Do Not Hospitalize orders for nursing home residents with advanced dementia
by: Alex Smith @alexsmithMD Advanced dementia is a terminal illness needing palliative care. Unfortunately, there is a great divide between this…
ePrognosis: What are the Next Steps
by: Alex Smith @alexsmithmd We need your help. We’ve come a long way with ePrognosis, our online and now mobile…
Adding Prognosis to Cancer Screening Decisions: The ePrognosis Cancer Screening App
The goal of cancer screening is to identify asymptomatic cancer well before it causes symptoms or death. This means that…
Dumb Policy: 3-Night Hospital Requirement for Medicare SNF
by: Alex Smith @AlexSmithMD The patient was elderly and was hospitalized for a COPD exacerbation. Fortunately, her breathing problems were…
A Fascinating Case Over Who Has the Right Over The Remains of a Loved One
On June 12, Betty Jean Collins of Warsaw, Missouri, executed a Durable Power of Attorney for Health Care Choices (DPOA-HC)…
Outcomes of In-Hospital CPR: Not as Rosy as Some May Say
Back in March, the New England Journal of Medicine (NEJM) published a study of long-term outcomes among survivors of in-hospital…
Community Health Workers: Key to Reducing Disparities in End-of-Life Care
Despite recent attention, dying in the United States is a complex and often suboptimal experience for patients and providers alike…
Cancer Screening in Persons With Dementia. Just Stop It. Please.
Cancer Screening is of little benefit in persons with dementia but can cause very serious harms. Older persons with…
A Hospice Nurse’s Experience of Assisted Suicide
by: Amy Getter, RN, MS. is a Hospice nurse who delivers care to the dying. Stories about hospice care at…