Filtered By:
Therapy: Palliative

This page shows you your search results in order of date. This is page number 20.

Order by Relevance | Date

Total 522 results found since Jan 2013.

August 2016 Palliative Care Review
by Christian SinclairSome August highlights from non-core HPC journals focusing on palliative care and hospice topics. Anyone who would like to explore any article in depth for a future Pallimed post iswelcome to contact us.Nondisclosure by Dr. Abby Rosenberg, published in JAMA, is a wonderful opportunity to examine if we are doing the right thing for a patient. Having reconnected with the mother of a teenage patient who died 6 years ago, the doctor and the mother were able to talk about the struggle to disclose to Sam, the patient, that he was dying. Dr. Paul Rousseau offers a great analysis of the faulty-thinki...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 31, 2016 Category: Palliative Care Tags: cancer CPR ethics geriatrics JAMA journal article narrative opioids pain research review surgery Source Type: blogs

Building Resilience in Clinicians to Prevent Burnout
by Arif KamalOn the topic of palliative care clinician wellness, we are starting to recognize that there is some good news to counter all the bad. First, the bad news. If you ’re reading this, and you believe that burnout has not touched your professional life, then it is likely that the colleagues sitting to the immediate left and right of you are not so lucky. Recent survey data of over 1300 palliative care clinicians highlight a sobering statistic: almost two-thir ds of our colleagues report burnout (Kamal JPSM 2016). This is among the highest rate of all medical disciplines, and significantly higher than the 45% aver...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 23, 2016 Category: Palliative Care Tags: burnout kamal The profession Source Type: blogs

Death is not the enemy. More physicians need to realize that.
I knew it was bad when she couldn’t tell me her name. I watched her face fill with frustration as a word she had uttered countless times over eight decades somehow got lost between her brain and her lips. It was 2 a.m. and I was on call as the surgical resident. I had been told that a patient with bladder cancer was being transferred from another hospital, and, as these things tend to happen, she finally arrived in the middle of the night. I peeked at her and saw she was doing OK, so I let the nurses get her settled in as I looked over her medical chart. Continue reading ... Your patients are rating you online: How to r...
Source: Kevin, M.D. - Medical Weblog - August 20, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/nancy-wang" rel="tag" > Nancy Wang, MD, MPH < /a > Tags: Physician Palliative care Patients Source Type: blogs

Redefining “Death in Dignity”: Sherwin Nuland’s How We Die
by Vivian LamWe begin with an image of Sherwin Nuland as a bright-eyed third year medical student, cutting open a dead man ’s chest and cupping his heart with bare hands.After several moments of desperation, the man, James McCarty, roars a death rattle that stops Nuland in his tracks. We look upon a vivid scene of carnage and defeat —Nuland is soaked with sweat and blood, sobbing and “demanding that he live, screaming his name into his left ear as though he could hear me, and weeping all the time with the frustration and sorrow of my failure, his” (7). Dave, the intern on duty, comes into the room and holds Nuland ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 17, 2016 Category: Palliative Care Tags: book lam media review surgery Source Type: blogs

Worse than death?...Dependence
This study out of Philadelphia surveyed 180 hospitalized patients with serious illness on their views of various health states, and how severe or unacceptable they considered them. What was fascinating was that the scale used was based on death as the benchmark on their Likert scale—“wors e than death, neither better nor worse than death, a little better than death, somewhat better than death, or much better than death.”The study revealed that in this group of patients with advanced cancers, heart failure, and COPD, health states with significant dependence on machines and on care from other people were frequently de...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 13, 2016 Category: Palliative Care Tags: albert cancer death/dying heart failure pulmonary/copd research Source Type: blogs

An Interview with Noted Pancreas Surgeon Dr. Charles J. Yeo
Recently, InsideSurgery had a chance to speak with Dr. Charles J. Yeo about his career as a top Whipple and pancreas surgeon and his ongoing role as a surgical leader and educator. As the Samuel D. Gross Professor of Surgery and Chair of the Department of Surgery, you welcomed your second intern class to Thomas Jefferson University in Philadelphia, Pennsylvania last month. What one piece advice do you have for your new trainees? One piece of advice….that’s tough! Several pieces of advice….enjoy the challenges and experiences of internship; read and increase your knowledge base outside of that 80 hours; ...
Source: Inside Surgery - August 12, 2016 Category: Surgery Authors: Editor Tags: Interviews Source Type: blogs

Demand Congress to go on Medicare at the age of 65
Born in Canada, our mother came to the United States after World War II and blended into the Greatest Generation. Raising a family in the second half of the 20th century saw her contribute to a thriving American society then maintain retirement health on Medicare. But in her early 90s, this tranquility was threatened when her HMO hospital tried to kill her. She went to the emergency room with symptoms of the stomach flu, and ended up rapidly placed on palliative care with an erroneous diagnosis of end-stage liver cancer. Fortunately, after a long ordeal and because of our medical background, we thwarted hospital personnel ...
Source: Kevin, M.D. - Medical Weblog - August 11, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/gene-uzawa-dorio" rel="tag" > Gene Uzawa Dorio, MD < /a > Tags: Policy Geriatrics Source Type: blogs

Six Reasons That Justify A ‘Marriage Of Convenience’ Between HIV And Noncommunicable Disease Programs
Another round in the battle to end HIV/AIDS began on June 10, 2016, at United Nations (UN) headquarters in New York, when the HIV community adopted targets and actions to end the AIDS epidemic by 2030. For Sub-Saharan Africa (SSA), which bears the largest burden of HIV deaths (800,000 in 2015), this is the promise of a new dawn. However, this ambitious goal to improve health for people with HIV will not be fully realized unless health systems in sub-Saharan Africa address another threat that looms large on the horizon: the growing epidemic of chronic noncommunicable diseases (NCDs). These include heart disease, respiratory...
Source: Health Affairs Blog - August 5, 2016 Category: Health Management Authors: Irene Yameogo Ngendakumana and Mohammed K. Ali Tags: Costs and Spending Featured Global Health Public Health HIV/AIDS NCDs sub-saharan africa United Nations Source Type: blogs

Palliative Chemotherapy: An Oxymoron
By Rebecca Gagne HendersonI was inspired to write this after reading the series of posts on Pallimed titled “Against Euphemisms” by Drew Rosielle. At its very best, the term “Palliative Chemotherapy” is an oxymoron. At its worst, it is a treatment that robs the patient and family of quality of life and valuable time may have been spent doing the things that are important to them.As a palliative consultant on a campus which does not house a cancer center my referrals typically come from hospitalist attending physicians rather than oncologists. I cannot begin to tell you the number of conversations I have had through...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 1, 2016 Category: Palliative Care Tags: cancer chemotherapy euphamisms gagne henderson palliative rebecca Source Type: blogs

July 2016 Pallimed Review
by Christian SinclairJuly 2016 was a great month! New fellows started,advocates told the hospice story on Capitol Hill and online, theAAHPM held it ' s Summer Institute. Good things all around.Here is a recap of all of our posts from July 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 andLinkedIN. And nowcatch us on Instagram, where we have grown quickly in the past month. And we always appreciate it when you recommend us to your p...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 31, 2016 Category: Palliative Care Tags: review sinclair Source Type: blogs

Pallimed Roundup: The Best Advice
The editors of Pallimed are proud to announce a new editorial feature: Pallimed Roundup. In these articles we will publish a collection of quotes culled from palliative care professionals around the world. Looking back on the early days in your hospice and palliative career, what is the best advice you received? “Best advice - find a mentor and be a mentor!” – Shirley Otis-Green, MSW, MA, ACSW, LCSW, OSW-C Twitter: @sotisgreen Learn from your patients... “Thinking back to all of the wonderful mentors I had over the years, I always go back to my very best mentors---patients and their caregivers! Early in my h...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 27, 2016 Category: Palliative Care Tags: boundaries mentor palliative reflect roundup self-care Source Type: blogs

Hope is a Hot Button
by Kathy Kastner As life draws to an end, hot buttons need only be barely touched to set off flares of righteousness. Hope is one such hot button, and often seems attached to ‘false’ – which crushes hope dead. I rail every time I hear the righteous pronounce: “You don’t want to give them false hope.’ Why is hope so contentious when benefits have proven huge? From Dr. Jerome Groopman ’s The Anatomy of Hope : " Belief and expectation -- the key elements of hope -- can block pain by releasing the brain ' s endorphins and enkephalins, mimicking the effects of morphine. In some cases, hope can also have i...
Source: Pallimed: A Hospice and Palliative Medicine Blog - July 24, 2016 Category: Palliative Care Tags: chat hpmchat kastner tweetchat Source Type: blogs

UnitedHealth ' s Optum Division Settles Case Alleging it Enrolled Non-Terminally Ill Patients in Hospice, Thus Risking Their Deaths Due to Treatable Illnesses
Discussion The problem of fraudulant enrollment of non-terminal patients in hospice continues, despite our efforts over five years to make the problem more public.   The latest case involved a very big, very wealthy for-profit health care corporation which has had its share of troubles in the past .   Yet the latest case is as anechoic as earlier ones, including smaller cases this year. These enrollments may be motivated by the desire for more money, but they put patients at risk.   Nonetheless, such abuses by hospices get little press coverage, seemingly are ignored by health care regulators and law enf...
Source: Health Care Renewal - July 19, 2016 Category: Health Management Tags: fraud hospices legal settlements UnitedHealth Source Type: blogs

UnitedHealth's Optum Division Settles Case Alleging it Enrolled Non-Terminally Ill Patients in Hospice, Thus Risking Their Deaths Due to Treatable Illnesses
Discussion The problem of fraudulant enrollment of non-terminal patients in hospice continues, despite our efforts over five years to make the problem more public.  The latest case involved a very big, very wealthy for-profit health care corporation which has had its share of troubles in the past.  Yet the latest case is as anechoic as earlier ones, including smaller cases this year.These enrollments may be motivated by the desire for more money, but they put patients at risk.  Nonetheless, such abuses by hospices get little press coverage, seemingly are ignored by health care regulators and law enforcement,...
Source: Health Care Renewal - July 19, 2016 Category: Health Management Tags: fraud hospices legal settlements UnitedHealth Source Type: blogs

Looking Back on 10 Years of Palliative Medicine
by Drew RosielleJuly 1, 2006 was the day I became a staff palliative care physician at the Medical College of Wisconsin, after having completed my fellowship there. So it's been 10 years I've been doing this, and I've been reflecting a little on what's changed in those years. So here are my thoughts. I don't want to pretend all of these are profound, most of them have been said by others before, and better, but things have changed in these 10 years - I've changed - and I decided to write a little about it. Much of this is just my own perceptions of things, a lot of them are my own misconceptions probably, and I don't want ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 30, 2016 Category: Palliative Care Tags: opioids palliative care physician rosielle The profession Source Type: blogs