EXCLUSIVE : #Biotech leaders surveyed re: impact of Trump presidency: http://ow.ly/d2Ms3065iDQ
Journal of Palliative Medicine is the leading peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain.
The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. Coverage includes: • The latest medical advances in pain and symptom management • Evidence-based protocols • Model palliative care programs • Clinical case reports • Guidance for working with patients and their families • Psychological and spiritual aspects of end-of-life care Indexed/Abstracted in: MEDLINE; Current Contents®/Clinical Medicine; Science Citation Index Expanded; Journal Citation Reports/Science Edition; International Pharmaceutical Abstracts; EMBASE/Excerpta Medica; Scopus; CINAHL® database; PsycINFO; AMED
The Journal of Palliative Medicine has an active Social Media presence in Facebook ( this page), Twitter as well as a blog: Blog: http://palliativejournal.com/ For questions and feedback, please contact: [email protected] We love to hear from our readers. VJ Periyakoil, MD Senior Associate Editor of Social Media Journal of Palliative Medicine [email protected]
EXCLUSIVE : #Biotech leaders surveyed re: impact of Trump presidency: http://ow.ly/d2Ms3065iDQ
Many transnationals who immigrate late in life to the US may struggle to acculturate with the mainstream culture in the US and often feel socially isolated. This issue become more compelling as patients near the end-of-life. They may wish to see friends and extended family in their original country of origin but may be too ill or impoverished to travel. Some may even wish to be buried or have their cremains be returned to their native land. Read more http://bit.ly/1wITI5H
JPM Social media Team wishes you a very happy holiday season.
" I was not explicitly taught to express condolences to the family of a deceased patient until my colleague and co-author Moe Hagman explained the importance of this to me early in my first year as a hospitalist and palliative care attending. I began routinely writing cards or calling families when a patient died, even though I often had only cared for these patients for a few days.........". Author Susan Merel shares the story behind her JPM article
To cite this article: Merel Susan E., Stafford Michele M., White Andrew A., Fligner Corinne L., Amory John K., and Hagman Melissa M.. Journal of Palliative Medicine. -Not available-, ahead of print...
AND, YOU GET MUSIC…..
Rita Marie Moscola
I recently found a collection of music cassettes. They must be 20 years old. At least 20 years old. Listening to them is bringing back memories of family, friends, and events. It is making me think about the fun and the emotion of listening to music. I have entered posts regarding the cerebral aspects of listening to music such as the work of John Tavner. This is different.
One afternoon I was called to review the medications of a patient who wasn’t doing well. I went to examine the patient. I suggested a few changes. Soft calm music was playing. There was no confrontation in the music. The music wasn’t helping. I looked through the discs and made a change. The music had interesting intervals and layers of color.
People stopped talking. There was a slight movement under the covers. Was the patient trying to applaud or snap fingers? Then we saw a foot moving under the covers tapping the beat.
A colleague commented, “you call for the doctor and you get music.” This was much better than the days of breathing into a paper bag. The song? “It Don’t Mean A Thing If It Ain’t Got That Swing.”
Even with less pain, older patients still benefit from palliative care Older cancer patients may experience lower levels of pain and nausea than younger patients, yet they need the same amount of palliative care, according to a Japanese study reported in Journal of Palliative Medicine. The researche…
A Message from Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine
Health care reform in the U.S. and health care planning throughout the world rest on providing high-value care. Palliative medicine has been proven to deliver on the value equation: better quality at lower cost. Journal of Palliative Medicine is the journal of record for clinicians working in this exciting field. In 2014 to date, the Journal has received 117,000+ article downloads.
Read more: http://bit.ly/1vT5i1L
Palliative medicine is the essential new specialty in modern health care. The ability to influence the standards for all medical care has never been greater. Subscribe to Journal of Palliative Medicine to keep abreast of the field that is now in the front row of health care policy.
Briefings: CMS final rule updates FY2015 hospice payment rates, cuts BNAF
"Video helps patients get the picture on advance directives"
"Emotional distress, nocturnal rumination keeps patients up at night"
Video helps patients get the picture on advance directives Inpatients and outpatients agreed that a video helped improve their understanding of advance directives, according to a study in Journal of Palliative Medicine. The video also increased the desire of patients to complete advanced-directive f…
Are Patients Being Discharged from Hospice Care to Save Money?
New Rochelle, NY, August 13, 2014—About 1 in 5 Medicare patients is discharged from hospice care alive, whether due to patients' informed choice, a change in their condition, or inappropriate actions by the hospice to save on hospitalization costs related to terminal illness. How live discharge rates differ between hospice programs and geographic regions, and when those rates should raise red flags are among the issues explored in the article "A National Study of Live Discharges from Hospice," published in Journal of Palliative Medicine, a peer-reviewed journal from Mary Ann Liebert, Inc., publishers. The article is available free on the Journal of Palliative Medicine website until September 13, 2014: http://bit.ly/1AdOMJl
Major article in The Washington Post featuring a recent article from our journal: "Rising rates of hospice discharge in U.S. raise questions about quality of care" wapo.st/1oDEkXr
Rising Rates of Live Discharge in the U.S. Raise Questions About Quality of Care
The August issue of Journal of Palliative Medicine is now available online. TOC: http://online.liebertpub.com/toc/jpm/17/8
Sign up for email alerts to receive free access to featured articles selected by the Editor-in-Chief: http://www.liebertpub.com/jpm/connect
The leading interdisciplinary journal reporting on the clinical, educational, legal, and ethical aspects of palliative care for patients in end of life or with intractable pain, focusing on improving quality of life.
The latest issue of Journal of Palliative Medicine is now available online. TOC: http://online.liebertpub.com/toc/jpm/17/7
Guessing at someone’s quality of life
I saw a patient recently who has had several strokes, been in a wheelchair for the last few years, and is now living in a nursing home. He was in the hospital for a wound infection that had become… Read the rest
A Different Kind of Palliative Emergency
Each year I attend a lecture for our palliative medicine fellows called, “Palliative Emergencies.” The emergencies discussed usually include: impending compression fracture, hypercalcemia in the context of malignant disease, and superior vena cava syndrome. Also each year, the presenter considerate
Advanced Practice Nurses stuck in the “Middle”
I’ve been in a couple of situations recently where people have used the term “mid-level” to describe nurse practitioners (NP’s) or advanced practice nurses (APN’s). They likely didn’t mean to be derogatory, but that’s how it feels to this NP. … Read the rest
I have been receiving announcements regarding seminars on having conversations about end of life care. Several months ago, I lead an interactive seminar on asking the questions that start the conversation. The assumption is that everyone wants to have… Read the rest
The Color of Love
She is nearing a century, and now, these last months, in and out of the hospital, weak, not springing back, me seeing her now for that, that weakness, this latest admission.
She’s weak, to be sure, one discharge prelude… Read the rest
And Family Makes Three
A recent study published in JAMA explored the frequency of decision making by family members or other surrogates in the hospital http://www.ncbi.nlm.nih.gov/pubmed/24445375 . Most of us are familiar with the involvement of surrogates in the ICU as many… Read the rest
I recently met with a patient in our cancer center. His oncologist had consulted palliative care to help discuss goals of care and hospice.
Present with the patient were several family members, one of whom asked insightful and… Read the rest
My older brother once said I could speak the entire English language by the time I was 3-years old. That seemed at the time like a compliment. Now, I’m not so sure. I have come to regard my ability to… Read the rest
The Rehab Back Door
As a palliative care nurse practitioner in a large academic medical center, I’m dismayed when some of my frailest patients get discharged to “rehab”. It seems unlikely they will be able to effectively participate there, so what happens is… Read the rest
End of Life in on TV: Coming to a cable station near you
If you had told me a year ago that there would be two cable series on aging and the end of life, I would have told you you were crazy. Yet that is the situation as of last month:… Read the rest
Preventing Deathbed Shocks: Jerry Romano's Story - Successful Aging
Conversations about advanced heart disease happen in bubbles. The cardiologist, the patient, and the adult children are all in different bubbles with access to different data and often make health care decisions in isolation without talking to each other. The goal of this panel discussion is to get…
Another Drizzly November Drive
While driving home in the drizzle, I thought about the many autumn sites I have seen driving home. In August, I attended the New England Women’s Herbal Conference.
Informed consent in the ICU: Long-term consequences
A recent study in the New England Journal of Medicine http://www.ncbi.nlm.nih.gov/pubmed/24088092 found that 40% of 821 ICU patients with respiratory failure or shock had cognitive impairment 3 months after discharge and 24% had scores at 12… Read the rest
The Deep Questions
This one was different.
“I want to see you every day, till I’m better”, she had told me.
That’s unusual for a hospice patient. She had a deep faith, but really wanted her life to count for something.… Read the rest
One of my drawings was recently accepted into a juried show. I commented that I had almost stopped thinking about making art. Artist colleagues and friends told me that as long as I was breathing, I would think about making art.
Has Palliative Care’s Media Moment Arrived?
As someone interested in public perceptions of the end of life, I’ve been encouraged by the recent increased media coverage of this topic.
In just the past few weeks, TIME magazine did a story about how the baby boomers may… Read the rest
Dying on Schedule
What happens when the family fully expects a loved one to die, and he doesn’t? One family gathered around the bed of the husband and father, confirmed one more time that he didn’t want the “forced air” mask on any… Read the rest
Undocumented–Guest Post by Paul Rousseau, M.D., FACP, FAAHPM
Thirty-two years old and dying of cancer.
Miguel had struggled to get to the United States from El Salvador to make a better life for himself. He had been here for 2 years, working for a landscape company, when he started noticing bruises and constant fatigue. A severe nosebleed eventually sent him
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