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Reconceptualizing Health and Health Care: Why Our Cancer Care Delivery System Is In Crisis
Cancer Care System in Crisis
Americans fear cancer. In a poll for MetLife, when participants were asked which major disease they feared most, 41 percent said cancer, 31 percent said Alzheimer’s disease, and small percentages of other respondents said other diseases. Not surprisingly, The National Institutes of Health has a budget allocation of $4.9 billion for 2014 to The National Cancer Institute, far more than any other Institute and over 25 percent of the NIH’s total funding to study organ-based diseases ($19.2 billion).
Despite this longstanding commitment to cancer research, the Institute of Medicine (IOM) reporte...
Source: Health Affairs Blog - September 23, 2014 Category: Health Management Authors: Carolyn Payne and William Dale Tags: All Categories Chronic Care End-of-Life Care Health Care Costs Health Care Delivery Long-Term Care Source Type: blogs
Cancer Patients May Not Get The Rehab They Need: A Missed Opportunity To Consider
This blog post first appeared at: Curious Dr. George
Rehabilitation medicine is one of the best-kept secrets in healthcare. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans.
Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in Wo...
Source: Better Health - April 5, 2017 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Cancer Rehab Oncology Physiatry PM&R Rehabilitating From Cancer Rehabilitation Medicine Source Type: blogs
We must address young patients ’ pain and suffering from the start of their cancer journey
When a child is diagnosed with cancer, overwhelmed parents and patients are often laser-focused on the path to cure. Even though parents do not welcome pain or discomfort for their child, they may feel that symptoms are a necessary cost of curative care. Likewise, it is easy for us, as pediatric oncologists, to accept symptoms and side effects of treatment as normal. Important new research challenges this assumption and challenges pediatric oncologists to work harder to ease children’s suffering and help families maintain quality of life from the very beginning of the cancer journey.
Recent research from St. Jude, publis...
Source: Kevin, M.D. - Medical Weblog - June 30, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/jennifer-mack" rel="tag" > Jennifer Mack, MD, MPH < /a > Tags: Conditions Cancer Pediatrics Source Type: blogs
My 14 Year Old Cancer Patient May Be Addicted to Opioids. What Do I Do?
By JULIE KIM, MD
I’m a pediatric oncologist, but cancer is not always the most serious problem my young patients face. Currently one of them, a 14-year-old boy, his mother, or both may be opioid addicts. I may be enabling their addiction.
Tragically, their situation is not unique. Adolescent patients are at risk for addiction from opioid pain medications just as adult patients are. But pediatric patients are overlooked in this war against opioid addiction. No policies protect them or those caring for them.
Usually pain is short-term, and only limited opioids are needed. Most providers, including those caring for children...
Source: The Health Care Blog - October 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cancer Julie Kim Opioids Source Type: blogs
I Am: A Hopkins Nurse. I Will: Challenge Cancer Care.
So much goes into cancer care—pain management, decision making, death with dignity. This year’s World Cancer Day theme is ‘I am and I will.’ Hear from five Hopkins nurses—three faculty and two students—and how they are challenging cancer care for the better. Kayla Madison, MSN (Entry Into Nursing) Student I am a future pediatric oncology
The post I Am: A Hopkins Nurse. I Will: Challenge Cancer Care. appeared first on Johns Hopkins Nursing Magazine.
Source: Nursing Blogs at Johns Hopkins University - February 3, 2020 Category: Nursing Authors: Editor Tags: On the Pulse cancer Source Type: blogs
i can tell when it hurts
Having been a patient for most of the last seven years, I can tell how some things have changed.One thing that seems quite different is pain management. After my mastectomy and my diagnosis of metastasis in 2006, I was given loads of painkillers - morphine, Oxycontin, percocet, Tylenol with codeine and others - all in small amounts. I never finished a prescription and I always brought the leftovers to the drug store for disposal.Fast forward to my brain surgery last fall. I was fortunate to be sent home after two nights in the hospital (you heal much better at home). The last thing that they sorted out was pain manage...
Source: Not just about cancer - September 20, 2013 Category: Cancer Tags: metastatic guilt breast cancer brain metastasis community my friends mastectomy pissed off cancer blog rants chronic illness Source Type: blogs
Florida Trauma Survivors: Your Feelings Are a Normal Response to Abnormal Situation
Life has landed you in the community of trauma survivors. None of us is here by choice, but we do choose to support each other. From my heart, here are things I wish I had known when I was 17.
In 1999, I was 17. I was sleeping at home with my family in Tel Aviv on the night of January 17. At 1am a loud siren woke us up. We knew what it meant. We also knew what we must now do. I ran shaking and crying with my family to our “safe room” where we bolted the door and sealed it for protection against what we thought was a chemical attack.
Less than three minutes later, we felt and then heard huge blasts. Our house was shaki...
Source: World of Psychology - March 1, 2018 Category: Psychiatry & Psychology Authors: Odelya Gertel Kraybill, PhD, LCPC Tags: Anxiety and Panic Children and Teens Criminal Justice General Grief and Loss Inspiration & Hope Personal PTSD Self-Help Stress Student Therapist Students Trauma Mass murder Parkland shooting Posttraumatic growth Posttraumat Source Type: blogs
Fight Aging! Newsletter, June 6th 2016
This study teaches us that poor wound healing and wrinkling and sagging that occur in aging skin share similar mechanisms."
Reduced cell cohesiveness of outgrowths from eccrine sweat glands delays wound closure in elderly skin
Human skin heals more slowly in aged vs. young adults, but the mechanism for this delay is unclear. In humans, eccrine sweat glands (ESGs) and hair follicles underlying wounds generate cohesive keratinocyte outgrowths that expand to form the new epidermis. Our results confirm that the outgrowth of cells from ESGs is a major feature of repair in young skin. Strikingly, in aged skin, ...
Source: Fight Aging! - June 5, 2016 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
Roger Chou ’s Undisclosed Conflicts of Interest: How the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I ' m present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, He...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
Roger Chou s Undisclosed Conflicts of Interest: How the CDCs 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie JudyI ' m present. Uh I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh update.- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, Health Pro...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
The Not-Quite Annual ASCO Round-Up - 2018 edition
by Drew RosielleTheAmerican Society of Clinical Oncology annual meeting, besides being a feast for the pharmaceutical business news pages (google ' ASCO ' and most of the hits will be about how announcement X affected drug company Y ' s stock), is also one of the premiere platforms for publishing original palliative-oncology research. So every year I try to at least scan the abstracts to see what ' s happening, and I figure I might as well blog about it. It ' s tough to analyze abstracts, so I ' ll mostly just be summarizing ones that I think will be of interest to hospice and palliative care folks. I imagine I ' ve missed...
Source: Pallimed: A Hospice and Palliative Medicine Blog - June 6, 2018 Category: Palliative Care Tags: artificial nutrition ASCO cannabanoid code status conference reviews fatigue hpmglobal marijuana mindfulness mucositis neuropathic oncology pain race rosielle scrambler 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
Painkiller-abuse proposal divides healthcare community, even in same hospitals | cleveland.com
Doctors at top health centers including the Cleveland Clinic and University Hospitals want the U.S. Food and Drug Administration to toughen rules for prescribing powerful painkillers like OxyContin and similar opioids, saying this could curb addiction and drug abuse.Yet there is pushback -- from, among others, medical professionals at some of the same hospitals, including the Cleveland Clinic, public records and interviews show.These doctors and clinicians say they, too, want to halt addiction and deaths from the over-consumption and abuse of opioid painkillers, which the U.S. Centers for Disease Control calls an epid...
Source: Psychology of Pain - March 8, 2013 Category: Psychiatrists and Psychologists Source Type: blogs
