- 317 Pins
Verghese: Patients Have Two Hearts...... Dr. Verghese opens the American College of Cardiology Conference with an impassioned plea to hold on to the heart and soul of medicine. He acknowledges the challenge of the electronic medical record which, designed to achieve accurate billing, does little to improve patient care and consumes a tremendous amount of provider time.
Verghese: Patients Have Two Hearts
People say they would opt for less care if they had more knowledge of benefits and harms, studies show. Palliative care helps patients/families weigh the benefits / burdens of different treatment options. Patients often over-estimate benefits, and under-estimate burdens.
If Patients Only Knew How Often Treatments Could Harm Them
A New York Times opinion piece well worth reading.... I was happy for all of us that this hideous struggle, which had extended past the most unreasonable expectations, was finally over. opinionator.blogs...; class="more-link">Read more...</a>
Finding Joy in My Father's Death
Here is an app designed to store, manage, and transmit living wills, POLST, DNR order, power of attorney, contact information, etc. The app can email or fax the information to a distant health care provider in minutes. It's from the American Bar Association and the documents are legal. You can store documents for multiple people so you can keep yours and your parents handy. Now, if we could only get more people to complete these documents in the first place.
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Free smartphone app from the American Bar Association allows you to store a copy of your Advance Directive for Health Care or Health Care Power of Attorney on your smartphone.
American Bar Association App: "My Health Care Wishes" Stores important healthcare wishes and documents.
American Bar Association has an app to make advanced directives accessible and shareable
app for iphone and droids for health care directives.
advanced directive app for iphone
My Health Care Wishes App
How Long Have I Got Left? - NYTimes.com. A really interesting piece from palliative care/end-of-life perspective, particularly when we don't know when the end of life will be.
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How Long Have I Got Left? - NYTimes.com. A neurosurgeon writes about his cancer diagnosis
read this article: How Long Have I Got Left? - NYTimes.com
Great advice on life and death.
How Long Have I Got Left?
Hospice by the numbers
Numeri Degli, Hospice Nursing, Degli Hospice, Elder Care, Hospice Statistics, Statistics Signatureservic, Hospice Neg, Hospice Care, Neg Stati
i numeri degli Hospice negli Stati Uniti
#Hospice statistics #signatureservices #avamerefamily
Andres' story: Finding a bond in his last journey
I am now face to face with dying. But I am not finished with living. Neurologist/author Oliver Sacks confronts his own mortality in this New York Times essay.
Oliver Sacks on Learning He Has Terminal Cancer
Superb debate on the Diane Rheem show regarding "death with dignity"legislation. Is it self-determination at its best, an ethical slippery slope, or a distraction from needed health care reform?
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The Latest In The Debate Over "Aid In Dying" - The Diane Rehm Show
The overwhelming volumes of deaths during the Civil War created logistical, spiritual, and political challenges that transformed our views on death and dying. See WGBH American Experience | PBS . Death and the Civil War via this link.
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Among the changes we owe to the Civil War, she says, are the creation of national cemeteries and the birth of a duty to identify dead soldiers and notify their next of kin. Photo Gallery . Death and the Civil War . American Experience . WGBH | PBS http://www.pbs.org/wgbh/americanexperience/features/photo-gallery/death/
1861-65 Photo Gallery: Casualties of the Civil WarThe American Civil War was the first major conflict that was photographed extensively, bringing shocking and often horrific images to the front pages and into people's living rooms. Photography was extremely popular in the US at the time, and many photographers did not hold back from snapping even the most graphic of post-battle images to illustrate the horrors of war.
The staggering death tolls of the Civil War permanently altered the character of the republic and the psyche of the American people.
DEATH AND THE CIVIL WAR (AMAZING AMERICAN HISTORY DOCUMENTARY)
WGBH American Experience | PBS . Death and the Civil War
Perspective from The New England Journal of Medicine — Death Takes a Weekend........ One of my favorite physician authors writes a moving account of how the weekend schedule in hospitals impacts patients and families -- illness, pain, and fear don't know it's the weekend.
Strategies used in preventing burden and harm in healthcare.
Death Takes a Weekend — NEJM
Edvard Munch - The Sick Child, 1907. Oil on canvas. From the Tate Gallery: The Sick Child touches on the fragility of life. It draws upon Munch’s personal memories, including the trauma of his sister’s death, and visits to dying patients with his doctor father. He described the 1885 painting as ‘a breakthrough in my art’ and made several subsequent versions, of which this is the fourth.
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Edvard Munch - The Sick Child 1907 #envardmunch #sickchild #art #painting
The Sick Child - Edvard Munch Questo dipinto è un'immagine di Munch vecchio e preferito la sorella Sophie a letto, morendo di tubercolosi quando lei aveva 15 anni. Munch ha creato numerose riproduzioni di questo dipinto, tra cui uno che si è tenuta a Dresda. Nel 1930 e '40 nazista è ritenuto di Munch arte come "arte degenerata" e rimosso tutti dalla Germania per essere venduti all'asta. Questo pezzo è stato acquistato e poi donato alla Tate Gallery di Londra, dove si trova tuttora.
Edvard Munch, The Sick Child (Fourth Version) (1907), oil on canvas; courtesy Tate Modern
Edvard Munch. The Sick Child 1907. Munch painted different versions of this picture over the years.
Conversations about advance care planning are conversations that matter.
Thoughts, Good Convers Quotes, Matter, Small Talk, Life Insurance, Be Brave, Inspiration Quotes, Margaret Wheatley, Quotes Be Enough
“Be brave enough to start a conversation that matters.” ― Margaret Wheatley - Agreed.
Be brave enough to start a conversation that matters. #inspiration #quote
Hmmm well theres a thought
Margaret Wheatley - So often there's so much small talk and meaningless chatter... I crave deeper conversations. It doesn't help that I suck at small talk.
Daydreams : Photo
Hospice/palliative nursing has never been easy. I'm hoping this drink is for a patient.
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Amazing vintage photos of nurses taking a break in 1970. Some things never change. Medication Time!
One Last Hug Preview (HBO Documentary Films) - YouTube This HBO documentary captures the emotion and power of a well done children's grief camp. It makes me proud of our Camp-Begin-Again at Halifax Health Hospice in central Florida. Watch the whole documentary. Be prepared for some tears.
One Last Hug Preview (HBO Documentary Films) - trailer for a film about three days at a kid's Grief Camp. Poignant!
One Last Hug Preview (HBO Documentary Films)
The specialty of palliative care is relatively new. I remain eternally grateful to the pioneers who managed to define this type of care and create a cultural transformation in medicine by demonstrating how this care makes a dramatic difference for patients, families, other providers, and the entire health care system. For those starting programs, growing programs, or pushing palliative care in new directions, this bit of inspiration may be helpful . We all need to hang in there.
Famous Examples, Famous Failure, Failure Charts, Famous Entrepreneur
Famous Failures - Sheena's Blog
Complexities of Choosing an End Game for Dementia - NYTimes.com This New York Times piece skillfully discusses the issue of "Voluntarily Stopping Eating and Drinking" (VSED) in dementia patients. How do we balance the right of self-determination with some of the troubling ethical issues.