Medical Futility Blog: Health Law at APHA Annual Meeting

This morning, I reviewed the significant number of law-related sessions at November’s American Public Health Law Association meeting.  I really must add APHA to my list (now 5 long) of “must go” health law conferences.

via Medical Futility Blog: Health Law at APHA Annual Meeting.

Discussing Physician-Assisted Dying: Physicians’ Experiences in the United States and the Netherlands

Discussion of PAD is an energy-consuming, yet potentially enriching part of the doctor–patient relationship. Legal guidelines may help to provide structure and support for physicians when patients broach the topic of PAD.

via Discussing Physician-Assisted Dying: Physicians’ Experiences in the United States and the Netherlands.

CMA delegates defer call for national discussion of medically assisted death

CMA delegates defer call for national discussion of medically assisted death.

Doctors Should Bill for Life-or-Death Decisions – Bloomberg

As an intern admitting emergency-room patients to a Cincinnati hospital, I saw it happen again and again: Late-stage cancer patients in the midst of medical crises would roll into our ER in need of a ventilator as expected complications mounted.

via Doctors Should Bill for Life-or-Death Decisions – Bloomberg.

Medical Futility Blog: Doctors Cruelly & Needlessly Prolong Lives of the Dying

While now 20 years old, this quote by Harvard geriatrician Muriel Gillick still has too much truth.

via Medical Futility Blog: Doctors Cruelly & Needlessly Prolong Lives of the Dying.

Erroneous assumptions about deep palliative sedation and euthanasia — Materstvedt — BMJ Supportive & Palliative Care

In the present journal, I recently wrote an article on several of the differences between deep and continuous palliative sedation (DCPS) and euthanasia.1 In doing so, I also criticised certain views of a paper by Niklas Juth and colleagues.2 They answer back in a just-released article, in which they state that “Materstvedt fail[s] to provide an explanation of why there is a moral difference between DCPS and euthanasia” (italics in original).3

via Erroneous assumptions about deep palliative sedation and euthanasia — Materstvedt — BMJ Supportive & Palliative Care.

Achieving Universal Coverage of palliative care: Dispelling the myths

The theme for World Hospice and Palliative Care Day 2013 is: ‘Achieving universal coverage of palliative care: Dispelling the myths’.

via Achieving Universal Coverage of palliative care: Dispelling the myths.

Cancer Screening in Persons With Dementia. Just Stop It. Please. | GeriPal – Geriatrics and Palliative Care Blog

Cancer Screening is of little benefit in persons with dementia but can cause very serious harms.   Older persons with dementia have limited life expectancies which makes any benefit from cancer screening very unlikely.  This is because cancer screening works by identifying a cancer many years (generally at least 5-10 years) before it would threaten health.

via Cancer Screening in Persons With Dementia. Just Stop It. Please. | GeriPal – Geriatrics and Palliative Care Blog.

Medical Futility Blog: Vermont’s New Normal: End-of-Life Care & Physician Aid in Dying

On October 29, 2013, the Vermont Ethics Network is holding a day-long discussion about end-of-life care in Vermont with the passage of Act  39 (Vermont’s new law on patient choice and control at the end-of-life).  The day’s presentations will focus on:

via Medical Futility Blog: Vermont’s New Normal: End-of-Life Care & Physician Aid in Dying.

Timing of Limitations in Life Support in Acute Lung Injury P… : Critical Care Medicine

Conclusions: Persistent organ failure is associated with an increase in the rate of limitations in life support independent of the absolute magnitude of Sequential Organ Failure Assessment score, and this association strengthens during the first weeks of treatment. During the first 5 days after acute lung injury onset, limitations were significantly more common in medical ICUs than surgical ICUs.

via Timing of Limitations in Life Support in Acute Lung Injury P… : Critical Care Medicine.