Ken Orvidas Virgie Divinigracia had the kind of death last month that most Americans say they want: at home, relieved of physical and mental pain, surrounded by those she loved, “a beautiful death” as those present described it. Alas, this is true for too few Americans. Most still die in costly medical facilities
Boston’s Beth Israel Deaconess Medical Center received a $450,000 grant from The Commonwealth Fund this week to develop a program called OurNotes that allows patients to contribute to their medical records. The program is an extension of the well-known OpenNotes initiative and will include collaboration with a handful of other providers across the country. “This is really building
Which medications work best for older adults with chronic obstructive pulmonary disease? Doctors aren’t entirely sure: Despite the fact that C.O.P.D. is the third-leading cause of death, there is scant research on the comparative effectiveness of treatment options in seniors. But a study recently published in The Journal of the American Medical Association provides valuable
"You are getting older, and are concerned about the costs of nursing homes and long term care. So, you decide to get expensive long term care insurance to protect your family from these costs. The policy will pay some of the cost of long term care if you develop cognitive or physical disability. All you
Description: It feels like every passing day brings with it more news of an aggressive campaign to reign in the cost of Medicare hospice spending. For instance, federal government investigations of hospices that enroll patients who live longer than 6 months have resulted in the death of one of the most important organizations in our
Description: A pioneer in establishing best practices for palliative medicine and a specialist in pain management and spiritual care of cancer patients are among the five American physicians honored for improving the care of patients near
Description: Care for patients at the end of life has long troubled American medicine, not only in its failure to provide good palliative care, but also in the relationship between doctors and patients. Many efforts to remedy this situation have emerged: a growing and strengthening palliative care movement, better understanding of the situation of patients
Description: What is the purpose of Advance Care Planning? I have been taught to view the goal as helping patients define what they would want done if they became seriously ill. But there is an important article by Rebecca Sudore and Terri Fried that convinces me I should think about this very differently. Sudore and
Description: One out of every four of us will die while residing in a nursing home. For most of us, that stay in a nursing home will be brief, although this may depend upon social and demographic variables like our gender, net worth, and marital status. These are the conclusions of an important new study
Description: The grieving process is incredibly important for anyone trying to cope with and understand loss. This song, by Peter Gabriel, was written after his father died and is a very moving piece of art. Perhaps this kind of art that others have shared during their grieving process can only help us express our
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