Pallimed Roundup: #Endwell17 Attendees and Speakers Reflect on Personal Meaning of Ending Well

Curated by Lizzy MilesLast week, I attended theEndwell Symposium in San Francisco. (You could read my reviewhere). Collectively, we were examining how we can improve the end of life experience for all. It occurred to me as we talked about individual desire and diversity that the attendees might have unique expectations and hopes for their own personal ending. So I asked around. You'll note some trends, but also some very unique answers.What would it mean for you personally to “end well?”“Being present to the experience. I don’t want to control it, I just want to know.”-Karen Van DykeSenior Care by Design“To experience the process of dying and to be aware for as long as I can without pain.”-Heidi BurbageSan Francisco Health Network“I feel complete in my life. I’m just starting to do my work. I would love to have what my mom had – a Living Wake. Be surrounded by loved ones at Zen Hospice. Have the songWe are the World or something by Barry Manilow playing. ”-Laura SweetThe Cancer Journey“I am going to be buried in a green burial ground with a mushroom suit and three days vigil prior to the burial.”Michele“Having made all my relationships healthy and felt like I gave back to the world as much as I took from it. I would want to be in the company of the people I know and love and not in institutional setting being cared for by strangers.  I would love to hear the sound...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: conference endwell endwell 17 lizzy miles ostaseski roundup Source Type: blogs

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Comput Math Methods Med. 2022 Jan 10;2022:4312117. doi: 10.1155/2022/4312117. eCollection 2022.ABSTRACTLung infection seriously affects the effect of chemotherapy in patients with lung cancer and increases pain. The study is aimed at establishing the prediction model of infection in patients with lung cancer during chemotherapy by an artificial neural network (ANN). Based on the data of historical cases in our hospital, the variables were screened, and the prediction model was established. A logistic regression (LR) model was used to screen the data. The indexes with statistical significance were selected, and the LR model...
Source: Computational and Mathematical Methods in Medicine - Category: Statistics Authors: Source Type: research
CONCLUSION: The development of contralateral pain in patients postcordotomy for cancer pain might be due to central sensitization. Temporal summation could serve as a potential screening tool to identify those who are most likely at risk to develop contralateral pain. Analysis of PCC affords a unique opportunity to investigate how a specific lesion to the nociceptive system affects pain processes.
Source: Neurosurgery - Category: Neurosurgery Tags: Research—Human—Clinical Studies: Pain Source Type: research
Case narrative A 35-year-old woman has worsening alcoholic cirrhosis and repeated admissions for ascites, hepato-renal syndrome, and alcoholic hepatitis. Upon recognition of her grave prognosis, we proceeded with a shared-management approach involving medicine, gastroenterology, social work, chaplaincy, and palliative care. When the team spoke with the patient’s health care proxy (HCP), family, and friends for collateral information and involvement in goals of care conversation, we realized that none were aware of her months-long decline and poor prognosis for recovery to hospital discharge. Dr. Nichola Hadda...
Source: The Hospitalist - Category: Hospital Management Authors: Tags: COVID-19 Updates Source Type: research
DISCUSSION: Because this patient was referred to a palliative care team for the purpose of relieving pain caused by skin symptoms associated with chemotherapy, a crucial point is the symptoms were treated as side effects of the chemotherapy from the beginning. As neuropathy can occur as a result of chemotherapy, the pain and muscle weakness could be explained at the time; however, the symptoms continued to worsen even after the chemotherapy was stopped. Because the symptoms were not typical of polymyositis/dermatomyositis, diagnosis of the patient was delayed, even though he was treated in each specialized department. Our ...
Source: Journal of Palliative Care - Category: Palliative Care Authors: Source Type: research
CONCLUSIONS: The use of RT within 2 weeks of CDK4/6 inhibitors had low acceptable toxicity and high efficacy, suggesting that it is safe for palliation of metastatic breast cancer.PMID:34653725 | DOI:10.1016/j.breast.2021.10.001
Source: Breast - Category: Cancer & Oncology Authors: Source Type: research
Curr Oncol. 2021 Aug 29;28(5):3347-3372. doi: 10.3390/curroncol28050290.ABSTRACTThe number of patients with bone metastasis increases as medical management and surgery improve the overall survival of patients with cancer. Bone metastasis can cause skeletal complications, including bone pain, pathological fractures, spinal cord or nerve root compression, and hypercalcemia. Before initiation of treatment for bone metastasis, it is important to exclude primary bone malignancy, which would require a completely different therapeutic approach. It is essential to select surgical methods considering the patient's prognosis, qualit...
Source: Current Oncology - Category: Cancer & Oncology Authors: Source Type: research
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