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Part 6 - Why Is Cancer Pain So Special?
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Cr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 6, 2019 Category: Palliative Care Tags: cancer opioids pain rosielle The profession Source Type: blogs
Part 5 - Why Do We Lump the Non-Cancer Pain Syndromes Together?
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Cr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 6, 2019 Category: Palliative Care Tags: opioid pain rosielle The profession Source Type: blogs
Part 4 - Everything We Were Taught About High Doses Was Wrong, and the Same Hand-Crafted Graph
by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 4th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Another Hand-Cr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 5, 2019 Category: Palliative Care Tags: opioids pain rosielle The profession Source Type: blogs
Part 2 - We Were Wrong 20 Years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid Doses
by Drew Rosielle (@drosielle)This is the second in a series of several posts about many aspects of my current thinking about opioids.The first post is here:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Over-prescribing fueled the current drug overdose epidemic, and many of us who thought we were stamping out needless suffering contributed to the epidemic.A lot of what I read and believed about opioids early on in my career was wrong.I ’m old enough to remember those heady days in which there was a pretty large and ‘successful’ movement in American medicine to greatly liberalize...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 3, 2019 Category: Palliative Care Tags: opioids pain rosielle The profession Source Type: blogs
A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.
by Drew Rosielle (@drosielle)Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.This is the first in a series of several posts about many aspects of my current thinking about opioids, with a focus on how my thinking about opioids has changed over the years.Opioids, opioids, opioids. The working title of these series of posts was in fact “Goddamned Opioids and the Goddamned Opioid Crisis’ because it’s a confusing time out there. A lot of us in palliative care have watched the unfolding, devastating, opioid overdose crisis in the US with dread and horror, as well as the multitude of r...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 3, 2019 Category: Palliative Care Tags: opioids rosielle The profession Source Type: blogs
The broader mission for hospice care
I remember it was raining outside when I told Ester she had metastatic stomach cancer.  She cried, as her son sat silently holding one thin hand in two of his.  After a while, she asked, how long did she have to live?  I explained it depended on how well the chemotherapy worked.  She smiled gently, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - September 15, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/james-c-salwitz" rel="tag" > James C. Salwitz, MD < /a > < /span > Tags: Physician Palliative Care Source Type: blogs
Being Lost and Found: How Being a Caregiver Shaped Me
As a palliative care physician, I often spend time with
patients and families talking about their hopes, worries, and sources of
strength. Part of this work involves helping people confront uncertainty in
what lies ahead and be able to hold opposing truths as they face serious
illness. You can feel the best you’ve felt in months and still be dying of
cancer. You may not be able to get out of bed and be completely dependent on
others, and still find joy in every day moments with your loved ones. I think
of caregiving in the same way. It is a hard, humbling, isolating adventure that
veers your life in a direction you didnâ...
Source: Academic Medicine Blog - August 13, 2019 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective caregiver care caregivers physician-patient relationship Source Type: blogs
Live-Tweeting About Dying: Last Lessons from Kathy Brandt
Kathy Brandt, a leader in the hospice and palliative care movement in the United States, died on August 4. She was 53 and had been diagnosed with a rare, highly aggressive form of ovarian cancer in January. Brandt and her wife regularly posted on social media about their family's end-of-life experiences.
The post Live-Tweeting About Dying: Last Lessons from Kathy Brandt appeared first on The Hastings Center.
Source: blog.bioethics.net - August 6, 2019 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care Chronic Conditions and End of Life Care Hastings Bioethics Forum hospice palliative care social media syndicated Source Type: blogs
Remembering Kathy Brandt: Hospice and Palliative Care Advocate
by Christian Sinclair (@ctsinclair)As some of you may already now, we lost a great voice and energy in our field of palliative care and hospice yesterday, August 4th, when Kathy Brandt died at home with her wife,Kimberly Acquaviva and son, Greyson. Kathy was diagnosed with ovarian cancer in January of 2019. Kathy most recently worked on the National Consensus Project Guidelines, 4th edition, as the writer and editor, which was released in 2018. She had over 30 years experience in the aging and end-of-life issues and was helpful to many organizations as theprincipal and founder of the kb group.In addition to all that work o...
Source: Pallimed: A Hospice and Palliative Medicine Blog - August 5, 2019 Category: Palliative Care Tags: sinclair Source Type: blogs
Washington D.C. Progress in Implementing Medical Aid-in-Dying Act
Compassion & Choices today praised D.C. Health for
releasing two years of reports showing it is making progress in
implementing the D.C. Death with Dignity Act, despite repeated
congressional attempts to repeal the law since it took
effect on Feb. 18, 2017.
The D.C. Death with Dignity
Act
allows mentally capable, terminally ill adults with six months or less to live
to have the option to request a doctor’s prescription for medication they can
decide to take if their end-of-life suffering becomes unbearable, so they can
die peacefully in their sleep.
Eight states
currently allow medical aid in dying: California...
Source: blog.bioethics.net - August 3, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
California End of Life Options Act – Status Report
The California Department of Health just released a report showing 452 terminally ill, adult patients received prescriptions written by 180 unique physicians for medical aid in dying to peacefully end their suffering and 337 of the patients took the medication in 2018.
In contrast, in 2017, the DOH reported that 577 patients received prescriptions from 241 unique physicians and 363 of the patients took the medication.
Compassion & Choices says the temporary suspension of the California End of Life Option Act last year -- because of an ongoing lawsuit seeking to invalidate it -- likely caused a decrease ...
Source: blog.bioethics.net - July 11, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
Summer Research 2019
The post Summer Research 2019 appeared first on Johns Hopkins Nursing Magazine.
Source: Nursing Blogs at Johns Hopkins University - July 10, 2019 Category: Nursing Authors: Editor Tags: Cells to Society New acupressure Aging cancer Cardiovascular CLABSI climate change Disaster Education Geriatrics gerontology global infection Journal oncology pain palliative policy healthcare prevention Psychiatric Source Type: blogs
How to have an exciting death: 5 tips from a palliative care physician
We’re all gonna die. It’s a simple truth that an astounding number of people neglect to acknowledge or accept. Some people die sudden, unexpected deaths, but most eventually fall victim to chronic or terminal conditions like COPD, heart failure or cancer. As a palliative care physician, I often meet patients who have had conversations with […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - June 25, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/christi-bartlett" rel="tag" > Christi Bartlett, MD < /a > < /span > Tags: Conditions Hospital-Based Medicine Palliative Care Source Type: blogs
