The Role of Hospice and Palliative Medicine in Education

Discussion topics:T1: What are the main systemic barriers to good communication in healthcare?T2: What is your favorite education tool? (Think broadly!)T3: What is your favorite “high-yield” question to ask patients? Patients, what’s the one Q you want your HCP to ask?Meredith MacMartin is a palliative care physician atDartmouth-Hitchcock Medical Center in Lebanon, NH.
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Source Type: blogs

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This study was highlighted in theGeriPal Top 25 articles in HPM.- Ed.)Randomized, Double-Blind, Placebo-Controlled Trial of Oral Docusate in the Management of Constipation in Hospice Patients. Tarumi et al. Journal of Pain and Symptom Management, 2013: 45(1), 2-13.Palliative care fellows may wonder about their attendings fixation on bowel movements. It may be because we do not ask medical students to disimpact patients any more or because, given the lack of ambulatory care many residents do, they do not see it as a big deal (Constipation a GREAT topic for those of us who like puns and dad jokes).For patients, how...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: arnold constipation docusate geripal top 25 pallimed writing group senna Source Type: blogs
by Christian Sinclair (@ctsinclair)We used to publish a lot more article reviews here on Pallimed. Sometimes the analysis would be quite deep and sometimes we would just lump together a while bunch of snippets from key articles. I have been keeping an ever-growing list of articles I would love to write up for the site*, but never seemed to have the time to get to them, and then new ones would come out, that I would want to write about, but they too would just get added to the list. At the end of the year, I would look back on key articles for our field and be pretty bummed out that I never got anything published here about...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: meta sinclair Source Type: blogs
AbstractGenomic medicine provides opportunities to personalize cancer therapy for an individual patient. Although novel targeted therapies prolong survival, most patients with cancer continue to suffer from burdensome symptoms including pain, depression, neuropathy, nausea and vomiting, and infections, which significantly impair quality of life. Suboptimal management of these symptoms can negatively affect response to cancer treatment and overall prognosis. The effect of genetic variation on drug response—otherwise known as pharmacogenomics—is well documented and directly influences an individual patient's resp...
Source: The Oncologist - Category: Cancer & Oncology Authors: Tags: Symptom Management and Supportive Care, Precision Medicine Source Type: research
CONCLUSIONThe prognosis of UPS with distant metastasis remains poor. Treatment approaches including chemotherapy and surgery should be considered based on the patient's general condition, prognosis, and expectations on quality of life.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Nephrologists care for a medically complex population that faces difficult decisions around treatment options and end of life care. Yet communication training within nephrology fellowship is rare. Prior work suggests that communication training in nephrology can improve perceived preparedness to engage in difficult conversations, however it is unclear if this training results in improved clinical skills.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Brief Report Source Type: research
This article will not begin to address the complexities presented in suicidal, homicidal, child or antepartum, perin atal, or postpartum bereavement.)For most adults who experience the death of a loved one, they will move through normal grief reactions without any pathology.[11] What I try to reframe are the expectations we have regarding what ’s “appropriate coping”. Sometimes I get called to a family because the patient or family is crying too much; other times it’s because they aren’t crying at all. What I want everyone to know is either response is acceptable. Grief can cause you to withdr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: bereavement grief latimer Source Type: blogs
Trends in symptoms and functional ability are known towards the end of life, but less is understood about quality of life, particularly prospectively following service referral.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Tags: Original Article Source Type: research
This study was to examine whether preemptive parecoxib and sufentanil-based patient controlled analgesia (PCA) could improve the pain management in patients receiving TACE for inoperable HCC.METHODSFrom June to December 2016, 84 HCC patients undergoing TACE procedure were enrolled. Because of the willingness of the individuals, it is difficult to randomize the patients to different groups. We matched the patients’ age, gender and pain scores, and divided the patients into the multimodal group (n=42) and control group (n=42). Patients in the multimodal group received 40 mg of parecoxib, 30 min before TACE, followed by...
Source: Hepatobiliary and Pancreatic Diseases International - Category: Gastroenterology Source Type: research
Purpose of review On the basis of its various advantages and the relevant awareness of physicians, ultrasound imaging has overwhelmingly taken its place in the scientific arena. This is true both from the side of daily clinical applications and also from the side of research. Yet, ultrasound provides real-time (diagnostic) imaging and (interventional) guidance for a wide spectrum of muscle disorders. In this regard, this review aims to discuss the potential/actual utility of ultrasound imaging in particular muscle disorders, that is, sarcopenia, spasticity and fibromyalgia/myofascial pain syndrome. Recent findings Due...
Source: Current Opinion in Supportive and Palliative Care - Category: Palliative Care Tags: MUSCULOSKELETAL PROBLEMS: Edited by Roberto Casale Source Type: research
Purpose of review Exercise and movement are increasingly used in pain management and in palliative care, outside the traditional context of physical medicine and rehabilitation. This critical review aims to provide specialists in pain and palliative medicine with recent insights into the use of exercise and movement in the approach to musculoskeletal disorders when pain and disability are the major complaints. Recent findings If there is a common sense linking pain and movement in both directions, that is pain influencing movement – as a withdrawal movement or a reduction of mobility as a defense reaction &ndash...
Source: Current Opinion in Supportive and Palliative Care - Category: Palliative Care Tags: MUSCULOSKELETAL PROBLEMS: Edited by Roberto Casale Source Type: research
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