PALLIATIVE CARE BLOG

PALLIATIVE CARE BLOG

PALLIATIVE CARE BLOG

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  • Coach

    Aug 9, 2022 by F. Amos Bailey, MD
    Four score and 6 years? Only an 86-year-old man is likely to know that a score is 20 years. Is this from reading the Bible or memorizing the Gettysburg Address when he was a child in school? Although I wonder if one of the most famous bits of American oratory would have been taught in the Heart of Dixie?
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  • Wendell Berry on Burial

    Aug 2, 2022 by F. Amos Bailey, MD
    Mr. K had been sick for a long time. Although he had dementia and thought Nixon was president, he did remember that he had Multiple Myeloma for 14 years. That is a long time for a disease that's average life expectancy is 3-4 years. Few people live more than 5 years.
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  • Advantage to Medicare Advantage?

    Jul 26, 2022 by F. Amos Bailey, MD Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
    Many of our patients above the age of 65 have the challenge of sorting through Medicare insurance options through the Social Security Administration (SSA) that all Americans who have paid into the system (40 quarters to be exact) are eligible to receive when they reach retirement age. For many people, Medicare is the only way they can afford medical care.
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  • Palliative Care Social Work Role in the ICU and Mentoring Learners

    Jul 19, 2022 by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
    Palliative care is an emotionally taxing practice at times, and in our roles in the interdisciplinary team we are trained and encouraged to take care of our own psychological and spiritual well-being.
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  • Palliative Care and Nursing Homes?

    Jul 12, 2022 by Nancy Robertson, DNP
    Has anyone noticed how a quick internet search for “palliative care” immediately pulls up lists of advertisements for nursing homes? I am puzzled by these results.
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  • The Family You Make

    Jul 5, 2022 by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
    When I was working with a community-based palliative care and hospice program, some of our patients lived in a local assisted living facility. Often our patients had outlived their family members and loved ones, and the other residents in the assisted living became their family and significant others.
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  • Yoga and Buddhism: Aren’t They Kind of the Same?

    Jun 28, 2022 by F. Amos Bailey, MD
    It was a strange request. “Could you meditate with this patient in the ICU?” When Kevin was admitted, he listed his religious affiliation as Buddhist. Now seriously ill in the ICU, the primary team suspects he has advanced cancer. When I came to visit, he looked surprisingly well. Kevin identified as a middle-aged Black man with smooth skin and normal weight; it was hard to believe he was so ill.
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  • “Gen Silent”

    Jun 21, 2022 by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
    In honor of PRIDE month, I re-watched the documentary “Gen Silent”, directed by Ben Mattux. The people who fought for equity and safety for the LGBT community are now finding themselves returning to the closet out of fear of victimization, othering and marginalization at group living communities for older adults.
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  • Social Proofing Palliative Care

    Jun 14, 2022 by Nancy Robertson, DNP
    While palliative care has made tremendous headway as its own specialty, referrals continue to be placed late in the trajectory of serious illness. With the plethora of studies proving the effectiveness of palliative care in supporting those living with serious illnesses and those that love them as well as decreasing healthcare costs, I continue to be perplexed as to why there continues to be a hesitancy in referring early.
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  • Building a Q2 Culture

    Jun 7, 2022 by Devin Gilhuly, MD Katherine Morrison, MD Kerry "Nellie" O'Connor, MD
    There are many tasks and distractions that demand our attention during the work day. The average employee reports spending 40% of their time and energy on tasks that are unimportant to them; leaving only 60% of their time and energy to focus on what is important to them.
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  • Don’t Forget Your Umbrella!

    May 31, 2022 by Nancy Robertson, DNP
    Even though I live in a dry climate where rainstorms are few and far between, I still carry an umbrella in my car. I only needed to get caught once in a sudden raging rainstorm to never want to be in that situation again without the protection of an umbrella.
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  • Literature Review

    May 24, 2022 by Julie Jones, MD
    Medical Assistance in Dying (MAID) is defined by the authors as “the administration of a lethal substance by a medical practitioner to a consenting person to intentionally cause their death or prescribing a substance that the eligible person takes themselves, in order to bring about death.” This study was conducted in Canada and MAID was legalized there in 2016.
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  • My Path to Palliative Care

    May 17, 2022 by Loren Steinfeldt, MSPC
    One fateful day on my very first clinical, I was assigned to a young woman with breast cancer that had turned into leukemia post-treatment. She was very weak, and her husband and two young girls were going to visit that day. I helped her bathe, and it was one of those seminal moments where I really began to understand the truth of care-giving.
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  • Say Nothing

    May 10, 2022 by Laura Foster, MD
    In life and especially in palliative care, we hear overwhelmingly sad stories. How to respond? How not to respond?
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  • Gold or Platinum?

    May 3, 2022 by Nancy Robertson, DNP
    She was a strikingly beautiful woman. She lived life fully, juggling her catering business with raising her kids, being a partner to her doting husband, and occasionally doing a favor for friends and serving as a model for their restaurant business. Life was good. Until the dentist found a lump.
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  • Why Good Sleep Matters: The Connection Between Sleep and Wellbeing

    Apr 26, 2022 by Katherine Morrison, MD Devin Gilhuily, MD Kerry "Nellie" O'Connor, MD
    In our busy lives, it can be tempting to create more hours in the day by sacrificing the time we spend sleeping. However, sleep is essential to our well-being—benefits of high-quality sleep include memory consolidation, improved cognitive performance (alertness, attention, and vigilance), and improved mood regulation.
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  • On Bearing It

    Apr 19, 2022 by Beth Patterson, MA, Certified Palliative Care Chaplain
    In my email this week was a link to the On Being blog, called ‘The Pause’. I read it early in a week which holds the anniversary of both of my parents’ deaths; my mother’s when I was 23. This story resonated in a way that felt like it might be worth sharing with our palliative care network.
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  • Palliative Care Reflection

    Apr 12, 2022 by Amber Walters
    The common theme of my palliative care rotation has been an inability to identify my own emotions. Without warning, some unidentifiable but powerful emotion will hit me square in the chest and before I can even label it, BAM!
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  • Palliative Reflection

    Apr 5, 2022 by Layne Anderson
    Patty*, a woman who had already been in the hospital for weeks, was facing impossibly difficult decisions regarding how she would choose to live. Would she follow her sisters’ wishes and attempt to regain strength with a feeding tube in her nose for another month in the hospital to then be reevaluated for surgery and possibly end up in what could be the same predicament? Or would she choose to go home to live her days unattached to machines to be enjoyed with her family comfortably?
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  • Miracles and Medicine: The difference between God and Life Support

    Mar 29, 2022 by Christine Merchant MSPC BSN RN CHPN
    During this past two year struggle with Covid-19, we were consulted for those long term ICU vented patients that were not progressing. The majority were unvaccinated, ventilator dependent, and families were not about to give up. Intensivist’s getting frustrated after sometimes weeks of discussions would reach out to the palliative team to see if perhaps a different dialogue could somehow change things. I became known as the Covid support nurse.
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