Journal of Palliative Medicine

Journal of Palliative Medicine 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]

Many transnationals who immigrate late in life to the US may struggle to acculturate with the mainstream culture in the ...
01/11/2015

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

" I was not explicitly taught to express condolences to the family of a deceased patient until my colleague and co-autho...
12/23/2014
Providers' Beliefs about Expressing Condolences to the Family of a Deceased Patient: A...

" 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

http://palliativejournal.com/2014/12/23/providers-beliefs-about-expressing-condolences-to-the-family-of-a-deceased-patient-a-qualitative-and-quantitative-analysis/

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…..byRita Marie MoscolaI recently found a collection of music cassettes. They must be 20 years old. At...
12/20/2014

AND, YOU GET MUSIC…..

by

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.”

Briefings: Movie spotlight eludes hospice and palliative care, study shows: http://bit.ly/1p75BO2Sign up for Briefings: ...
09/10/2014
Briefings Palliative, Hospice, and Pain Medicine & Management

Briefings: Movie spotlight eludes hospice and palliative care, study shows: http://bit.ly/1p75BO2

Sign up for Briefings: http://bit.ly/ZgPWGS

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 MedicineDear Colleague,Health ca...
09/04/2014
Letter from the Editor

A Message from Charles F. von Gunten, MD, PhD, Editor-in-Chief of Journal of Palliative Medicine

Dear Colleague,

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 advanc...
09/03/2014
Briefings Palliative, Hospice, and Pain Medicine & Management

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 pa...
08/13/2014

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

The August issue of Journal of Palliative Medicine is now available online. TOC: http://online.liebertpub.com/toc/jpm/17...
08/04/2014
Journal of Palliative Medicine

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.

Guessing at someone’s quality of life
04/22/2014
Guessing at someone’s quality of life

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
04/04/2014
A Different Kind of Palliative Emergency

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”
03/30/2014
Advanced Practice Nurses stuck in the “Middle”

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

CONVERSATIONS
03/23/2014
CONVERSATIONS

CONVERSATIONS


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

03/07/2014
The Color of Love

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

Technically Informed
01/22/2014
Technically Informed

Technically Informed

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

01/17/2014
Be Amazed!

Be Amazed!

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
12/30/2013
The Rehab Back Door

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
12/02/2013
End of Life in on TV: Coming to a cable station near you

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
12/01/2013
Preventing Deathbed Shocks: Jerry Romano's Story - Successful Aging

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
11/26/2013
Another Drizzly November Drive

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.

The Deep Questions
10/18/2013
The Deep Questions

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

Breath
10/10/2013
Breath

Breath

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.

Please stop “futile” care
09/20/2013
Please stop “futile” care

Please stop “futile” care

An article in a recent JAMA Internal Medicine Journal http://bit.ly/16sptD0 reports on the frequency and cost of futile treatment at one academic medical center. Over 3 months in 5 ICUs, the research team found 6.7% of… Read the rest

Has Palliative Care’s Media Moment Arrived?
08/20/2013
Has Palliative Care’s Media Moment Arrived?

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

08/09/2013
Dying on Schedule

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

08/01/2013
Undocumented–Guest Post by Paul Rousseau, M.D., FACP, FAAHPM

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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The Perfect Circle is a documentary film about palliative care and the possibility to give a new meaning to life. A hospice, two love stories and the caring work of a palliative care team. Watch it on Vimeo on demand and spread the buzz if you want to raise awareness about palliative care and the hospice philosophy.
My husband, Peyton, died of cancer 5 years ago. He prepared for his death in every way possible from having total maintenance done on every item in our home to writing a book for me called “After Peyton” with lists of who to call for every eventuality and the appropriate sequence. His preparation made the difference in my survival. I learned through my experience that our society is sadly ignorant of death. We hide from it. We ignore it. We fear it and we fear those who are touched by it. Every instance is termed a shock, yet it is the one constant in our lives after birth. I want to help change that. I started a page on the second anniversary of Peyton’s death titled “Until Death Do We Part”. https://www.facebook.com/untildeathdowe My goal is to change public knowledge, attitudes and behavior towards dying, death and bereavement through open communications and shared experience. I plan for this to be a repository for the type of information I needed and could not find in days leading up to my husband’s death and the months that followed. Peyton’s final gift to me was the gift of preparation, both physically and emotionally. It is in thanks to him that I share this gift with others