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Do you know what your staff is saying about palliative care?
Do you know what the operator or person at the front desk is saying about palliative care? When people call, saying the want palliative care, how are they responding?
A study being presented in abstract form at the palliative care and oncology research symposium addresses this simple but critical question.
Researchers at Duke (Kathryn Hutchins, third-year medical student first author, Arif Kamal, oncopal researcher, senior author) cold called 40 major comprehensive cancer centers. They used a “mystery shopper” approach. They pretended to be a family member of a recently diagnosed inoperable liver cancer...
Source: Kevin, M.D. - Medical Weblog - November 1, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/alex-smith" rel="tag" > Alex Smith, MD < /a > Tags: Physician Palliative care Source Type: blogs
Cases: Use of Steroids as Adjuvants for Pain Management
Conclusion:Although there is no definitive, absolute proof that use of dexamethasone as an adjuvant agent for symptom management does not confer a potential increased risk of infection, we do have literature indicating that steroids are used to help manage and treat certain infections, and that there has not been evidence of increased new infections when used in a single dose post-operatively. The clinical take away here is that it okay to consider the use of a steroid, especially in a low dose for a short period of time, in managing pain of an inflammatory etiology (such as pleurisy), and when compared to the potential ri...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 31, 2016 Category: Palliative Care Tags: cancer hematology opioids pain riegel steroids Source Type: blogs
Grief is Not Self-Pity: Joan Didion ’s The Year of Magical Thinking
by Vivian Lam“Life changes fast.Life changes in the instant.You sit down to dinner and life as you know it ends. The question of self-pity. ”When does grief become “self-pity”? What is the “proper” way to grieve?Joan Didion begins writing what would becomeThe Year of Magical Thinking a few days after her husband, John Dunne, dies from a heart attack. Coupled with the mounting health crises of her daughter, Quintana, Didion ’s world is thrown out of joint. In the ongoing aftermath of these tragedies, Didion, acclaimed novelist and literary journalist, copes by doing what she has done all her life—write....
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 28, 2016 Category: Palliative Care Tags: book Didion grief lam magical media review Source Type: blogs
Beware how the affect heuristic filters your view of data
The Spock in us would like to see data as hard, fixed, and totally interpretable. The Dr. McCoy in us understands that data do not have those properties. Nietzsche once wrote, “There are no facts, only interpretations”
In fact we always interpret “facts” in light of our biases. Our filters come from our preconceived opinions. If we like something, we give great value to “data” that support that belief, while we de-emphasize the negative findings. Vice versa works also.
When you watch the debate, if you like Hiliary Clinton you will cheer her pronouncements and believe them true...
Source: DB's Medical Rants - September 26, 2016 Category: Internal Medicine Authors: rcentor Tags: Medical Rants Source Type: blogs
Silencing end-of-life discussions fails our terminal patients
When Kara Tippetts, a 38-year-old mother of four, died of breast cancer last year, more than 17,000 people live-streamed her funeral. Tippetts gained national prominence through her blog, where she confronted her impending death directly and offered a refreshingly frank take on what it’s like to have a terminal disease.
Unfortunately, the openness Tippetts displayed is usually missing where it’s needed most: hospitals. Doctors, nurses and other caregivers are often reluctant to discuss end-of-life plans with terminal patients. Death is considered a taboo topic, until after a patient has died. This lack of patie...
Source: Kevin, M.D. - Medical Weblog - September 22, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/jerry-balentine" rel="tag" > Jerry Balentine, DO < /a > Tags: Physician Palliative care Source Type: blogs
Fight Aging! Newsletter, September 19th 2016
In conclusion, we found that IS status was associated with a significant increase in Hannum DNA methylation, likely as a consequence of the accumulation of cardiovascular risk factors, and near signification with Horvath method. Patients with IS were biologically older than controls, a difference that was more obvious in young stroke. This could open up the possibility of useful new biomarker of stroke risk.
Latest Headlines from Fight Aging!
A Profile of Kelsey Moody and Ichor Therapeutics
https://www.fightaging.org/archives/2016/09/a-profile-of-kelsey-moody
Source: Fight Aging! - September 18, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
What ’s it like to be a child and your sibling is diagnosed with cancer?
By Christian Jarrett
When the dreadful news arrives that a child has cancer, understandably the focus of parents and health professionals turns to supporting the sick child as best they can. But also caught up in the nightmare are the child’s siblings. Not only will they likely be consumed by shock and fear, but they must adapt to the cancer journey the whole family has to embark on.
Official health guidance here in the UK and in the USA states that it’s important to provide support to the siblings of children with cancer. Yet the reality is we know relatively little about their experience. A new study in Cli...
Source: BPS RESEARCH DIGEST - September 14, 2016 Category: Psychiatry & Psychology Authors: researchdigestblog Tags: Cancer Health Positive psychology Qualitative Source Type: blogs
The Inevitability of the Transhumanist Vision
The article I'll point out today opens by distinguishing capitalized Transhumanism from lower case transhumanism. These are visions of the future grown in that fertile square of ground whose corners are marked by contemporary science fiction, the cutting edge of engineering, the cutting edge of science, and the entrepreneurial community. The real entrepreneurial community, I mean, the people who quietly get things done, not the loud internet-focused groups that you tend to read about in the media. Transhumanism with a small t is a simple description of what we will achieve with technology: we will transform ourselves and s...
Source: Fight Aging! - September 14, 2016 Category: Research Authors: Reason Tags: Of Interest Source Type: blogs
Fight Aging! Newsletter, September 12th 2016
Fight Aging! provides a weekly digest of news and commentary for thousands of subscribers interested in the latest longevity science: progress towards the medical control of aging in order to prevent age-related frailty, suffering, and disease, as well as improvements in the present understanding of what works and what doesn't work when it comes to extending healthy life. Expect to see summaries of recent advances in medical research, news from the scientific community, advocacy and fundraising initiatives to help speed work on the repair and reversal of aging, links to online resources, and much more.
This content is...
Source: Fight Aging! - September 11, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Call for Papers: End of Life Ethics in Oncology Practice Special Series
The Journal of Oncology Practice (JOP) is now accepting manuscripts to become part of a thematic issue on “End of Life (EOL) Care and Ethics” in adult and pediatric oncology.
Original work including original research papers (of up to 3,000 words), commentaries, narratives, point/counterpoint companion pieces on controversial topics (of 1,500-1,800) will be considered in all areas of oncology practice.
Suggested topics include: •Collaboration between oncologists, intensivists, and other specialties caring for cancer patients in the ICU •Use of multidisciplinary teams and models for best pr...
Source: blog.bioethics.net - September 11, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs
She asked for comfort
Mom. She was a feisty 100 percent Italian, straight from New Jersey. Her dad, straight from Italy, was a tailor and made the finest suits for New York and New Jersey businessmen. Mom learned this trade well. She could sew some of the most beautiful tailored suits for herself. She loved to cook and every night was a banquet, a feast which required up to 2 hours of clean-up time by us kids. The food was always delicious; the clean-up was always dreadful.
Mom loved the dinner parties she gave for Dad’s fellow businessmen from IBM. And she adored Jackie Kennedy. She wore her hair like her, dressed like her, as many women...
Source: Kevin, M.D. - Medical Weblog - September 9, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/debbie-moore-black" rel="tag" > Debbie Moore-Black, RN < /a > Tags: Conditions Cancer Palliative care Source Type: blogs
Number One Palliative-Themed Movie? Wit
by Amy Clarkson(Margaret Edson,author of Wit, will be speaking at the 2016 Palliative Care in Oncology Symposium, so we are sharingthis review from our Arts and Humanities site, originally published in 2009. - Ed.)There are many movies out there with palliative themes, as we can attest to withour top 10 movie post, which garnered much comments. One of my all time favorites, also made number 1 on our top 10 palliative-themed movies list; Wit.I first saw this movie in medical school. In fact,according to the IMDb, this movie is known for being shown at medical schools as an example of how not to practice medicine. Also,...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 8, 2016 Category: Palliative Care Tags: cancer film media play review Source Type: blogs
What Makes Up High-Quality Primary Palliative Care in Oncology?
by Ross AlbertI ' m surprised that I ’m not hearing more about the recent ‘Guidance Statement ’ put out by the collaboration of ASCO and AAHPM on “Defining High-Quality Palliative Care in Oncology Practice.” (OPEN ACCESS PDF) It ’s a report that provides some very interesting insight into what pieces of primary palliative care should be part of general medical oncologists’ practice.When I read it the report, I was pleased to see that it waspublished in ASCO ’s journal, and I noted the impressive list of authors. My eyes briefly glazed over as the discussion moved to Delphi methodology, but a few quick ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 7, 2016 Category: Palliative Care Tags: AAHPM ASCO breast cancer colorectal cancer lung cancer oncology Source Type: blogs
PCHETA has a date with a subcommittee! Thank your rep!
by Christian SinclairHey all you hard-working palliatricians and hospice clinicians, we have some pretty exciting news for you! This Thursday Sep 8th, thePalliative Care Hospice Education and Training Act (PCHETA - H.R. 3119/S. 2748) is going on a first date with the House of Representatives Subcommittee on Health (who even has their ownhashtag #SubHealth).So what does this mean?This legislative hearing includes PCHETA and 4 other bipartisan bills focused on improving public health that are being considered for further advancement to the full committee level and eventual consideration in the house. If it goes well, we are ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 6, 2016 Category: Palliative Care Source Type: blogs
August 2016 Pallimed Recap
by Christian SinclairAugust 2016 has left the building along with a lot of heat, rain and wildfires.Here is a recap of all of our posts from August 2016. We know there are some you may have already bookmarked, but forgot to read, or maybe you liked it so much you want to share it again.Make sure to follow, engage, like and comment with us onFacebook,Twitter,Google+,Pinterest,Tumblr,Instagram andLinkedIN. We always appreciate it when you recommend us to your peers and social media makes it very easy!CommunicationPalliative Chemotherapy: An Oxymoron by Rebecca Gagne HendersonHumanities/Media ReviewsRedefining " Death in...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 4, 2016 Category: Palliative Care Tags: book burnout cancer chemotherapy comments facebook icu instagram media neuro NICU oncology pediatrics research review self care social media The profession twitter Source Type: blogs
