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Archive for June 2012

What opioid induced side effects your patient experiences : The key may be in genomics (Guest post by David Clark, MD,PhD)

For the most commonly encountered opioid related side effects, genetic factors contribute significantly. Likewise, the unpleasantness of opioid exposure also seems to be largely under the control of genetic factors. Read the rest of this entry »

“Leadership is an affair of the heart!”: Stanford HPM Graduation Keynote on Leadership by Barry Posner PhD, co-author of “The Leadership Challenge”

“Leadership begins with you and your belief in yourself” says Dr. Posner. He describes leadership as a broadly available resource that anyone can manifest, no matter how young, how isolated or with limited resources. He uses a real life anecdote… Read the rest of this entry »

Dedication

Thank you for this year long opportunity to be a member of the panel.
It was an introduction to Social Media and a learning experience.
I want to dedicate my experience to life long friends who dies this during this time.
Wonderful people who worked for social justice.

June is National PTSD Awareness Month

You might be wondering what an announcement about Post Traumatic Stress Disorder (PTSD) awareness is doing on a blog about palliative care. While many think of PTSD as a disorder experienced primarily by younger adults, it can be an issue in late life and palliative care as well. Read the rest of this entry »

The Medical System’s Quarterback

My town’s football team has a new, talented, high-profile (and very expensive) quarterback. Expectations and hopes are very high for his skill and leadership ability –a lot of pressure on one person! In a recent Time magazine online article about the “feverish” growth of hospital palliative care programs, Read the rest of this entry »

Delicate Balance

It seems a delicate balance between helping a family see further along the dying trajectory as opposed to pushing them to "give up". Read the rest of this entry »

Dying

Most of us have read On Death and Dying at some point in our training.
We learned about the different stages. The stages will occur at different times for different people. Some people may not experience all 5 stages (denial, anger, bargaining, depression, accepting).
How does being certified and recertified for hospice care effect the experience of these stages? I am seeing people who are confused by the concept of being on hospice yet are doing well. Does beginning hospice early make it easier or harder to go through these stages? Does one begin to think that s/he is not going to die? How is a decline in health viewed?

Hospice

I have been reading about the history of hospice.
I wonder what Vincent de Paul, Mary Aikenhead, Cicely Saunders other “pioneers” of caring for the dying would think of our current hospice and palliative care approach.
Would they see it as a move in the same direction that they were going?
Would they see it as something different?

Can We Talk?
Watch and share this five minute video about the need for prophylactic end-of-life conversations. Laura Heldebrand, an ICU nurse tells her mother's story.
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