Sunday, June 20, 2010
The New York Times Sunday magazine published a must-read article for any hospice or palliative care professional. I just read it this evening after receiving a couple of tips from Pallimed readers* and don't have time to do the analysis tonight before the email goes out. Hopefully Lyle or I will likely get to covering the article in more detail later this week.
Some of the issues covered include:
- family decision to deactivate a pacemaker
- cardiologists insisting on implantation
- cardiologists refusing (on moral grounds) to deactivate a pacemaker
- getting palliative care and later hospice involved in a patient with advancing dementia
- the widower effect on mortality
- informed consent
- the distant adult child effect
- living wills
- out of hospital DNR orders and bracelets
- deciding on nursing home placement
- lack of effective professional-to-professional communication
- caregiver exhaustion
See. I told you that you must read it.
If you want to start commenting here before we do the full post later this week, feel free.
*A tip of my hat for the leads to Mary M. (via email), @hospicedoctor (Twitter), @BradHStuart (Twitter), @DianeEMeier (Twitter)