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Palliative Pearls

Revisiting Advanced Care Planning

February 2020 – Use the 6 D’s to trigger follow-up conversations with a surrogate decision-maker and to update POLST and living will. Review goals and documents Decade: every ten years (some a...

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A Favorite Recipe for Dry Mouth

January 2020 – Providing end-of-life mouth care is a high priority at Hospice of the Northwest. Mix together: 15 ml coconut oil 15 ml water 15 ml alcohol free mouthwash Apply a small amount to d...

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Grief Support

December 2019 – Grief counselling is available to the community at large from Hospice of the Northwest. Any member of our community can use Hospice of the Northwest for grief support. We offer b...

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A Moment for Reflection

November 2019 – All of us have special people in our lives who have loved us into being.  Take just 10 seconds to think about all of the people who have helped you become who you are, those who...

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What Care Would I Want if I Develop Dementia?

October 2019 – There are now advance directives designed to change as dementia progresses and goals of medical care change. A simple version that provides good overall guidance is available as a...

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One minute functional assessment in advanced COPD

September 2019 – Showering often becomes the most difficult physical exertion in these patients. Asking one of the following questions can quickly help assess whether a patient may be hospice el...

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NO CODE not necessary!

August 2019 – DNAR is NOT a prerequisite to hospice admission. Most patients admitted to hospice as “Full Code” transition to “Do Not Attempt Resuscitation” while receiving hospice care....

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How Long Has She Got, Doc?

July 2019 – Helping families understand a timeline for elders with dementia can relieve suffering and help with planning. Dementia Mitchell Mortality Risk Index Score Points/Risk factor 1.9 Comp...

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Beware of the F word – “Futility”

June 2019 – We find “Futility” is not a useful term when discussing treatment options. It is not well defined and tends to be inflammatory. It can mask value judgments by clinicians It can p...

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Isopropyl Alcohol for Nausea

May 2019 – Another new study showed inhaled isopropyl alcohol significantly reduced nausea, this time in patients in the ED. Several studies have shown inhaled isopropyl alcohol can provide rapi...

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