Users cite marijuana’s effectiveness as pain reliever, sleep aid
A survey of 1,000 customers of two retail stores with a cannabis dispensary organization in Colorado found that most adults were using cannabis for pain relief and to help them sleep, according to a study reported in Journal of Psychoactive Drugs. Marcus Bachhuber, MD, MSHP, at Albert Einstein College of Medicine in the Bronx was the lead author of the paper, describing the survey and findings, which included the majority of respondents indicating they were able to stop their use of prescription or over-the-counter pain medications and sleep aids. Link to source>>
A survey of 1,000 customers of two retail stores with a cannabis dispensary organization in Colorado found that most adults were using cannabis for pain relief and to help them sleep, according to a study reported in Journal of Psychoactive Drugs. Marcus Bachhuber, MD, MSHP, at Albert Einstein College of Medicine in the Bronx was the lead author of the paper, describing the survey and findings, which included the majority of respondents indicating they were able to stop their use of prescription or over-the-counter pain medications and sleep aids. Link to source>>
Palliative care experts participate in NAS workshop
JoAnne Reifsnyder, PhD, MSN, MBA, FAAN, executive vice president, clinical operations and chief nursing officer, Genesis Healthcare, representing the Hospice and Palliative Nurses Association; Lori Bishop, MHA, BSN, RN, CHPN, vice president of Palliative and Advanced Care at the National Hospice and Palliative Care Organization; and R. Sean Morrison, MD, director of the National Palliative Care Research Center, were among hospice and palliative care experts who participated in a National Academies of Sciences, Engineering, and Medicine workshop. Dr. Morrison is a Senior Associate Editor of Journal of Palliative Medicine. The National Academies has released a “Proceedings” publication summarizing the presentations and discussions of the workshop, titled “Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic.” Link to source>>
JoAnne Reifsnyder, PhD, MSN, MBA, FAAN, executive vice president, clinical operations and chief nursing officer, Genesis Healthcare, representing the Hospice and Palliative Nurses Association; Lori Bishop, MHA, BSN, RN, CHPN, vice president of Palliative and Advanced Care at the National Hospice and Palliative Care Organization; and R. Sean Morrison, MD, director of the National Palliative Care Research Center, were among hospice and palliative care experts who participated in a National Academies of Sciences, Engineering, and Medicine workshop. Dr. Morrison is a Senior Associate Editor of Journal of Palliative Medicine. The National Academies has released a “Proceedings” publication summarizing the presentations and discussions of the workshop, titled “Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic.” Link to source>>
Cancer survivors with OUD need interdisciplinary care
The challenges of managing pain in cancer survivors with opioid use disorder (OUD) requires an interdisciplinary approach to care, according to a review study in Journal of Palliative Medicine. Eric R. Goodlev, MD, at Thomas Jefferson University in Philadelphia, was the lead author of the review paper, which concluded that clinicians must balance relief of pain while reducing inappropriate opioid use. The authors added that more research is needed to determine the efficacy and role of nonpharmacologic pain treatments. Link to source>>
The challenges of managing pain in cancer survivors with opioid use disorder (OUD) requires an interdisciplinary approach to care, according to a review study in Journal of Palliative Medicine. Eric R. Goodlev, MD, at Thomas Jefferson University in Philadelphia, was the lead author of the review paper, which concluded that clinicians must balance relief of pain while reducing inappropriate opioid use. The authors added that more research is needed to determine the efficacy and role of nonpharmacologic pain treatments. Link to source>>
CMS offers free training resources for quality reporting
The Centers for Medicare & Medicaid Services (CMS) has posted a couple of free training videos about hospice quality reporting. The videos, worksheets and other materials can be downloaded from the training website. The agency has moved older training resources to an archive, which may be helpful as historical references for providers, but should only be used for historical reference because the content is not up to date. Link to source>>
The Centers for Medicare & Medicaid Services (CMS) has posted a couple of free training videos about hospice quality reporting. The videos, worksheets and other materials can be downloaded from the training website. The agency has moved older training resources to an archive, which may be helpful as historical references for providers, but should only be used for historical reference because the content is not up to date. Link to source>>
End-of-life decision-making rarely ends with a clear and stable choice
Researchers at the University of Melbourne, Australia, interviewed terminally ill patients and their families about their preferences for place of care and place of death. Their study, published in Palliative Medicine, highlighted the importance and complexities of end-of-life discussions. Katrin Gerber, PhD, and colleagues found that end-of-life decision-making was characterized by uncertainty, which related to the illness, the caregiver, and the services. Link to source (subscription required)>>These uncertainties made it extremely difficult to form clear and stable choices, and underscored the need for continuous discussions between patients, families, and care providers, the authors concluded. Link to source>>
Researchers at the University of Melbourne, Australia, interviewed terminally ill patients and their families about their preferences for place of care and place of death. Their study, published in Palliative Medicine, highlighted the importance and complexities of end-of-life discussions. Katrin Gerber, PhD, and colleagues found that end-of-life decision-making was characterized by uncertainty, which related to the illness, the caregiver, and the services. Link to source (subscription required)>>These uncertainties made it extremely difficult to form clear and stable choices, and underscored the need for continuous discussions between patients, families, and care providers, the authors concluded. Link to source>>
CAPC webinar details research on palliative care perceptions
The Center to Advance Palliative Care (CAPC) will present a webinar titled “Briefing: Key Findings on the Perceptions of Palliative Care” on August 8, 2019, at 2 p.m. Eastern. CAPC Director Diane E. Meier, MD, FACP, FAAHPM, and Lisa Morgan, chief of marketing and communications at the center, will present the program about qualitative and quantitative research that the center is conducting, which will assess awareness, perceptions, attitudes, and interest in palliative care. Dr. Meier is a Senior Associate Editor of Journal of Palliative Medicine. Link to source>>
The Center to Advance Palliative Care (CAPC) will present a webinar titled “Briefing: Key Findings on the Perceptions of Palliative Care” on August 8, 2019, at 2 p.m. Eastern. CAPC Director Diane E. Meier, MD, FACP, FAAHPM, and Lisa Morgan, chief of marketing and communications at the center, will present the program about qualitative and quantitative research that the center is conducting, which will assess awareness, perceptions, attitudes, and interest in palliative care. Dr. Meier is a Senior Associate Editor of Journal of Palliative Medicine. Link to source>>
Aetna and nonprofit partner to bring patients EOL videos
The insurer Aetna will pilot a program to bring videos about end-of-life issues to members in three states: Pennsylvania, Maine, and Illinois. The nonprofit Advance Care Planning Decisions, of Waban, MA, will provide the videos, which are available in 22 languages. Angelo Volandes, MD, and his wife, Aretha Delight Davis, MD, JD, created the videos to help patients decide about end-of-life issues. Aetna and ACP Decisions will monitor hospice use, inpatient admissions, and advance directives to measure the program’s success. Link to source>>
The insurer Aetna will pilot a program to bring videos about end-of-life issues to members in three states: Pennsylvania, Maine, and Illinois. The nonprofit Advance Care Planning Decisions, of Waban, MA, will provide the videos, which are available in 22 languages. Angelo Volandes, MD, and his wife, Aretha Delight Davis, MD, JD, created the videos to help patients decide about end-of-life issues. Aetna and ACP Decisions will monitor hospice use, inpatient admissions, and advance directives to measure the program’s success. Link to source>>
High school students grant hospice patients’ wishes
DreamCatchers Foundation is a national organization that works with high school or college clubs to fulfill hospice patients’ last wishes. The students raise the money to provide the dream. At Del Norte High School in San Diego, CA, the DreamCatchers chapter has been busy granting the last wishes of hospice patients, whether they involve a visit with a Disney princess, or a helicopter ride over their hometown, a dream recently fulfilled by a patient at Elizabeth Hospice, which has four locations in the San Diego area. Link to source>>
DreamCatchers Foundation is a national organization that works with high school or college clubs to fulfill hospice patients’ last wishes. The students raise the money to provide the dream. At Del Norte High School in San Diego, CA, the DreamCatchers chapter has been busy granting the last wishes of hospice patients, whether they involve a visit with a Disney princess, or a helicopter ride over their hometown, a dream recently fulfilled by a patient at Elizabeth Hospice, which has four locations in the San Diego area. Link to source>>
Palliative intervention benefits ICU staff and patients’ families
The 3 Wishes Project (3WP) positively influences patients’ family members and ICU team members by enabling meaningful care at the end of life, according to a mixed-methods study published in Journal of Palliative Medicine. 3WP is a palliative care intervention in which ICU clinicians ask about and implement dying patients’ final wishes. The study’s lead author, Thanh H. Neville, MD, MSHS, at the David Geffen School of Medicine at the University of California, Los Angeles, joined co-authors in describing the study, which was conducted at a 24-bed medical ICU in an academic medical center. Nearly 100 clinicians and 67 decedents and their families participated.
The 3 Wishes Project (3WP) positively influences patients’ family members and ICU team members by enabling meaningful care at the end of life, according to a mixed-methods study published in Journal of Palliative Medicine. 3WP is a palliative care intervention in which ICU clinicians ask about and implement dying patients’ final wishes. The study’s lead author, Thanh H. Neville, MD, MSHS, at the David Geffen School of Medicine at the University of California, Los Angeles, joined co-authors in describing the study, which was conducted at a 24-bed medical ICU in an academic medical center. Nearly 100 clinicians and 67 decedents and their families participated.
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