8/30/2017: AAP issues new guidance on end-of-life decision-making for children.

The AAP has issued new recommendations based on ethical considerations and available scientific evidence to help clinicians and other interested, relevant parties make decisions on forgoing life-sustaining medical treatment in pediatric patients. Read more HERE.

8/14/2017: Check out the Hospice Foundation of America’s 2017-2018 Webinars!

9/19/17 – Supporting bereaved college students and emerging adults
10/17/17 – Helping mourners deal with jealousy, guilt, and shame in bereavement
2/20/18 – Current issues in pain management and end-of-life care
4/17/18 – Ethical issues in effectively providing LGBTQ-Inclusive hospice and palliative care
5/15/18 – Dying, death, and grief phenomena
6/19/18 – Attachment theory and grief support

Each webinar is 90 minutes long and has 1.5 CE’s available per webinar.
Register HERE.

8/02/2017: NPR Article: Many Avoid End-of-Life Care Planning, Study Finds

Even though advance directives have been promoted by health professionals for nearly 50 years, only about a third of U.S. adults have them, according to a recent study.

Continue reading HERE.

7/11/17: POLST Care Continuum Toolkit

The entire webinar series on Using the POLST Paradigm to Honor Patient Wishes Across the Care Continuum is available online:

5/01/17: Webinars offered by the POLST Paradigm Office

EMS Toolkit – Wednesday, May 3, 2017 at 3pm ET | Register Here
Inpatient POLST Toolkit – Thursday, May 11, 2017 at 1pm ET | Register Here
LTC: NH & SNF Webinar | Thursday, June 8, 2017 at 2pm ET | Register Here
Hospice POLST Toolkit | Tuesday, June 13, 2017 at 3pm ET | Register Here

4/29/2017: A Better Way To Care For The Dying (The Economist)

April 29, 2017. The paradox of modern medicine is that people are living longer, and yet doing so with more disease. Death is rarely either quick or painless. Often it is traumatic. As the end nears, people tend to have goals that matter more than eking out every last second. But too few are asked what matters most to them. In the rich world most people die in a hospital or nursing home, often after pointless, aggressive treatment. Many die alone, confused and in pain. Continue Reading.

End-of-life Care: How to have a better death.

Death is inevitable. A bad death is not.

IN 1662 a London haberdasher with an eye for numbers published the first quantitative account of death. John Graunt tallied causes such as “the King’s Evil”, a tubercular disease believed to be cured by the monarch’s touch. Others seem uncanny, even poetic. In 1632, 15 Londoners “made away themselves”, 11 died of “grief” and a pair fell to “lethargy”.

Graunt’s book is a glimpse of the suddenness and terror of death before modern medicine. It came early, too: until the 20th century the average human lived about as long as a chimpanzee. Today science and economic growth mean that no land mammal lives longer. Yet an unintended consequence has been to turn dying into a medical experience.

Continue Reading.

NY Times Article: The Patients Were Saved.  That’s Why the Families Are Suing.

Read it HERE.

National Healthcare Decisions Day

NHDD is a week-long event this year, from April 16- 22, 2017.  There are events happening all over Delaware (click HERE).  But what should people be thinking about?  Click HERE for a handout you can give to your patients, family, and friends, and spread the word!

March 15, 2017:

People with serious illness or frailty in Oregon are more likely to have their end-of-life care wishes honored, and, consequently, less likely to be hospitalized and more likely to use home hospice services compared with Washington state and the rest of the country, according to data published in the New England Journal of Medicine.

“The level of care you receive near the end of life depends more on the state you live in and the systems they have in place than your actual wishes,” says author Susan Tolle, M.D., director of the OHSU Center for Ethics in Health Care and co-led the creation of the Physician Orders for Life-Sustaining Treatment, or POLST Program.

Read more here.

February 22, 2017:

On February 17, 2017, fourteen health care organizations, including the National POLST Paradigm Office, joined together in sending a letter to Tom Price (Secretary of the US Department of Health & Human Services) and David Shulkin (Secretary of the US Department of Veterans Affairs).

“The posed of the letter is to present a range of policies advancing palliative and end-of-life care that likely improves care for those who are seriously ill and near the end of life.” – Amy Vandenbroucke, Executive Director, National POLST Paradigm.

Read the letter here.

February 14, 2017:

Keith Goheen, BCC, working with Beebe Healthcare, has created a fantastic informational DMOST Brochure! He has kindly shared the brochure with us here: Beebe DMOST Brochure