Friday, January 2, 2015
Our two most popular posts this month on social media were Emily Riegel's letter to the spouses of palliative care professionals and Bob Arnold's case review of when emotions or facts are at the center of goals of care discussions. Good ones to share with your teams maybe?
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- CMS reimbursement for Advance Care Planning by Phil Rodgers
- Articulating the benefits and value of hospcie care by Turner West
- Last minute gift idea - advocate for advance care planning by Holly Yang
- Time for a robust HPM public engagement campaign by Ankur Bharija
- Finding respect in modern health care by Amy Clarkson
- Cases: Are goals of care conversations about emotion or fact? by Bob Arnold
- Cambia Awards $10M to University of Washington Palliative Care by Christian Sinclair
- Crowdfunding a palliative care service: can it really work? by Christian Sinclair
- Free CE credits for palliative care from MJHS webinar series by Russel Portenoy
- Getting On: HBO sleeper comedy not shy about delicate topics by Chris Okon
- Review of Consider the Conversation 2: Stories about cure, relief and comfort by Beth Fahlberg
- How hard is it to get dental care at home? by Christian Sinclair
- Open letter to spouse of palliative care professionals by Emily Riegel
- Mind the Gap: specialty social workers' request of research by Allie Shukraft and Lizzy Miles
- Tramadol-induced hypoglycemia: another reason not to use it by Eric Widera
- Is methadone plus haloperidol ready for prime time? by Drew Rosielle
Comment Shout-out's - December 2014 (in no particular order):
Kyle Edmonds, Clay Anderson, Bruce Scott, Ruth Hill, Kathy Kastner, Michael Chapman, George Handzo, Karen B. Kaplan, Liz Salmi, Drew Rosielle, Hal Grotke, Robert F, Michael D. Fratkin, Judy Connolly, Earl Quijada, Anette K, Jason, Tarris Rosell, Sonia Fullerton, Conrad Williams, Emily Riegel, Allie Shukraft, Marilyn Hofmann-Jones, Amy Getter, Holly Yang, Chri Okon, and a few anonymous people.
Highlighted Comment for December 2014
Drew Rosielle's comment on Cases: Are goals of care conversations about emotion or fact? by Bob Arnold - Dec 3rd, 2014
"Fact clubbing" - I'll start using that. The last few years I've called it 'The Data Dump' in my attempts to help other docs understand how it's a waste of their time and effort.
I think it's tough to teach about this on the fly to docs who don't seem to understand they are data dumping. They are taught how important it is to educate the patient and family on what's going on and feel it's an important duty and may not have a sense that it's effect ranges anywhere from being just a waste of time to frankly damaging the doctor patient relationship. I sometimes tell people (not peers, but residents etc) they are at risk of the main point their patient comes away with is 'Gee my doctor is really smart and knowledgeable' but not what you were actually trying to communicate it.
I think the most effective way of teaching around this point is in communicaiton workshops where you can get docs to role play being a patient (or being a customer at an autoshop even) and then have someone talk to them about what's going on for 120 seconds straight. Many can realize that they start glazing over and not paying attention after just 30 or so seconds. Sometimes can lead to great insights. Sometimes.
Bob; fantastic post I'm going to use this in teaching.
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