Newton-Wellesley Hospital’s Post

Continuing the conversation around advance care planning for #NHDD, we're sharing this The Tufts Daily article, From Classroom to Clinic: End-of-life conversations — there’s empathy in foresight. "Taking the time to envision yourself at death’s door is far from a pleasant undertaking. But truthfully, we should be doing it more. Ideally, my patient’s end-of-life wishes should have been discussed years before her admission to the hospital, preferably at an annual wellness visit with her primary care doctor. Family medicine doctors should be experts at end-of-life conversations because having a patient’s wishes in writing makes emergencies less stressful for everyone, especially loved ones." Read more: https://lnkd.in/ehzA9e3d

The distinction between internal medicine and family medicine is not something many patients understand. Our latest blog dives deep into the difference that could change the way a primary care appointment is booked. https://lnkd.in/gqXZbqVX

When do you feel the right time to start having these conversations?

Mastering Common Challenges in the Pediatric Practice - Aug 10-11 Boston Patterns, adjusting protocols, and ancillary procedures for: ✓ Vagus nerve involvement ✓ Tongue-tie ✓ Rationale for pediatric care ✓ Plagiocephaly ✓ Pediatric TMJ issues ✓ Ear infections ✓ Abnormal palate development ✓ Nursing problems ✓ Digestive issues and Allergies https://lnkd.in/eHfpH5BC

The most important conversation you can have with a patient. #POLST #palliativecare #advancecareplanning

📚Fulfill your CME credit requirements with the Mississippi Emergency & Pediatric Emergency Physicians CME Courses Bundle - https://bit.ly/3wzJG1T 🔎This bundle includes twenty-three courses covering mandatory topics specified by the Mississippi Physicians State Board and specialty-specific content. Stay current and renew your license confidently! #webcast #CMECourses #EmergencyMedicine #PediatricEmergency #GeneralPractice #PhysicianAssistants #InternalMedicine #FamilyPractice #Physicians #meded #eMedEd

The attached paper published in 2020, provides information and recommendations to support healthcare practitioners in the safe and effective prescription and delivery of Larval Therapy, based on expert consensus.  ➡ Larval Therapy is described as a rapid, cost-effective and highly selective form of debridement that can be used in any healthcare setting as part of a wound care plan. ➡ First line in the debridement of lower leg wounds and second line in foot wounds, when speed, selectivity and bioburden are important factors in care. ➡ The proposed pathway places Larval Therapy clearly within the wider wound care arena and is in line with the lower limb clinical work stream of the National Wound Care Strategy Programme. Read in full here: https://loom.ly/-yHUjMI

Thank you, Dr. J. Rotella for your work in the American Academy of Hospice & Palliative Medicine (AAHPM) and for your service on behalf of hospice patients and promoting palliative care in more medical sites across the nation. But, I am confused about some of your statements in the article and I hope you might address my concerns. The hospice specialty did start out with a pure vision and noble intentions until it became a hospice benefit in 1983. However, we’ve allowed opportunistic businesses to invest in dying for forty years, maximizing their profits by reducing services, and making patients unsafe and vulnerable in the process; no dimension of the human person is being adequately served for hospice patients. Today, nearly 70% of hospice providers do not center care on the whole person, much less “try to save the system money.” As well, we’ve compounded the alienation and disorientation of the dying experience by allowing corporate hospices to place their investors before their dying patients. The large profits and bloated margins lean in favor of investors by a long shot. According to Jason Hotchkiss, “investing in people’s dying is more sought after than tangible healthcare and tech innovations. And the private-equity strategy is rather simple: find an enriching benefit where the government is the primary payer, with limited oversight, and maximize profit by reducing services.” In this sordid scenario—Patients Suffer—literally. If a company cannot deliver excellent palliative care at life’s end, they must get out of the hospice space. What is happening now in hospice is far from humanizing. We’ve turned the dying and their families over to hospice executives, owners, and investors who are often unethical, greedy, and far from empathetic. These firms don’t care about placing patients at the center of their enterprise; their financial clients, stockholders, and executives are their primary stakeholders. Dr. Rotella, what say you to this? www.hospicehelppro.com “Surviving Hospice: A Chaplain’s Journey Into the Business of Dying.” #AAHPM

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Fresh off the press! This paper has a very controversial and counter-intuitive takeaway: ICUs are generally better off denying access to new patients than prematurely stepping down patients to admit new, more urgent ones. The latter is the current clinical practice, but it is far worse in terms of the overall performance of the ICU. This can save countless lives and needs to be explored further! This is research done by my former Ph.D. student, Dr. Kobara, and two other supervisors, Dr. De Souza and Dr. Stanford, at DSAS/Western. Congrats Yawo Kobara, Camila P. E. de Souza, Dr. Dave Stanford! Western University King's University College https://lnkd.in/gwYAgv8b