When to Consider Hospice for a Terminally Ill Family Member

The subject of death has long been taboo amongst western cultures. Despite the fact that we all die eventually, most of us don’t want to talk or even think about it, much less stare it in the face. And so, when a family member is diagnosed with a terminal illness, that person may become something of a social pariah, especially as his health declines. However, you may be truly devoted to your beloved family member, in which case the difficulties associated with care and/or decisions may end up falling to you. As such, there may come a time when you have to decide if hospice care is the right way to go. But how do you know when you’re supposed to send a terminally ill relative to the care of those who will keep him comfortable and facilitate easy passage into the afterlife? Here are a few considerations that could help you to decide. Even for patients that are diagnosed as terminally ill, there may still be hope thanks to advances in modern medicine, experimental treatments, or some kind of miracle brought on by radical lifestyle changes. Just look at author Kris Carr (‘Crazy Sexy Cancer’ and other publications), who was diagnosed with incurable, stage four cancer back in 2003, was told she had mere months to live, but managed to turn her whole life around through holistic practices, arresting the progress of her cancer in the process. More than ten years later, she’s still going strong. Of course, very few terminally ill patients will be blessed ...
Source: Mental Nurse - Category: Nurses Authors: Tags: Health cultures Hospice hospice New Orleans Source Type: blogs

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AbstractPurpose of ReviewThe goals of this review are two folds: (1) to describe the recent understandings on the roles of calcitonin gene-related peptide- α (CGRP) in bone homeostasis and the underlying mechanisms of related neuronal regulation and (2) to propose innovative CGRP-modulated approaches for enhancing bone regeneration in challenging bone disorders.Recent FindingsCGRP is predominantly produced by the densely distributed sensory neuronal fibers in bone, declining with age. Under mechanical and biochemical stimulations, CGRP releases and exerts either physiological or pathophysiological roles. CGRP at phys...
Source: Current Osteoporosis Reports - Category: Orthopaedics Source Type: research
A 55-year-old woman with back pain underwent 18F-NaF PET/CT study to evaluate bone metastases from newly diagnosed breast cancer. Multiple foci of increased tracer uptake indicating osteoblastic metastases were noted in cervical and thoracic vertebrae. Unexpectedly, breast cancer also revealed increased NaF activity.
Source: Clinical Nuclear Medicine - Category: Nuclear Medicine Tags: Interesting Images Source Type: research
This article outlines a methodical approach to clinical evaluation of patients presenting with acute, subacute or chronic pain, and to possibly identifying those who have mixed pain. The authors propose the use of nine simple key questions, which will provide the practicing clinician a framework for identifying the predominant pain mechanisms operating within the patient. A methodical, fairly rapid, and comprehensive assessment of a patient in chronic pain - particularly one suffering from pain with both nociceptive and neuropathic components - allows validation of their experience of chronic pain as a specific disease and...
Source: Current Medical Research and Opinion - Category: Research Tags: Curr Med Res Opin Source Type: research
Neoplastic disease of the musculoskeletal system may result in serious morbidity and mortality secondary to cancer related bone pain, pathologic fracture, altered structural mechanics and involvement of adjacent structures.1 Recent advances in cancer detection and treatment have allowed more patients to live longer. The prevalence of osseous metastatic disease has increased to 100,000 new patients developing bone metastases each year.2 These patients are seeing long-term exposure to chemotherapy and radiation leading to increased skeletal events, morbidity, and a negative impact on quality of life.
Source: Techniques in Vascular and Interventional Radiology - Category: Radiology Authors: Source Type: research
Digital media&downloads Pain Relief Caused by SARS-CoV-2 Infection May Help Explain COVID-19 Spread New research shows SARS-CoV-2 promotes pain relief when it infects cells through a common protein receptor, neuropilin-1. The finding gives scientists a novel target for non-opioid pain therapeutics, while also offering an explanation for the unrelenting spread of COVID-19. Stacy Pigott Today University of Arizona Health SciencesKhanna_Raj_klh3067.jpg Doctoral student Lisa Boinon prepares buffers while Rajesh Khanna looks on. (Photo: Kris Hanning/University of Arizona Health Sciences)HealthCollege of Medicine - Tuc...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
To say we’re living through challenging times sounds like both a cliché and an understatement. In recent months, news about the pandemic, economic woes, and bitter political debates have triggered tremendous anxiety and sadness for many Americans. But when people look back on their lives, it is usually the most difficult challenges that gave them a new perspective or caused them to grow the most. Of course, in the midst of a crisis, it doesn’t feel that way. But there are steps you can take to cope during difficult times, using techniques from the field of positive psychology. How can positive psychology...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Behavioral Health Coronavirus and COVID-19 Mental Health Source Type: blogs
Conclusions: NTSR1 played a critical role in modulating CIPN-related pain. Therefore, NTSR1 agonists may be useful therapeutic agents to treat CIPN. In addition, spinal serotonin receptors may be indirectly involved in the effect of NTSR1 agonist. PMID: 32989196 [PubMed]
Source: Korean Journal of Pain - Category: Anesthesiology Tags: Korean J Pain Source Type: research
Abstract Oxaliplatin-induced neuropathy (OXAIN) is a major adverse effect of this antineoplastic drug, widely used in the treatment of colorectal cancer. Although its molecular mechanisms remain poorly understood, recent evidence suggest that maladaptive neuroplasticity and oxidative stress may participate to the development of this neuropathy. Given the role played on protein remodeling by ubiquitin-proteasome system (UPS) in response to oxidative stress and in neuropathic pain, we investigated whether oxaliplatin might cause alterations in the UPS-mediated degradation pathway, in order to identify new pharmacolo...
Source: Biochemical Pharmacology - Category: Drugs & Pharmacology Authors: Tags: Biochem Pharmacol Source Type: research
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion. Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts. (Transcript Available Below) Subscribe to Our Show! And Please Remember to Rate &Review Us!   Guest Information for &lsquo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
Who do you think understands more about bipolar disorder: a psychiatrist or a patient with the illness? In this Not Crazy podcast, we discuss whether a patient can be considered a mental health expert without all the credentials after their name. Today we invite writer and bipolar advocate Natasha Tracy — who also has bipolar disorder — to the show to give her opinion. Would you seek advice from a patient? Join us for an in-depth discussion on mental health patients as experts. (Transcript Available Below) Subscribe to Our Show! And Please Remember to Rate &Review Us!   Guest Information for &lsquo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Not Crazy Podcast Policy and Advocacy Source Type: blogs
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