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Tag Archives: end-of-life care

Timing is Everything: Improving the quality and timeliness of critical end-of-life conversations

End-of-Life Talks DOA? New System Seeks Remedy Bridget M. Kuehn March 15, 2016, Medscape http://www.medscape.com/viewarticle/860405 CHICAGO — An intervention that included physician training, a system for identifying patients nearing the end of life, and electronic medical record prompts led to more and earlier end-of-life discussions, according to new research. In a cluster-randomized trial, a systematic intervention involving the discussion of end-of-life care was compared with usual care in adult oncology outpatients. Results …Read More

Changing the Conversation from “What’s the Matter?” to “What Matters?”

A Vision for “What Matters to You?” What if every clinician, staff member, and community health worker routinely asked, “What matters to you?” — and listened attentively at every encounter with individuals and their family members? What would we learn? How would understanding “What Matters” enhance our ability to develop genuine partnerships with individual patients? Clinicians, health care staff, and community health workers around the world seek to understand the …Read More

I’m a doctor. Preparing you for death is as much a part of my job as saving lives.

by Shoshana Ungerleider on October 19, 2015 It wasn’t until just before graduation that we talked about what to do when a patient is dying. A single three-hour seminar with a group of specialists from the palliative care service; at least it was mandatory. The presenters were young physicians, and they seemed kind and thoughtful. But I wondered why anyone would devote their medical career to end-of-life care. My classmates …Read More

A nurse with fatal breast cancer says end-of-life discussions saved her life

By Amy Berman September 28 To: Centers for Medicare & Medicaid Services: News reports say you will soon make a final decision about paying doctors and other providers who talk to their patients about end-of-life planning, I have a fatal form of breast cancer, and I’d like to tell you how such conversations have allowed me to survive, and live well, in the five years since my diagnosis. I am …Read More

The I.C.U is Not a Pause Button – NYTimes Opinionator

By KRISTEN MCCONNELL AUGUST 26, 2015 With my elderly stroke patient’s back arched and his head tilted back, too many angles of his skeleton were on display. A nose covered in thin gray skin sliced the air like a shark fin, and beneath it his mouth hung open. He didn’t look like he was resting. Read the entire piece here.

Medicare Wants To Pay Doctors For End-Of-Life Counseling – NPR

By RUBY DE LUNA • AUG 14, 2015 For Jennifer Calnon, end-of-life discussions boil down to this: “This is my life,” she says. “I should be the one who gets to make the decision.” Calnon, of Mountlake Terrace, is 67 years old and fairly new to retired life. These days she has a list of projects she wants to finish. Like finishing the pillowcase she started years ago for her daughter’s …Read More

Sticky Post

Press Release: Honoring Choices PNW Partnering with Gundersen Health

For Immediate Release  July 31, 2015                                                                                                                                 Contacts: Mary Kay Clunies-Ross at MaryKayCR@wsha.org    Graham Short at gfs@wsma.org Washington physicians and hospitals support advance care planning for public and medical community Honoring Choices® Pacific Northwest is implementing a program to honor health care wishes in the last chapters of life. SEATTLE – Honoring Choices® Pacific Northwest, a collaborative initiative between physicians and hospitals, has partnered with national leader Gundersen Health to bring …Read More

Editorial: Medicare reimbursement for end-of-life planning long overdue

July 11, 2015 Spokesman-Review Opinion It’s perhaps fitting that in the same week Sarah Palin shut down her subscriber-based online channel, Medicare announced it will reimburse health care providers for talking with patients about what care they want after they become too ill to speak for themselves. The wise and too-long-delayed decision to pay doctors for engaging patients in discussions about end-of-life care was a feature of the proposed Affordable Care …Read More

Teens Dying Of Cancer Face Intensive Treatments In The Final Days

On the big screen, Hazel and Gus, the teenage couple from The Fault in Our Stars, walk the streets of Amsterdam hand in hand, sip champagne at a fancy restaurant and gaze at each other lovingly on a park bench overlooking a canal. For a moment, you almost forget that Hazel has thyroid cancer and Gus has osteosarcoma. In real life, most teenagers and young adults with terminal cancer have …Read More

End-of-life counsel from doctors seen as lacking

Americans routinely tell researchers they don’t want to spend their final days tethered to machines in a hospital, preferring to die at home with less invasive treatments. But that rarely happens. Now, a study from Brigham and Women’s Hospital suggests the biggest reason for that disconnect appears to be the doctors who treat those patients. The physicians, the study suggests, have outsized influence in shaping how patients spend their final …Read More