Listed below are a few articles from the most recent issue of the journal: Rehabilitation in Advanced, Progressive, Recurrent Cancer: A Randomized Controlled Trial Louise Jones, Gail FitzGerald, Baptiste Leurent, Jeffrey Round, Jane Eades, Sarah Davis, Faye Gishen, Amanda Holman, Katherine Hopkins, and Adrian Tookman Intentional Sedation to Unconsciousness at the End of Life: Findings … Read moreHighlights of the September Issue of the Journal of Pain and Symptom Management (JPSM)
In my first year as attending physician in a large homecare-based hospice, I have encountered many personal and professional struggles. The biggest of these for me has been that of accountability. Having trained in a tertiary care center where most everyone comes through the emergency department, there is information galore on each palliative care and … Read morePuzzles with Missing Pieces
Will you be joining 400 of your hospice colleagues August 29-31 at the AAHPM Hospice Medical Director Conference in Indianapolis? Several local Academy members have offered their picks for the best restaurants, greatest attractions and fun neighborhoods in the Indianapolis area. For more suggestions check out VisitIndy.com and follow @VisitIndy on Twitter. Feel free and … Read moreIndianapolis, Here We Come!
Conrad Williams IV, MD Conrad Williams IV, MD, serves as fellow section editor on the Quarterly Editorial Board. In the Q&A below, Williams reflects on the path that led him to hospice and palliative medicine and what, as a fellow, he can expect for his future. What compelled you to choose to specialize in this … Read moreThe Learning Curve of Fellowship
One of the many vexing problems in US health care is that patients repeatedly and by a wide margin express their preference for dying at home rather than in a hospital or other setting of care. However, despite that oft-expressed wish and the apparently increasing public awareness of hospice and palliative care options, most people … Read moreWhat’s Going on with Dying in America?
In my very first week as a home hospice physician, my mentor, a veteran home hospice doctor told me, “Start a feel-good file. It’s important.” I nodded in agreement, mentally documenting new EHR passwords and the location of the bathroom. I think about the words “feel-good file” often. Honestly, I once found it to be … Read moreThe Feel-Good File
Since 2010, I have been actively engaged The Personal Caring Initiative at Mayo Clinic Health System and I have given a lot of thought to the future of caring for seriously ill people and spent many hours in front of diverse audiences talking about health care and palliative care. Most recently, I have created a … Read moreA Paradigm Shift in Medicine
Drug shortages present more than a few challenges to the EOL community. Many constituencies, patients, clinicians, and the organizations that provide care, are affected. Challenges include consistent symptom management (very problematic when cascading supply shortages compel, what seems to be, continuous drug rotation), potential patient distress (you’re changing my pain medication AGAIN!), comfortable prescribing (what’s … Read moreDrug Shortages
On November 29, the American Society of Clinical Oncology (ASCO) hosted a first-ever Quality Measures Summit to identify a set of cross-cutting quality measures applicable to all patients with cancer, irrespective of diagnosis or place along the disease trajectory. This meeting was in conjunction with the inaugural ASCO Quality Symposium, an educational and scientific meeting … Read moreQuality Matters: A View from the Seat at the Table
“You have a lot to learn,” he said sternly as the heat in his voice rose and his finger stood tremulously in front of my nose. “How old are you? I demand to know.” This is what my home visit to an 82 year old hospice patient devolved to as I told him that he … Read moreToo Few Gray Hairs?