Description: Many terminal patients linger through their final months with a miserable quality of life and too often with extreme levels of suffering. Today’s high-tech medical care can sustain technical life – the beating heart – but utterly fails to restore real quality of life for many. The result: Death Prolonged. This is the introduction
Description: Click here for the April edition of Palliative Care Grand Rounds. This month is hosted by blogger Palliative Care Success- he outlines what is happening in the palliative care blogosphere and provides links to all their posts. Topics range from health care reform to futile care and hot discussion topics debating the need for
Description: Saturday, March 20, 2010"Denmark" R.N. just died. She was my first breast cancer patient out of fellowship and training. My first breast cancer patient where I was the "doctor". No backup. Nobody to turn to for advice. I write the orders, I explain the side effects. I hold the hands. She was only 33
Description: “Enough. The living will has failed, and it is time to say so.” So said Angela Fagerlin and Carl Schneider in 2004. “Living wills are still widely and confidently urged on patients, and they retain the allegiance of many. For these loyal advocates, we offer systematic proof that such persistence in error is but
Description: The Opposite of Love Posted: 17 May 2010 The Emergency Department phoned my office right before lunch. I was on call for our general IM group, so when I was done with my morning schedule I walked across the street to the hospital. Greg, my partner's 38 year old patient, was a woodworker admitted
Description: I want to draw people's attention to a fantastic new piece in the New Yorker by Atul Gawande titled, "Letting Go: What should medicine do when it can't save your life?" The stories told are raw and emotional, and offer glimpses into the struggles of patients with life-threatening illnesses, family caregivers, nurses, and physicians.
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: 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: Thursday October 29, 2009: A former colleague with many years of hospital executive experience recently accepted a position as the chief executive of a mid-sized, not-for-profit hospice (115 ADC). Upon review of employee staffing, she noticed that the hospice had half-dozen "arrangements" with physicians (with varying commitments but all under 15 hours per week)
Description: This is a November 12th blog from Geripal about a New York Times article written by Celia Dugger. The article is about the aging of Nelson Mandela and Geripal offers some nice thoughts on people's perception of aging. Link: Visit Site
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