Palliative Pearls

A Poem of Renewal

A Poem of Renewal

The short and rainy days of December can dampen spirits. We appreciate all you do to help patients despite heavy workloads and busy waiting rooms. Wishing you peace and renewal over the holidays!

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DNAR Not Required

DNAR Not Required

It can be hard to bring up “hospice” but it doesn’t have to feel like giving up. 

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The “H” Word

The “H” Word

It can be hard to bring up “hospice” but it doesn’t have to feel like giving up. 

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Time to Dust Off the Surprise Question

Time to Dust Off the Surprise Question

We are seeing more patients who are referred too late to benefit fully from hospice care. The surprise question is simple: “Would you be surprised if this patient died within the next year?” A “No” answer from a medical provider is more predictive than other...

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It Takes Time

It Takes Time

Many interventions have a time to benefit interval. As people age they may not have time to benefit from some preventative measures. Keeping Hgb A1c less than 7 takes 8 years for most patients to prevent dialysis and retinopathy. This tool from UCSF can help put some...

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