Skip to main content

Palliative Care Grand Rounds Coming to GeriPal


Leigh Kramer from the blog “Confessions of a Young (Looking) Social Worker” will be hosting Palliative Care Grand Rounds this Wednesday, September the 2nd. For those of you who don’t know, Palliative Care Grand Rounds is a great series that puts a spotlight on outstanding blog posts focused on hospice, palliative care, death, or dying. Stop by her site starting this Wednesday to see what great blog finds she has been able to dig up.

Also of note, GeriPal is hosting Palliative Care Grand Rounds on Wednesday, October 7th! GeriPal hit close to 400 readers on Friday alone, so I have no doubt that the GeriPal community can uncover some great posts hiding out there in the blogosphere. If you see, hear, or smell anything over the next month that you think is worth passing on, please comment on this post with a link to the article.

Comments

Umanohone said…
So I'm not sure if this is exactly palliative care related, but as it disturbs me in my heart of hearts, I want to go ahead and post it:

A Drugmaker's Playbook Reveals a Marketing Strategy

-Chrissy Kistler
Umanohone said…
And in an effort to be more palliative care related and heart warming, please check out this article:

Husband in Longest Marriage Dies

It's just so lovely.

-Chrissy Kistler
Umanohone said…
Hmm... My hypertext link didn't work, so here's the long of it:
http://news.bbc.co.uk/2/hi/uk_news/england/devon/8232483.stm
good link shared on BLOGGER.Com :)
Alex Smith said…
Great post at the Health Affairs Blog about key geriatrics and palliative care issues in proposed health reform legislation. They interview Christine Cassel, MD, President American Board of Internal Medicine, Diane Meier, MD, Director of Center to Advance Palliative Care, Mount Sinai School of Medicine, and Jerald Winakur, MD, Center for Medical Humanities and Ethics at University of Texas.
Umanohone said…
Hi All, I read this last night on the NY Times and remember reading this short story in high school and how much it troubled me then. I wonder if this disquiet is related to the psychic suffering I feel when I see patients suffer in the ICU. Check out this lovely blog post, Prolonging Death at the End of Life .

-Chrissy Kistler
Patrice Villars said…
I am fond of reading Larry Beresford http://growthhouse.typepad.com/larry_beresford/
He is a "a freelance medical writer and health care journalist with an unprecedented breadth of experience writing about the policy, financial, clinical, administrative and human aspects of hospice, palliative care, end-of-life care, death and dying". He's an active tweeter, really wish he'd blog more often. His latest tweet includes a link to the newly published OIG report on medicare hospice care in nursing facilities.
Check it out at http://www.oig.hhs.gov/oei/reports/oei-02-06-00221.pdf

Popular posts from this blog

The Dangers of Fleet Enemas

The dangers of oral sodium phosphate preparations are fairly well known in the medical community. In 2006 the FDA issued it’s first warning that patients taking oral sodium phosphate preparations are at risk for potential for acute kidney injury. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers.  Those agents still available by prescription were given black box warnings mainly due to acute phosphate nephropathy that can result in renal failure, especially in older adults. Despite all this talk of oral preparations, little was mentioned about a sodium phosphate preparation that is still available over-the-counter – the Fleet enema.

Why Oral Sodium Phosphate Preparations Are Dangerous 

Before we go into the risks of Fleet enemas, lets spend just a couple sentences on why oral sodium phosphate preparations carry significant risks. First, oral sodium phosphate preparations can cause significant fluid shifts within the colon …

Length of Stay in Nursing Homes at the End of Life

One out of every four of us will die while residing in a nursing home. For most of us, that stay in a nursing home will be brief, although this may depend upon social and demographic variables like our gender, net worth, and marital status. These are the conclusions of an important new study published in JAGS by Kelly and colleagues (many of whom are geripal contributors, including Alex Smith and Ken Covinsky).

The study authors used data from the Health and Retirement Study (HRS) to describe the lengths of stay of older adults who resided in nursing homes at the end of life. What they found was that out of the 8,433 study participants who died between 1992 and 2006, 27.3% of resided in a nursing home prior to their death. Most of these patients (70%) actually died in the nursing home without being transferred to another setting like a hospital.

 The length of stay data were striking:

the median length of stay in a nursing home before death was 5 months the average length of stay was l…

Opening the Black Box of LTACs: Podcast with Anil Makam

What happens in Long Term Acute Care Hospitals, or LTACs (pronounced L-tacs)?  I've never been in one.  I've sent patients to them - usually patients with long ICU stays, chronically critically ill, with a gastric feeding tube and a trach for ventilator support.  For those patients, the goals (usually as articulated by the family) are based on a hope for recovery of function and a return home.

And yet we learn some surprising things from Anil Makam, Assistant Professor of Medicine at UCSF.  In his JAGS study of about 14,000 patients admitted to LTACHs, the average patient spent two thirds of his or her remaining life in an institutional settings (including hospitals, LTACs and skilled nursing facilities).  One third died in an LTAC, never returning home.

So you would think with this population of older people with serious illness and a shorter prognosis than many cancers, we would have robust geriatrics and palliative care in LTACs?  Right? Wrong.

3% were seen by a geriatrici…