Which patients with advanced respiratory disease die in hospital?

21Jun
2017

Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver?

20Jun
2017

Who Should Assess the Needs of and Care for a Dementia Patient’s Caregiver? – AMA Journal of Ethics (free)

“Physicians have an obligation to check in on dementia patients’ caregivers, and provide support if necessary” (RT @JournalofEthics see Tweet)

 

Using the New ASCO Clinical Practice Guideline for Palliative Care Concurrent With Oncology Care Using the TEAM Approach

16Jun
2017

Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives

16Jun
2017

‘How long have I got?’: Why many cancer patients don’t have answers

12Jun
2017

Questions raised over physician-assisted suicide

5Jun
2017

The ‘good’ death that could have been much better

4Jun
2017

A better way to care for the dying

28Apr
2017

A better way to care for the dying – The Economist (a few articles per month are free) (RT @EricTopol see Tweet)

“How the medical profession is starting to move beyond fighting death to easing it”.

 

Standardized Criteria for Palliative Care Consultation

24Apr
2017

Prospective, before-after cohort study: Standardized Criteria for Palliative Care Consultation on a Solid Tumor Oncology Service Reduces Downstream Health Care Use – Journal of Oncology Practice (free)

Editorial: Making the Right Thing Easier to Do: Standardized Integration of Oncology and Palliative Care – Journal of Oncology Practice (free)

Related Guideline: Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update (free)

Commentaries on the study: Standardized Palliative Care Consults Cut Cancer Readmissions – Also, less chemotherapy after discharge – MedPage Today (free registration required) AND Standardized Cancer Palliative Care Consults Linked to Stronger Home-Based Support – AJMC (free)

Patients with at least one of the following 4 criteria: 1) advanced solid tumor; 2) prior hospitalization within 30 days; 3) hospitalization > 7 days; or 4) active symptoms – received automatic palliative care consultation. The rates of 30-day readmissions dropped from 35% to 18% and chemotherapy after discharge dropped from 44% to 18%.

 

Use of Medications of Questionable Benefit at the End of Life

20Apr
2017

The Patients Were Saved. That’s Why the Families Are Suing

13Apr
2017

The Patients Were Saved. That’s Why the Families Are Suing – The New York Times (free)

“Historically, the practice has been “if in doubt, err on the side of aggressive, life-sustaining treatment,””. That might be changing.

 

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