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Showing posts from February, 2018

Tim Quill on voluntary stopping eating and drinking

By: Alex Smith, @AlexSmithMD For this week's GeriPal podcast we are honored to be joined by Tim Quill, palliative care physician and bioethicist from the University of Rochester, New York.  Dr. Quill has pushed our nation to seriously grapple with the issue of physician aid in dying with a remarkably thoughtful and measured approach.  We talk with Dr. Quill on this podcast about voluntary stopping eating and drinking, and a paper on this topic he recently published in JAMA Internal Medicine . As noted in the podcast, I am deeply ambivalent about physician aid in dying.  I find voluntary stopping eating and drinking (VSED) to be far more acceptable.  Some of this has to do with the acceptability of positive and negative acts (positive act - giving a patient a prescription for lethal medication; negative act - not inserting a feeding tube in a patient who refuses to eat and drink).  Some of this just has to do with the time course:  patients who stop eating and drinking must

Hypoglycemia in Hospice: A Podcast with Laura Petrillo

For this weeks podcast, we talk with Laura Petrillo, lead author of a recent paper published in JAMA IM titled “ Hypoglycemia in Hospice Patients With Type 2 Diabetes in a National Sample of Nursing Homes ”. Laura is a palliative care physician and researcher at Massachusetts General Hospital and Harvard Medical School. Laura's finding should serve as a wakeup call for anyone caring for individuals on hospice living in nursing homes. They found that 1 in 9 nursing home patients with type 2 diabetes experienced hypoglycemia. So take a listen and tell us what you think in the comment section on this GeriPal post. Listen to GeriPal Podcasts on: iTunes  Google Play Music Soundcloud Stitcher   Transcript: Eric : Welcome to the GeriPal Podcast. This is Eric Widera. Alex : This is Alex Smith. Sei : And this is Sei Lee. Eric : Sei, today again you our- Alex : What are you, Sei? Are you a guest? Sei : A ghost. Guest and host. Alex : Guest and host. You

2018 GeriPal-Pallimed Party at the Annual Assembly

by Christian Sinclair (@ctsinclair) Every February the questions start rolling in, "When is the GeriPal-Pallimed party?" Just so you know and can mark it on your calendars from here to eternity, it has a standing reserved spot on Thursday night at 9pm local time the week of the Annual Assemblies of the American Academy of Hospice and Palliative Medicine (AAHPM), the Hospice and Palliative Nurses Association (HPNA), and the Social Work Hospice & Palliative Care Network (SWHPN) (but just to be clear it is not an official part of either the meeting). And as always, feel free to invite and bring any colleagues or new friends with you as this is not an exclusive crowd. So for 2018, that means you should clear off the evening of March 15th. We will, of course, be doing our traditional pub crawl starting at Sonsie at 9pm . Around 10pm we will likely be moving on to the next destination. Like always though, these are rough estimates of time, so if you want to know the det

Palliative care in nursing homes: Podcast with Caroline Stephens

Many in palliative care (including us) have argued that the default care model in nursing homes should be a palliative approach.  Revealing indeed, therefore, to talk with nurse researcher Caroline Stephens about her publication in JAGS where she studied palliative care-eligibility and POLST completion for nearly 200 residents of 3 San Francisco area nursing homes, finding: 70% of nursing home residents were palliative care-eligible, but other than 2 patients on hospice, none were receiving consultative palliative care 99% of residents had completed a POLST, but almost no one remembered filling it out Listen to the podcast for more, including answer to questions: What does palliative-care eligible mean?  How could they fill out a POLST but not remember it, did they all have dementia?  What is Campbell's law , and does it have anything to do with his soup?   We're joined on this podcast by Sei Lee, MD, regular guest host and as it happens senior author on the nurs