Assisted suicide: a change of heart   

When I was training as a surgeon, I was pro assisted suicide. I believed it was a humane act of kindness and compassion. I imagined myself to be in the place of the other and at times felt if that was me, I ’d rather be dead than live with that condition or this condition.  I […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

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by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I'm present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I'll be recusing myself after the um, director's, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
Palliat Med. 2021 Sep 8:2692163211043382. doi: 10.1177/02692163211043382. Online ahead of print.ABSTRACTBACKGROUND: Anticipatory medications are injectable drugs prescribed ahead of possible need for administration if distressing symptoms arise in the final days of life. Little is known about how they are prescribed in primary care.AIM: To investigate the frequency, timing and recorded circumstances of anticipatory medications prescribing for patients living at home and in residential care.DESIGN: Retrospective mixed methods observational study using General Practitioner and community nursing clinical records.SETTING/PARTI...
Source: Palliative Medicine - Category: Palliative Care Authors: Source Type: research
IntroductionIn response to a system-wide mental health service gap for adolescents with depression, our integrated behavioral health team trained primary care pediatricians to deliver evidence-based assessment and treatment for depression. Integrated partners were involved in all steps of the design and implementation of the curriculum.Practice Change: The curriculum taught pediatricians to conduct a suicide risk assessment and deliver a brief, evidence-based behavioral protocol to adolescents screened positive for depression. The 90-minute training was conducted using a Behavioral Skills Training (BST) model, a well-resea...
Source: International Journal of Integrated Care - Category: Nursing Source Type: research
Palliat Support Care. 2021 Jun 21:1-3. doi: 10.1017/S1478951521000912. Online ahead of print.NO ABSTRACTPMID:34155965 | DOI:10.1017/S1478951521000912
Source: Palliative and Supportive Care - Category: Palliative Care Authors: Source Type: research
According to the European Association for Palliative Care, decisions regarding palliative sedation should not be made in response to requests for assisted dying, such as euthanasia or assisted suicide. However...
Source: BMC Palliative Care - Category: Palliative Care Authors: Tags: Research Source Type: research
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have “secretly written” the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDC’s review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
CONCLUSION: Early initiation of advance care planning is feasible in most ALS patients during a routine consultation, and relevant treatment issues can be discussed. All ALS patients should be offered the opportunity to write advance directives as completion was not associated with disease severity. .PMID:33872379 | DOI:10.4414/smw.2021.20484
Source: Swiss Medical Weekly - Category: General Medicine Authors: Source Type: research
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