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Advance directives amidst COVID: a critical look
Are advance directives any better than they were four years ago when COVID was surging? Are patients still comfortable with being placed on ventilators? Do physicians better understand how to treat COVID as a serious illness?  Physicians provide emergency measures unless there’s an advance directive to the contrary. Only one-third of Americans have advance directives Read more… Advance directives amidst COVID: a critical look originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 12, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Fighting for choice in dementia deaths
Last month, the daughters of Wendy Miller, a 68-year-old author of three bestselling books about her experience with dementia, posted online her final words: “In the end, I died simply by deciding not to eat or drink anymore.” Her stark statement reminded me of my interviews with Dan Winter, 62, which had begun nine months Read more… Fighting for choice in dementia deaths originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 4, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly
I walk into the patient’s hospital room during evening rounds. He looks pale and tired, having recently completed a round of chemotherapy for his stage IV pancreatic cancer. His wife is at the bedside, scared and concerned about her husband’s rapid decline. I sit down to discuss goals of care when the patient immediately says, Read more… Palliative and hospice care in hospitals and clinics: the good, the bad, and the ugly originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 1, 2024 Category: General Medicine Authors:
How do you make sense of someone dying? The only way I know is to put it into some context so that, if possible, some good can come of it. Some of you may have known about my dad’s Parkinson’s disease. He’s had a fairly rapid decline over the past four months, and now he’s Read more… Finding peace in the face of loss: a father’s journey with hospice originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 28, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

From doctor to family: Witnessing both sides of end-of-life care
We all have those moments in medicine when we know that care has become more futile. Then we do everything in our power to educate, support, gently guide, and give permission to patients and families. There are moments that treating for a cure goes against our tenet to “first do no harm.” I never would Read more… From doctor to family: Witnessing both sides of end-of-life care originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 27, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences
At a time when many states are considering assisted suicide legislation, I was interested to encounter the perspective of the well-known bioethicist Arthur Caplan who recently expressed his support for these laws on these pages. While I appreciate Caplan’s endorsement of protecting doctors’ ability to refuse, as a matter of conscience, to participate in assisted death, I Read more… Assisted suicide: Safeguards debated as bioethicist warns of unintended consequences originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 19, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Assisted suicide is the wrong prescription
America expends much time, effort, and resources when people become seriously ill, bringing many face-to-face with their own mortality. For patients and their families, it is an emotional and difficult time under the best of circumstances. As a cardiologist, I participate in the decision-making that comes at this time, and it has provided me with Read more… Assisted suicide is the wrong prescription originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 15, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Ditch the guilt and stress: Embrace your core values like this inspiring doctor mom
Kim Downey: I recently had an enlightening conversation with Dr. Sarah Wittry. We enjoyed learning about all that we share in common! As a physical therapist, I was delighted to hear that Dr. Wittry’s medical career began in physiatry/PM&R. Having friends and relatives who have benefited from hospice care, I have tremendous respect for her Read more… Ditch the guilt and stress: Embrace your core values like this inspiring doctor mom originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 12, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Home-Based Care Provides Powerful Example for Harnessing Technology Across the Care Continuum
The following is a guest article by Laura Templeton, Executive Vice President, Chief Operating Officer at Compassus There’s no denying that increased delivery of patient care in the home was accelerated by the pandemic. The upward trend continues today, driven by the growth of our aging population and the continued adoption of technology. Many patients now prefer to receive care at home, when possible, and almost 93% of older adults say aging in place is important to them. Today’s innovative home-based care providers are leveraging technology in meaningful ways to accommodate patient preferences and improve care. They...
Source: EMR and HIPAA - March 7, 2024 Category: Information Technology Authors: Guest Author Tags: Communication and Patient Experience Health IT Company Healthcare IT Telemedicine and Remote Monitoring Care Continuum Care Coordination Compassus Home Health Home-Based Care Laura Templeton Patient Centered Care Remote Care Remote Source Type: blogs

Medical aid in dying legislation for end-of-life care [PODCAST]
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Join Thaddeus Mason Pope, an expert in medical law and clinical ethics, as we delve into the complex landscape of medical aid in dying (MAID) legislation. Explore the evolution of MAID legislation over the past three decades, the impact of recent Read more… Medical aid in dying legislation for end-of-life care [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - March 2, 2024 Category: General Medicine Authors: Tags: Podcast Palliative Care Source Type: blogs

Medical aid in dying: time for evidence-based legislation
Medical aid in dying (MAID) is poised to be one of the hottest political health care issues of 2024. As in 2023, more than a dozen states will hold both impassioned hearings in legislative chambers and equally fervent debates in the community. Already, nearly twenty states have introduced bills to authorize MAID this year. They Read more… Medical aid in dying: time for evidence-based legislation originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 16, 2024 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Breaking the silence on caregiver stress [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! Join R. Lynn Barnett, a patient advocate. We’ll explore the world of caregiving, its challenges, and the profound impact it has on individuals and families. Discover valuable insights on caregiver stress, self-care, and the importance of respite care. R. Lynn Barnett is the author Read more… Breaking the silence on caregiver stress [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 11, 2024 Category: General Medicine Authors: Tags: Podcast Palliative Care Source Type: blogs

Palliative care and the garden of hope
My grandmother had a beautiful garden that she expanded through years of effort in her terraced backyard. Despite rocky soil and areas of deep shade, her flowers blossomed, and the garden thrived. I do not know if her skills as a gardener were innate or learned through trials and failures, but I know my garden Read more… Palliative care and the garden of hope originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 10, 2024 Category: General Medicine Authors: Tags: Physician Palliative Care Source Type: blogs

Rosalynn Carter ’ s impact on caregivers
I’m writing this in November, which is National Caregiver Month. It’s also Alzheimer’s Awareness Month. But regardless of when you’re reading this, if you’re a caregiver, every month is “caregiver month.” Ironically, it’s also just a few days after the former first lady, Rosalynn Carter, passed away. She was acutely and astutely aware of the Read more… Rosalynn Carter’s impact on caregivers originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 25, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs

Uncovering the truth behind my father ’ s tragic end
I was the “stranger” at my father’s bedside. Shortly after his 84th birthday, my father fell and landed in the hospital with a split scalp. His metastatic prostate cancer was an incidental finding, and superimposing this wildly invasive tumor on his Parkinson’s-compromised body marked his first steps onto his death path. I came to my Read more… Uncovering the truth behind my father’s tragic end originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 24, 2023 Category: General Medicine Authors: Tags: Conditions Palliative Care Source Type: blogs