Sensible Medicine
NOVEMBER 3, 2023
He is otherwise well, with only hypertension, well-controlled on one medication. Others are transferred to inpatient hospice centers. Home hospice is never an option for someone with no family, no friends, and, often, no home. The decision to begin hospice brought guilt, grief, and relief.
Core Medical Group
JANUARY 23, 2024
Once a well-paid factory worker who could predict her days down to the hour, Adina’s career took a turn when she experienced a layoff. Having been a hospice volunteer where she ultimately served for 11 years, Adina applied her compassion and commitment to patient care to the next level by diving into nursing school at age 36.
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Sensible Medicine
AUGUST 30, 2024
KN is a 90-year-old man I visit at an inpatient hospice. I also knew his family well, most of them were my patients. Sitting with him in hospice I wonder whether, if we had treated him, he’d be home, cancer free, with years left to live. When things go well in medicine, we never second guess our decision making.
Sensible Medicine
OCTOBER 6, 2023
Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.
Sensible Medicine
OCTOBER 20, 2023
When smells and sounds, as well as sights, come together, the impact of an entire location can be powerful. It was in room 23 that she first raised the possibility of hospice. A patient of mine introduced me to the band, but their sound became inextricably linked to a memory a few years later when I visited him in the ICU.
Sensible Medicine
OCTOBER 6, 2023
Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.
Sensible Medicine
JUNE 30, 2023
On the other hand, KW was a middle-aged American man with chest pain and significant risk factors for coronary artery disease – hypertension and diabetes – neither of which had ever been terribly well-controlled. She was well hydrated and her vital signs were normal. PH is a woman I have written about in the past.
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