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Visit Practitioner Solution's column >>

PRACTITIONER SOLUTION

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Clinical Leader in Hospice & Palliative Care
Articles Posted: 0  Links Seeded: 10
Member Since: 7/2010  Last Seen: 11/13/2011

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Personal Health - New York Law Encourages Frank Talk on Palliative Care - NYTimes.com

Seeded on Tue Aug 24, 2010 12:44 PM EDT
Read ArticleArticle Source: The New York Times
health, healthcare, hospice-care, palliative-care, end-of-life-care, informed-consent, new-york-palliative-care-information-act
Seeded by Practitioner Solution
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It's heartening to see further discussion in the media about end of life care issues. While much progress still needs to come, this article is a leap forward for NY residents with the New York Palliative Care Information Act. Assistance navigating the healthcare system and making good choices in medical care that offers meaning and value is a hugely important issue. Informed consent involves detailing patient choices and having a discussion about the best choices in care management given the severity of their disease. Since physicians and other healthcare practitioners are not having these conversations with their patients, requiring them to do so will change the landscape. This ultimately is a patient centered activity that makes practitioners uncomfortable, but I suspect over time, the discomfort will abate!

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  • Groups: At Home, Centervine, Hospice Navigator
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  • Public Discussion (3)
sushicat

Also last week, a study in The New England Journal of Medicine reported that among 151 patients with newly diagnosed metastatic lung cancer, those who received palliative care, which is care focused on symptoms, along with standard cancer therapy had a better quality of life, experienced less depression, were less likely to receive aggressive end-of-life care and lived nearly three months longer than those who received cancer treatment alone.

It is for this reason, articles like this, and actions to get Doctors to talk to their patients about end of life issues is needed in every state. I applaud NY to start the discussion on this topic.

  • 1 vote
Reply#1 - Tue Aug 24, 2010 1:32 PM EDT
Practitioner Solution

Yes, a number of other reasons to go the palliative route, it seems to be a best practice with the most effective outcome, to concentrate on managing people's symptoms and improving the quality of their lifes rather than bombarding them with treatments that don't offer any value.

  • 1 vote
Reply#2 - Wed Oct 20, 2010 7:56 AM EDT
sushicat

This is a discussion the other states need to have. We have had talks in my family for the last 30 years at least on what my parents wanted as well as my siblings.

But something else is needed. My siblings and I are entering the stages where one parent is slipping away due to dementia. A type of death, and the stress is unbearable at times. So the survivors need to be guided, helped as well and that is one thing that is usually forgotten.

    Reply#3 - Wed Oct 20, 2010 2:01 PM EDT
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