaigns have blazed brightly through the bracelet and ribbon eras, and are firmly in the social media era with no signs of stopping (other than possibly fatigue from so much awareness about awareness campaigns.)No single group is technically is in charge of National Hospice and Palliative Care Month. Very few calendar-based advocacy campaigns (CBAC...
Source: Pallimed: A Hospice and Palliative Medicine Blog - December 4, 2017 Category: Palliative Care Tags: hospice palliative sinclair The profession Source Type: blogs

War on Cancer: A Patient ’s Journey, Comes to London
Discussions turned to the opportunities and challenges of digital health in cancer diagnosis and treatment. A later session began with the compelling charge that “the future is here…but it is not evenly distributed”, and the claim that empo...
Source: Medgadget - November 30, 2017 Category: Medical Devices Authors: Tom Peach Tags: Exclusive Oncology Source Type: blogs

Health Care Needs Its Rosa Parks Moment
BY SHANNON BROWNLEE On Wednesday, October 25, 2017 I was at the inaugural Society for Participatory Medicine conference. It was a fantastic day and the ending keynote was the superb Shannon Brownlee. It was great to catch up with her and I’m grateful that she agreed to let THCB publish her speech. Settle back with a cup of coffee (or as it’s Thanksgiving, perhaps something stronger), and enjoy–Matthew Holt George Burns once said, the secret to a good sermon is to have a good beginning and a good ending—and to have the two as close together as possible. I think the same is true of final keynotes after a...
Source: The Health Care Blog - November 22, 2017 Category: Consumer Health News Authors: Matthew Holt Tags: OP-ED Patients Physicians Lown Institute Overtreatment Right Choice Alliance Shannon Brownlee Society for Participatory Medicine Source Type: blogs

Digital Health Supports The Fight Against Opioids
The widespread U.S. opioid & overdose crisis is an ever-increasing tragic concern for everyone: writhing victims, family members being fain to see their relatives suffer or die, doctors prescribing opioid pain-killers what they thought before as safe, and regulators imposed to handle a tough situation. Addiction. It’s painful to even read about the skyrocketing numbers of people suffering, thus we decided to map how digital health could help tackle the opioid crisis. Why is it so difficult to deal with the opioid crisis? Once you become addicted, it sticks with you for a long time, if not for life, just as a chronic...
Source: The Medical Futurist - November 14, 2017 Category: Information Technology Authors: nora Tags: Bioethics Mobile Health Virtual Reality in Medicine AI artificial intelligence data data analytics drugs future gc3 Innovation opioid opioid crisis pharma technology wearables Source Type: blogs

LGBTQ at the End-of-Life: Needs and Challenges
By Vivian LamHolistic care is essential in the mission to fully meet a patient ' s needs. And a holistic perspective is the backbone of end of life and palliative care--it ' s the basis of having an interprofessional team that acknowledges that quality of life is multifaceted, and lives are diverse. But getting to know a patient enough to be able to be " holistic " can be difficult. And in the case of LGBTQ individuals, getting to know the patient as a whole is not only all the more important —it’s integral.According to a2016 Gallup survey, 4.1% of U.S. adults openly identify as LGBTQ, or around 10 million adults. Of t...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 13, 2017 Category: Palliative Care Tags: closet end of life gay hospice lesbian LGBT LGBTQ palliative transgender vivian lam Source Type: blogs

Conference Review: 2017 Palliative and Supportive Care in Oncology Symposium - Day 1
by Christian Sinclair (@ctsinclair)It is a testament to the growth and mainstream acceptance of palliative care, that there is a sub-sub-specialty two-day conference like the#PallOnc conference held in San Diego this past weekend. If you have not heard of this meeting yet, and the majority of your work in that intersection between oncology and palliative care, I would highly recommend considering it in the future. This is the 4th consecutive year the meeting has been held, and I applaud the commitment of the four co-sponsoring organizations (AAHPM, ASCO, ASTRO and MASCC). Kristina Newport and Shanthi Sivendranreviewed this...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 30, 2017 Category: Palliative Care Tags: conference reviews oncology palliative sinclair Source Type: blogs

Quality Improvement – The Science of Making Care Better for All
by Arif Kamal (@arifkamalmd)It seems everywhere a person turns, there ’s nonstop discourse regarding healthcare quality, particularly the relationship of meeting quality metrics to demonstrating lower costs and higher value. As palliative care further immerses itself into usual healthcare delivery, it behooves our workforce to adeptly apply quality improvement skil ls to translate our sense of “what is right” into the usual practice of “what is done.” Meeting these demands takes skills and practice, rooted in an evolving evidence base around quality improvement science.It may confuse some to hear that quality imp...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 23, 2017 Category: Palliative Care Tags: conference kamal quality Source Type: blogs

The Differences Between Palliative Care and Hospice Can be Confusing
Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. View slideshow on HealthCentral about the differences between palliative care and hospice:  Purchase Minding Our Elders: Caregivers Share Their Personal Stories – paperb...
Source: Minding Our Elders - October 17, 2017 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

All cancer care needs to consider the whole patient
An excerpt from Cancer What You Need to Know. Treating cancer means taking care of the whole patient — the physical, the emotional, and the spiritual. This starts at diagnosis and carries through treatment and beyond. Unfortunately, for some patients, cancer does find ways to spread that can cause physical pain, emotional strain, and difficulties in dealing with end-of-life issues. Palliative care and hospice providers are experts in helping people deal with these difficult times. These providers are an important part of the cancer care team. Continue reading ... Your patients are rating you online: How to respond....
Source: Kevin, M.D. - Medical Weblog - October 16, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/stephen-rosenberg" rel="tag" > Stephen Rosenberg, MD < /a > Tags: Conditions Oncology/Hematology Palliative Care Source Type: blogs