Meier: Palliative care is closer to being indispensable | Older ESRD patients may not understand conservative management | Tolle wins MacLean Center Prize in Clinical Ethics
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November 19, 2014
Hospice and Palliative Medicine SmartBrief
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Meier: Palliative care is closer to being indispensable
Palliative care is on its way to becoming such a recognized part of medical care that it will be seen as indispensable and an expected part of treatment, Dr. Diane Meier, director of the Center to Advance Palliative Care, told the 2014 CAPC National Seminar. Former U.S. Sen. Bill Frist, R-Tenn., talked about the role of the private sector in palliative care, and Dr. David Weissman called on palliative care professionals to find opportunities to educate. Pallimed blog (11/18)
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Free Gift With Any Online Course Purchased in November
During November, the CSU Institute for Palliative Care is giving away a very special palliative care course for health care professionals with the purchase of any of our online courses! It's not something that comes in a box. It's simply a gift. A gift from all of us to the health care professionals in palliative care and hospice that give so much! Click to view courses!
Palliative & Hospice Care Update
Older ESRD patients may not understand conservative management
Interviews with older end-stage renal disease patients found many had misconceptions and a lack of understanding about conservative management as an alternative to dialysis, U.K. researchers wrote in the American Journal of Kidney Diseases. University of Pittsburgh Medical Center palliative nephrologist Dr. Jane Schell said the study shows gaps in care for dialysis patients, as some with comorbidities may not attain a better quality of life or increased survival. Medscape (free registration) (11/14)
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Tolle wins MacLean Center Prize in Clinical Ethics
Dr. Susan Tolle, an end-of-life care expert and one of the founders of the Physician Orders for Life-Sustaining Treatment movement, was awarded the MacLean Center Prize in Clinical Ethics. The $50,000 award will be donated to Oregon Health & Science University's Center for Ethics in Health Care, which Tolle directs. The Oregonian (Portland) (11/17)
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Patient & Family Perspective
Half of Alzheimer's patients get home care, survey says
An survey of 1,600 people who have relatives with Alzheimer's disease found about half of the patients were cared for at home and half in a care facility. More than half of the survey respondents said they experienced financial distress. McKnight's Long-Term Care News (11/12)
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Elder-care benefits becoming more common, experts say
Elderly Care
(NĂºria Talavera/Getty Images)
More workers are struggling to juggle working and caring for elderly parents, experts say. Pfizer and Fannie Mae are among the organizations that have recognized the problem, with Fannie Mae offering benefits such as counseling and referrals to adult day care programs. The Washington Post (tiered subscription model) (11/16)
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Medical Research
CDC: Heart disease still leading cause of death in the U.S.
The overall mortality rate from heart disease dropped nearly 4% annually from 2000 to 2010, but the rate of deaths tied to hypertension and irregular heartbeat climbed 1.3% and 1%, respectively, CDC researchers reported in the Journal of the American Medical Association. Heart disease remains the top cause of death in the U.S., killing more than 7 million people during the 11-year period, CDC lead researcher Matthew Ritchey said. HealthDay News (11/17)
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Overuse of anti-clotting drugs may increase dementia risk
A study presented at the American Heart Association meeting found that patients with atrial fibrillation who showed signs of overtreatment with anti-clotting drugs had a twofold greater risk of developing dementia. The results suggest that microbleeds may cause chronic brain injury and could be a contributing factor to the link between atrial fibrillation and dementia, said an expert. HealthDay News (11/17)
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Health Policy & Practice
CMS may use sequestration money to inflate hospice revenues
The CMS plans to artificially inflate hospice revenues by adding in money withheld through sequestration and never actually paid to facilities, Attorney Brian Daucher writes. The plan appears to ignore a statutory mandate to count only actually paid monies toward hospice cap revenues, Daucher writes. The National Law Review (11/17)
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Data examine clinician views on burnout, workload
A poll revealed 65% of clinicians have thought about leaving medicine because it had stopped being fulfilling for them, and nearly 6 in 10 physicians experience patient overload. The survey, conducted at the Academy of Integrative Health & Medicine conference, also found 51% of clinicians suffered fatigue 15 days or more a month because of their schedules. (11/17)
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Trends & Technology
Study finds few older Americans go online for health information
A study in the Journal of General Internal Medicine found that fewer than one-third of Americans aged 65 and older go online to access health data, while only about 10% of people with low health literacy use the Web for health-related reasons. Researcher Dr. Kenneth Langa said interventions may be needed to help address health literacy among older adults. Health Data Management (11/13)
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Pediatric HPM Competencies Unveiled
A group of Pediatric HPM experts recently defined specific Pediatric HPM Competencies as an adjunct to the original HPM Competencies. These are specific to the training of Pediatric HPM subspecialists and a paper describing the methodology of how they were developed has been published in the most recent issue of Pediatrics. Moving forward, they should inform the further innovation in education and training throughout the field and across age spectrum.
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Attend the 2015 AAHPM & HPNA Annual Assembly Feb. 25-28 in Philadelphia
Join the more than 2,400 hospice and palliative care professionals who meet once each year to gain knowledge directly from leaders in the field. Learn the latest scientific advances. Get inspired and invigorated by captivating speakers who will remind you why you chose to work in hospice and palliative care. Share best practices, ask questions and build long-lasting relationships. Save $100 on the cost of registration when you register by Jan. 19.
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Incredible change happens in your life when you decide to take control of what you do have power over instead of craving control over what you don't."
-- Steve Maraboli,
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