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Care and the Close of Life – Conversations in Bioethics
Hosted by the Kennedy Institute of Ethics at Georgetown University, Conversations in Bioethics brings together distinguished speakers and the broader community to explore a topic in bioethics and inspire leadership for change. This year's panel will be held February 7th will focus on End-of-Life Care. The event will live-streamed here. Panelists include: Eduardo Bruera, MD, FAAHPM – Professor of Medicine, University of Texas MD Anderson Cancer Center in Houston – a palliative care physician, is Department Chair and Professor of Medicine in the  Department of Palliative, Rehabilitation and Integrative Medic...
Source: blog.bioethics.net - February 1, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

The growing role of end-of-life activists
Brittany Maynard was diagnosed with grade 2 astrocytoma, a form of brain cancer on  January 1, 2014, her cancer also returned in April 2014, where her diagnosis was elevated to grade 4 astrocytoma, also known as glioblastoma, with a prognosis of just six months to live. She decided to take lethal drugs prescribed by her physician to end […]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 - January 31, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/jennifer-lynn" rel="tag" > Jennifer Lynn < /a > < /span > Tags: Conditions Hospital-Based Medicine Palliative Care Source Type: blogs

Third International Conference on End of Life Law, Ethics, Policy, and Practice
Here is the program for the Third International Conference on End of Life Law, Ethics, Policy, and Practice. Pretty awesome.   Thursday 7 March, 2019 08.30-09.00Registration & Welcome Coffee 09.00-09.10Welcome by the Chair of the Scientific Committee – Kenneth Chambaere (BE) 09.10-09.30Introduction by an external speaker (TBC) Plenary 1: Latest developments in assisted dying around the world 09.30-10.00Developments in European countries – Agnes van der Heide (NL) 10.00-10.30Recent developments and the future of MAiD in Canada – Jocelyn Downie (CAN) 10.30-11.00A review of developmen...
Source: blog.bioethics.net - January 18, 2019 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs

What will you do for this altered and bradycardic patient?
Written by Pendell MeyersA female in her 60s with COPD, DM, hypothyroidism, CAD, and severe bladder cancer presented from a nursing home with altered mental status, hypotension, hypoxia, and bradycardia.Here is her initial ECG (no prior for comparison):What do you think?Here is another ECG minutes later:There is a regular wide complex bradycardia.There are P-waves at a rate of approximately 100bpm with no clear relationship to the QRS complexes, diagnostic of complete heart block.The QRS morphology is wide (computer QRS duration 179 msec) but it does not fit any clear bundle branch block pattern (it is similar to LBBB but ...
Source: Dr. Smith's ECG Blog - January 13, 2019 Category: Cardiology Authors: Pendell Source Type: blogs

Dad's Decision Not To Be Treated for Cancer Upsets Daughter
Photo credit Matteo Vistocco Dear Carol: There’s probably no right answer to what I’m asking but I felt the need to write, just for comfort. My mother died when I was in my teens so Dad has been the only parent that I’ve had for more than 20 years. I have no siblings. Dad’s now in his seventies and has been diagnosed with prostate cancer. He’s beaten both melanoma and lung cancer in the past, but he tells me that this cancer should be slow growing and that he’ll probably die before it’s a problem so he doesn’t want to treat it. I want him to go full-on with every treatment possible. I watc...
Source: Minding Our Elders - January 13, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

A Randomized Controlled Trial for Fan Therapy in Dyspnea
by Bob Arnold (@rabob)Winter suits me just fine since I do not like heat. I have a lot of sympathy for patients with chronic obstructive lung disease who do not have an air conditioner during the summer. I am told that there is nothing worse than sitting in hot, humid weather and not being able to breathe.As a palliative care physician, I love fans. When my patients are short of breath and opiates do not work (1,2) I send their families down to the local ACE hardware store to buy a hand-held fan. Therefore, I was excited tosee an article in the Journal of Pain and Symptom Management on fan therapy being effective in treati...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 11, 2019 Category: Palliative Care Tags: arnold dyspnea journal article JPSM Source Type: blogs

Discover the Differences Between Palliative Care and Hospice
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 the slideshow on HealthCentral for added clarity about the differences between palliative care and hospice: MedicareFAQ – Medicare Resource Center Support a caregiver or ...
Source: Minding Our Elders - January 8, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

First Ever Medical Humanities Chat (#MedHumChat)
Hey#medtwitter, I'm toying with the idea of starting a narrative medicine twitter chat. each week we discuss a poem, essay, short story (something very brief!) relevant to medicine and our experience. Would folks be interested? Would you participate? Does this already exist?— Colleen Farrell, MD (@colleenmfarrell)December 16, 2018by Christian Sinclair (@ctsinclair)What started off as a spontaneous tweet by resident Colleen Farrell, MD (@colleenmfarrell) generated a swell of interest from the health care Twitter community and now is being fully realized with the first Medical Humanities chat on Twitter (#MedHumCha...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 2, 2019 Category: Palliative Care Tags: arts humanities sinclair tweetchat twitter Source Type: blogs

The Death of Cancer: Book Review and Reflections
By CHADI NABHAN MD, MBA, FACP Some books draw you in based on a catchy title, a provocative book jacket, or familiarity with the author. For me, recollections of medical school primers written by the renowned lymphoma pioneer Vincent DeVita Jr. and my own path as an oncologist immediately attracted me to “The Death of Cancer.” I felt a connection to this book before even reading it and prepped myself for an optimistic message about how the cancer field is moving forward. Did I get what I bargained for? Co-authored with his daughter, Elizabeth DeVita-Raeburn, DeVita brings us back decades ago to when he had just st...
Source: The Health Care Blog - January 1, 2019 Category: Consumer Health News Authors: matthew holt Tags: Health Care Books Physicians Book Review Chadi Nabhan Chemotherapy Oncology randomized controlled trials The Death of Cancer Vincent DeVita Source Type: blogs

Dad Living With Dementia Repeatedly Asks for His Deceased Wife
Photo credit Seth Hays Dear Carol: My dad was the primary caregiver for my mom during the first years that she was sick with cancer, but during her last years he began to show signs of Alzheimer’s. When Mom died, Dad was devastated. He seemed to comprehend what happened and retain the memory and the grief. Now, though, he’s starting to ask for Mom. When this began we reminded him what happened but the result was horrible. His first reaction was grief but that quickly turned to anger at us for “trying to fool him.” Eventually, we convinced him that yes, Mom was gone, but we said she’d “wait for him....
Source: Minding Our Elders - November 25, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Understanding the Difference Between Palliative Care and Hospice
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 the slideshow on HealthCentral to help clarify the differences between palliative care and hospice: MedicareFAQ – Medicare Resource Center Support a caregiver or jump-sta...
Source: Minding Our Elders - November 24, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Nope. We STILL Shouldn ' t Claim Prolonged Survival in Hospice and Palliative Care
by Drew Rosielle (@drosielle)A group of investigators from Tulanerecently published a meta-analysis in Annals of Behavioral Medicine indicating that outpatient palliative care improves survival and quality of life in advanced cancer patients (free full-text available here, although I ' m not sure if that ' s permanent).Perhaps you ' ll remember inJune of this year when I pleaded with our community to stop claiming that palliative care prolongs survival (my littleTwitter rant about this starts here).My basic plea was this:Hospice and palliative care community, I ' m calling for a moratorium on all blanket, unqualified claim...
Source: Pallimed: A Hospice and Palliative Medicine Blog - November 2, 2018 Category: Palliative Care Tags: journal article outpatient pallimed writing group research research issues rosielle The profession Source Type: blogs

November: Time for Celebrating Hospice and Palliative Care
“I hope we don’t have another funeral this Christmas,” my young son said after we wrapped up Halloween. Hearing my child voice that fear nearly broke my heart, but our family had endured the deaths of two elders during the last two Christmas seasons so why wouldn't he wonder if this year would be the same? Thankfully, that particular year we didn’t have a funeral during the season, though we did have another death at that time the following year. So, when it comes to death during the holidays, I have had some experience. I’ve also learned a lot since then about how hospice can not only make the death proces...
Source: Minding Our Elders - November 2, 2018 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

There ’s no textbook for when your father is dying
On my first day of medical school, my father, a dentist, told me he’d just been diagnosed with stage four pancreatic cancer. Cancer had crept back into my life — except this time not into my body. At age 12, I was diagnosed with brain cancer. After an aggressive surgery, I was tumor-free for 10 years. Then, at 23, I received the news of an inoperable recurrence. While going through radiation and chemotherapy, I struggled with how to move forward in the face of endless uncertainty — until I realized that, with or without cancer, everyone lives with uncertainty. Since I never knew what the next day would bring, I d...
Source: Kevin, M.D. - Medical Weblog - October 26, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jeremy-pivor" rel="tag" > Jeremy Pivor < /a > Tags: Education Oncology/Hematology Palliative Care Source Type: blogs

Antipsychotics Don ' t Help ICU delirium
by Drew Rosielle (@drosielle)It just gets worse and worse for the idea that antipsychotics have efficacy for delirium.Last year Iposted about the RCT of haloperidol, risperidone, or placebo for delirium symptoms in ' palliative ' patients. I ' m pretty sure I called for more controlled, ' high quality, ' trials, and we are lucky enough to have another.This one is arandomized, double-blinded, registered, controlled trial of haloperidol, ziprasidone, or placebo for ICU delirium, just published in NEJM.The trial took place in a geographically diverse group of US-based intensive care units. They enrolled adult patients in medi...
Source: Pallimed: A Hospice and Palliative Medicine Blog - October 25, 2018 Category: Palliative Care Tags: delirium icu journal article rosielle Source Type: blogs