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What do you recommend for course and question bank for MOC for
#hpm boards?#palliativecare#palliativeHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Riding 45 miles to help relieve patient suffering and improve QOL
#hpm#palliativecare https://give.roswellpark.org/site/TR/SpecialEvents/General?px=1277528&pg=personal&fr_id=1560 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
We are going to pursue this...Esketamine Nasal Spray + Oral Antidepressant Treatment effective for Relapse Prevention for Treatment-Resistant Depression: A Randomized Clinical Trial.
#hpm#pain#pallonc#palliative#palliativecare#ketamine#depressionhttps://www.ncbi.nlm.nih.gov/labs/pubmed/31166571-efficacy-of-esketamine-nasal-spray-plus-oral-antidepressant-treatment-for-relapse-prevention-in-patients-with-treatment-resistant-depression-a-randomized-clinical-trial/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
We are studying palliative inoperable MBO! Our RR of 68 pts- “triple therapy” group of octreotide + reglan + dexamethasone had statistically sig, 9 x more likely deobstrucrion with no GI perf. Publication pending.
#hpm#pallonc#palliative#PalliativeCarehttps://www.ncbi.nlm.nih.gov/labs/pubmed/24798105-recommendations-for-bowel-obstruction-with-peritoneal-carcinomatosis/?from_term=malignant+bowel+obstruction&from_page=1&from_pos=6 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
#Cannabis for Chronic Neuropathic Pain in Adults-Cochrane review-Cannabis achieved 50% or greater pain relief vs placebo; limited data on safety & adverse effects#cannabismedicinal#medicalmarijuana#hpm#palliative#pain#PalliativeCarehttps://www.ncbi.nlm.nih.gov/labs/pubmed/29513392-cannabis-based-medicines-for-chronic-neuropathic-pain-in-adults/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
#Ketamine for Intractable Chronic Pain: 2015 RR in 2015 of 51 Patients. Pain was reduced or abolished in 2/3 of patients; ketamine was effective for patients taking opioids & resulted in few adverse effects.#hpm#pallonc#pain#PalliativeCare#palliativehttps://www.ncbi.nlm.nih.gov/labs/pubmed/25381898-efficacy-and-safety-of-oral-ketamine-for-the-relief-of-intractable-chronic-pain-a-retrospective-5-year-study-of-51-patients/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Rectal Enema of Bupivacaine in Cancer Patients With Tenesmus Pain -Administration of 100 mg bupivacaine as a rectal enema is safe and provides effective analgesia
#hpm#pallonc#PalliativeCare#palliativehttps://www.ncbi.nlm.nih.gov/labs/pubmed/31354333-rectal-enema-of-bupivacaine-in-cancer-patients-with-tenesmus-pain-case-series/?from_term=Ketamine+pain&from_sort=date&from_page=2&from_pos=1 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Ketamine for Cancer Pain Review of Evidence: 4 RCTs of ketamine for opioid refractory cancer pain. None showed clinically relevant benefit in relieving pain or reducing opioid consumption.
#PalliativeCare#pallonc#hpm#pain#palliativehttps://www.ncbi.nlm.nih.gov/labs/pubmed/28306568-ketamine-for-cancer-pain-what-is-the-evidence/?from_term=Ketamine+pain&from_pos=1 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Additional Hydromorphone & Buprenorphine effective for acute pain in Buprenorphine-maintained Individuals.
#hpm#pallonc#opioid#pain#palliative#PalliativeCarehttps://www.ncbi.nlm.nih.gov/labs/pubmed/30418214-analgesic-effects-of-hydromorphone-versus-buprenorphine-in-buprenorphine-maintained-individuals/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Hospitalists were randomized half to receive EHR alerts for goals of care conversations, as well as communication coaching- improved readmission rate and reduced inpatient deaths
#hpmhttps://www.ncbi.nlm.nih.gov/labs/pubmed/31422103-pilot-study-to-improve-goals-of-care-conversations-among-hospitalists/?from_term=Palliative&from_sort=date&from_page=3&from_pos=7 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Characteristics of Physicians Who Prescribe Opioids for Chronic Pain- Most physicians had high levels of dissatisfaction. Physicians reported high awareness of opioid misuse & were concerned about inadequate prior training in pain management.
#hpm#pallonchttps://www.ncbi.nlm.nih.gov/labs/pubmed/31413625-characteristics-of-physicians-who-prescribe-opioids-for-chronic-pain-a-meta-narrative-systematic-review/?from_term=Non+medical+opioid+use&from_sort=date&from_page=2&from_pos=4 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Amy Allen Case MD, FAAHPM proslijedio/la je Tweet
Courageous leadership is a practice. We have great free downloads and resources on our Dare to Lead hub. Stay brave, awkward, and kind. https://daretolead.brenebrown.com/ pic.twitter.com/7JZOdclM11
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
I listen to people’s stories for a living.
#hpmHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Do you screen for testosterone deficiency in patients on long term opioids due to cancer pain, and how often?
#hpm#palliative#PalliativeCareHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Amy Allen Case MD, FAAHPM proslijedio/la je Tweet
Methadone as first line opioid for cancer pain results in lower dose and less need for opioid rotation
#hpm http://bit.ly/2vc2hQpHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Inpatient PCC reduces 30-day readmissions and inpatient mortality with the greatest impact demonstrated within six days of hospital admission.
#hpm#PalliativeCare#palliativehttps://www.ncbi.nlm.nih.gov/labs/pubmed/30547715-timing-of-palliative-care-consultation-and-the-impact-on-thirty-day-readmissions-and-inpatient-mortality/?from_single_result=Timing+of+Palliative+Care+Consultation+and+the+Impact+on+Thirty-Day+Readmissions+and+Inpatient+Mortality …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Amy Allen Case MD, FAAHPM proslijedio/la je Tweet
200 advanced cancer pts were referred to outpatient supp care a median of 10.3 months before death: 72% perceived that referral occurred "just in time," 21% "late" and 7% "early."83% found the referral useful, and 88% would recommend it to other patients http://www.ncbi.nlm.nih.gov/pubmed/31029808
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Amy Allen Case MD, FAAHPM proslijedio/la je Tweet
Time’s always moving on; nothing can stop it. We can’t change the past, but we can still learn from it. And we can shape the future, creating a more peaceful era, by adopting a realistic approach, recognising that the more compassionate you are, the more you’ll find inner peace.
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
RCT of ACP patient education videos for surgical oncology care-no change in ACP outcomes/communication. Evidence exists that robust palliative care programs affect outcomes; education alone has consistently fallen short.
#hpm#Palliative#pallonchttps://www.ncbi.nlm.nih.gov/labs/pubmed/30964385-integrating-advance-care-planning-videos-into-surgical-oncologic-care-a-randomized-clinical-trial/?from_term=Palliative&from_sort=date&from_page=5&from_pos=1 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Amy Allen Case MD, FAAHPM proslijedio/la je Tweet
What’s
#qualityoflife mean to YOU?? ... My April#cartoon for@JPSMjournal !#hpm#QOLpic.twitter.com/ImDySWao5v
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
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indie & jazz
, Indian food, seek yin to my yang 