Nursefriendly.com: palliative care nursing

Showing posts with label palliative care nursing. Show all posts

Saturday, March 26, 2011

Palliative care can lead to higher quality of live and longer survival

by John Schumann, MD
Every once in awhile amidst the weekly deluge of medical articles comes a show-stopper that has the potential to change the way we practice.
Rarer yet is the article that not only changes how we practice, but calls into question why we do what we do.
This recent article from the New England Journal of Medicine is just such an article. Before you bolt, let me simplify it for you.
Here’s the quick take.
The authors enrolled 150 patients with advanced lung cancer and split them up between usual care, which included chemotherapy, and an intervention arm, in which they received the same standard of care treatment plus early enrollment in palliative care.

via kevinmd.com

Click on the "via" link for the rest of the article.

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Sunday, March 20, 2011

How to Say Goodbye | Saying Goodbye to a Dying Loved One | Caring.com

Here, those who've been through the experience of saying good-bye share what felt right to them -- and what they wish they'd done differently.

Lesson #1: Don't wait until the last minute

It's hard to say good-bye, but putting off meaningful conversations is perhaps the number-one source of regret. Time and again, families ask Massachusetts hospice nurse Maggie Callanan to tell them exactly when the final hour is approaching, so that they can time their good-byes. This is dangerous, she says, because it's impossible to predict the final breath. "Dying people have the uncanny ability to choose the moment of death, and it's not uncommon for them to spare those they love the most or feel protective of by waiting until those people leave the room," says the author of Final Journeys: A Practical Guide for Bringing Care and Comfort at the End of Life, who has witnessed more than 2,000 deaths.

via caring.com

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Wednesday, January 5, 2011

Helping patients experience death, PhillyBurbs.com:

A handful of local hospitals recently started volunteer programs that train ordinary people to sit with those who are alone and dying.

Angelo DeLorenzo spends many nights watching people as they die.

Occasionally, the person wants to talk, sometimes through the night. Often, the patient is unconscious, but DeLorenzo reads to him or her, plays the harp or sits quietly and prays.

Everyone deserves a good death, DeLorenzo believes. No one should die without someone there to hold a hand, whisper reassuring words and make sure the person is comfortable.

So DeLorenzo stays with these dying patients at St. Mary Medical Center, where he frequently takes the overnight shift. The Middletown hospital is one of a handful in the area that have started end-of-life programs, where ordinary people such as DeLorenzo, a chaplain intern, are trained to provide comfort care for people who have no close family available.

"No One Dies Alone" - the name of the program at St. Mary - originated at an Oregon hospital in 2001. It has since spread around the world. More than 1,100 hospitals and hospices have requested copies of the program's manual, said Carleen McCornack, coordinator of the mission center of Sacred Heart Medical Center in Eugene, where the program started.

via phillyburbs.com

These types of programs will go along way towards easing patients and family members into accepting the death of a loved one.

To read the complete article click on the above link:
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Sunday, December 19, 2010

The cost of keeping the terminally ill alive, KevinMD.com

Last year, Medicare paid $55 billion just for doctor and hospital bills during the last two months of patients’ lives.
And it has been estimated that 20 to 30 percent of these medical expenses may have had no meaningful impact. Most of the bills are paid for by the federal government with few or no questions asked. This statistic is from a 60 Minutes story on “The Cost of Dying” and is one reason our healthcare system is in trouble.
Modern medicine has become so good at keeping the terminally ill alive by treating the complications of underlying disease that the inevitable process of dying has become much harder and is often prolonged unnecessarily. The way we set up the system right now, primary care physicians don’t have time to spend an hour with you, see how you respond, if they wanted to adjust your medication. So, the easiest thing for everybody up the stream is to admit you to the hospital. And once someone is admitted to the hospital they’re likely to be seen by a dozen or more specialists who will conduct all kinds of tests, whether they’re absolutely essential or not

via kevinmd.com

Click on the link above for the full article

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Saturday, March 26, 2011

Palliative care can lead to higher quality of live and longer survival

Sunday, March 20, 2011

How to Say Goodbye | Saying Goodbye to a Dying Loved One | Caring.com

Lesson #1: Don't wait until the last minute

Wednesday, January 5, 2011

Helping patients experience death, PhillyBurbs.com:

Sunday, December 19, 2010

The cost of keeping the terminally ill alive, KevinMD.com

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