News

“Thank you” goes both ways

What a beautiful post! ‘Thank you’ is reciprocal, but no matter, it is nice to hear!

Hospice Matters

by Andrea Powell, HPCCR Marketing Manager

thank you 2014At Hospice & Palliative Care Charlotte Region, we get thank you notes every day. They are beautiful, heartfelt expressions of gratitude, written by loved ones, and reading them makes our job a whole lot easier. I’ve said before that caring for patients at end of life is a calling for our clinicians, but that’s not to say it doesn’t take a toll emotionally. We have hearts. We get attached to patients too. And saying goodbye isn’t easy for us either. But reading these notes keeps us going. The words on the paper make us realize that what we do is special. Meaningful. And always appreciated. Here are just a few tidbits:

From a niece: “I did not have a positive experience with hospice care during the loss of my father in Virginia and was somewhat skeptical about hospice care here for my aunt…

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News

Signs Of A Successful Person

Kelly, this is a great post of an individual who is very motivated! I am sure that not all those seeking employment are this motivated or open to feedback. If one isn’t so motivated or open to feedback-can this be changed? If an individual is slightly receptive, how do you engage them in a discussion?

Employment Counselling with Kelly Mitchell

Back in late 2014, one of my co-workers shared with me that she had been applying for internal jobs in our organization, hoping to move from the ranks of permanent part-time to permanent full-time. This week she shared with me the news that she has successfully landed a full-time position, and how she went about it might provide you with an example if you are in a similar position.

When I first heard she was looking for employment, I asked her how things were going in order to get an idea of whether or not an offer of help would be appropriate or not from me personally. As it turns out, she mentioned that while she was getting some interviews, she would invariably not do well in the interviews themselves; sometimes wondering if she was saying too much, perhaps not really answering the question, and her anxiety coming through. Bazinga!…

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Healthcare, ICU

The ICU of the Future

Yesterday I had dinner with Carles Calaf and Victor Úbeda, and we were talking about the future with a couple of beers. Philosophy of bar and brainstorming: probably the most creative combination.

How will be the ICU of the Future? As we have thought before, for me it is clear: centered in persons and to prevent disease.

The amazing technological developement is helping exponentially to improve the care of patients. Remember that not so long ago it was impossible to think that everyone would have a computer in the pocket, appliances, and design engineer is enabling health professionals to work in a more efficient way. And there our positions are logically coupled: technology help us and should be at the service of people. The ICU of the future is already here, and we are designing it.

But, what do people want? The best possible management with the most advanced technology at their service.

Secondly, in times of immediacy, where every year we change our phones simply by being the last, we are served.

What about first? From the IC-HU Project, we see an improvement that should be guided by researching. Many of our goals are qualitative, so we will have to think how to quantify them so that those results which we hope will also fix managers numbers.

It is no coincidence that in recent weeks we are looking for psychologists to integrate them to the research team, as it is not casual that they are connecting us spontaneously to join the paradigm shift. In fact, multidisciplinary work as in hackathon in medicine is landing.

In any case, you do not believe that we have invented the wheel. Reminding us last week, De Tots Els Colors shared a speech from 1931 by Dr. Edward Bach about how the hospital of the future would be for him, and he was not very wrong:

“It will be a sancturary of peace, hope, and joy. No hurry, no noise entirely devoid of all the terrifying apparatus and appliances of today: free from the smell of antiseptics and anaesthetics: devoid of everything that suggests illness and suffering.

… The patient will seek that refuge, not only to be relieved of his malady, but also to develop the desire to live a life more in harmony with the dictates of his Soul than had been previously done.


The physician of tomorrow will realise that he of himself has no power to heal, but that if he dedicates his life to the service of his brother-men; to study human nature so that he may, in part, comprehend itsmeaning; to desire wholeheartedly to relieve suffering, and to surrender all for the help of the sick; then, through him may be sent knowledge to guide them, and the power of healing to relieve their pain. And even then, his power and ability to help will be in proportion to his intensity of desire and his willingness to serve.
He will have no interest in pathology or morbid anatomy; for his study will be that of health.

He will have to be able, from the life and history of the patient, to understand the conflict which is causing disease or disharmony between the body and Soul, and thusenable him to give the necessary advice and treatment for the relief of the sufferer.

The treatment of tomorrow will be essentially to bring four qualities to the patient:

First, PEACE: secondly, HOPE: thirdly, JOY: and fourthly, FAITH.”

Ladies and gentlemen, Tomorrow is now.

What can you do Today? Because things we do now are building the ICU of the Future.

By Dr. Gabi Heras, ICU physician

*Re-posted with permission.

Original can be found at: http://www.humanizingintensivecare.com/2015/02/the-icu-of-future.html

News

Why does Papa act this way?

Alzheimer’s—-not easy to understand for children or grandchildren. This article may help!

Jill's Experiences with Mental Health , Stigma, Alzheimer's Disease, Grief & Grieving & serenade2seniors

Alzheimer’s is not easy to cope with, and it became difficult to reply to the barrage of questions asked by my grandchildren who wanted to know why their Papa acted the way he did. I thought long and hard in order to come up with a reasonable explanation, then this is what I said:

‘Your Papa has an illness called Alzheimer’s and that makes him act the way he does. It’s a bit like having a broken leg, you know. But with Papa, a small piece of his brain is broken and doesn’t work the way it should. Because of this, he can’t remember what you told him yesterday. Because of this, he forgets how to use the television remote. Because of this, he often falls asleep when you are in the middle of telling him something important. Because of this, he forgets people’s names. BUT, the part of Papa’s…

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Healthcare, News

I am your Doctor and this is my Humble Opinion

What is it like to be your primary care physician? How do day-to-day pressures, concerns and unfolding developments impact the one who looks after your health and wellbeing? What does your doctor feel about the responsibilities and nagging questions that are an integral part of every waking hour? What is it like to know that each routine decision is potentially life-altering to your care? Who cares about your future medical care?

Jordan Grumet’s writing builds an insider’s level of understanding. His unique delivery is simple and eloquently succinct. His potential audience is at a critical juncture in medical-political development, particularly in the United States, and his impactful prose is already vitally felt by a growing number of readers. The timing is optimal for Jordan’s writing to be published as a widely accessible collection of stories and essays.

Reverent dedication to quality diagnostic care permeates his writing and motivates Jordan to share from the head and heart. Each new essay challenges his readers to think and feel, taking on the varying perspectives of his challenging, endearing and beloved patients, and of family members of the ill or dying. Jordan’s words deepen our understanding of the unwelcome, or sometimes welcome, arrival of Death.

Jordan opines from experience, while he illustrates doctor-patient relations; doctor-colleague conduct and cooperation; and the impact that exponentially increasing forms, restrictions, technology and time commitment have on the delivery of quality care to patients. You and I and all of those in the medical system feel the impact of this government- and insurance-driven regulatory environment. More and more physicians are shutting down, opting out or simply struggling to juggle the burden of imposed digital and paper requirements, while their expertise is in medicine. Quality medical care, based on face-to-face doctor-patient relationship building, is lagging as a result. Jordan Grumet delivers this news powerfully and persuasively. His ability to do so is both timely and important.

Married with two children, he sometimes includes family members in descriptions of his daily life and medical practice. In one essay, Jordan relates how his son’s birth reawakens a depth of feeling that he previously guarded tightly as protection from the emotional impact of his work. In story after short story, Jordan reveals to us just how he is able to channel a full range of emotions, healthily and consciously, into his daily interactions.

To whom does Jordan’s writing appeal? Doctors, nurses and ancillary support workers all relate strongly to his descriptions of the front lines of medical care. Lay people who care about the future of their own medical needs, and all who’ve felt the benefits of kindly delivered care, resonate with his words. These various reading audiences either nod knowingly, based on their own similar experiences, or burst into tears as they “get it” that a physician is called to devote such an ample measure of body, heart and soul to their compassionate care.

Humility. Naked self-assessment. Doubt. Surety. Wonder. Devotion. A peek inside.
by Dr. Jordan Grumet
*Re-published with permission. Original can be found at: http://jordan-inmyhumbleopinion.blogspot.ca/
News

OHSU prepares students for end-of-life care conversations with terminal patients | OregonLive.com

What a great idea! Medical students to interact and have a dialogue with patients that are palliative or diagnosed with a terminal illness.

“Specialists are so focused on disease,” Samuels said. “We had to argue not to do further procedures. We had to argue for palliative care.”

Loss, Grief, Bereavement and Life Transitions Resource Library

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