Online Resources
PainAwareness.org A comprehensive resource that offers an array of knowledge and tools to
practitioners interested in furthering their understanding about pain
and pain management. Learn More >>
PalliativeDoctors.org
A new service for consumers
from American Academy of Hospice and Palliative
Medicine (AAHPM). Learn More >>
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Education for Patients & Families
Yale
Prostate Cancer Symposium October 3; 9:00am - 12:30pm A free program for patients and their
families presented by Yale Cancer Center. For reservations, please call (888)
700-6543. Learn More >>
Hope,
Not Fear October 8; 8:30am - 3:00pm Breast Cancer patients,
survivors, and the general public are invited to learn more about the
detection, treatment, and prevention of breast cancer. For reservations, please
call (888) 700-6543. Learn More >>
Understanding Cancer Lecture Series October 14; 6:00pm -
8:00pm Breast
Cancer, Nutrition and Exercise Learn More >>
November 10; 6:00pm -
8:00pm Cost
of Cancer Learn More >>
Yale-New Haven Hospital East Pavilion
Cafeteria. For reservations,
please call 888-900-6543.
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Meetings & Continuing Education
Yale Schwartz Center Rounds 9th floor East
Pavilion conference room
October 12; 12:00pm"Patient
dying while waiting for a transplant"Learn More >>
November 2; 12:00pm"Substance
abuse-The noncompliant patient"Learn More >>
September 30; 4:00pm - 6:30pm Integrative Medicine
Meeting Ayurveda:
Traditional Medicine of India: an Overview. Brady Auditorium,
Lauder Hall, 310 Cedar Street
Connecticut December 3; 8:30am - 3:30pm Connecticut Cancer Partnership Annual Meeting. Keynote speaker: Dr. Thomas
Lynch, Jr. Yale's West Campus [Registration information coming next month]
Elsewhere October 9-11; Cambridge,
MA Practical Aspects of
Palliative Care: Integrating Palliative Care into Clinical Practice. (CME) Learn More >>
October
21; Publick House in Sturbridge, MA 8:00am - 12:00pm Medical Orders for Life Sustaining
Treatment (MOLST), Massachusetts Pain Initiative quarterly
meeting. (CME,
CNE, CSWE) Learn More >>
November 6-8, 2009; Dana Farber Cancer InstituteCancer Survivorship for Clinicians: Helping Survivors Live Well Beyond Cancer (CME) Learn More >>
November 9, 2009; Beth Israel Medical Center Symposium:
Emerging Practices in Pain Medicine and Palliative Care: Advances in Nursing.
Learn More >>
Online November 2009 Oncology Nursing Society (ONS) Virtual
Meetings for Fall 2009: Institutes of Learning and Advance Practice Nurses meetings. (CNE)
Learn More >>
November 3, 2009 Changing the Way Palliative Care Teams Get Things
Done. "Warning: This session will create a dramatic shift in how you and your
team diagnose and solve problems." CAPC
Audioconference. Learn More >>
Breakthrough
Pain (Pain.org; CME;CNE)
Learn More >>
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September 2009 Volume 3 � No 9
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The Children's Place
By Guest Author Luis Gonzalez, The Connecticut Hospice
The Connecticut Hospice has had a dedicated pediatric palliative and
hospice program in both home care and in the hospice hospital since 1986. Over the past two decades, the Connecticut Hospice has cared for several
hundred pediatric patients and their families presenting with a wide variety of
diseases and ranging in age from infants to teenagers. Children with AIDs, anencephaly, congenital heart defects, cancer, and neuromuscular
diseases, among others have all received services through our program.
Our pediatric program is led by a pediatric
oncologist and includes a full interdisciplinary team, including the arts, bereavement,
and the "Rockers" (a volunteer group who rock young children in rocking chairs
around the clock when they are hospitalized in our hospital hospice). It should be noted that the "Rockers"
received an award from the American Hospice Association in the late 1980's for
their selfless work with infants.
We typically have several severely ill children in our
hospice hospital on a yearly basis and more children in our home care program
on a monthly basis. Our experience
with our pediatric program suggests that the intensity of our care, both
medical and psychosocial, has led to longer survival times than originally
prognosticated. We have had
several experiences where infants survived for nearly a year with severe neural
defects.
For more information, please contact Luis M. Gonzalez at
(203) 315-7502 or The Connecticut Hospice.
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In the News
Caring Connections Teams with Google Health™ The
National Hospice and Palliative Care Organization's (NHPCO) Caring Connections, and Google Health™ have come together to increase the
availability and accessibility of advance care planning
information and resources online. Learn More >>
A new feature on Google Health™
allows users to download a free, state-specific advance directive and store the
scanned documents securely online. (From CAPC eNews) Learn More >>
Dannemiller Foundation
Dannemiller Foundation announces
new nonpharma-funded continuing education resource for nurse practitioners. Learn More >>
Health
Care Reform and Death Article
written for Internet newspaper Huffington
Post by Yale School of Medicine and Yale Law School faculty members.
Read More >>
Prolonging
Death at the End of Life New York
Times article by Oncology nurse Theresa Brown, RN Read More >>
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Health Promotion: Tip of the Month
Oral Calcium Supplements
Oral calcium supplements are not well absorbed in doses
greater than 500 mg per dose. So
for many women needing 1000 mg I recommend they split the timing -
500 mg midday, 500 mg at night. Individuals need a good routine to
remember the schedule. Many women
are also on thyroid meds, which are best taken in the AM when fasting. Calcium can reduce the effect of
the thyroid dose, so saving the calcium for later in the day is a better
strategy. Of course, I like to limit supplements to one 500 mg pill and make
the rest up in food - better absorption, fewer pills. Consume 4 oz
calcium-fortified orange juice, 8 oz organic skim milk (what you add to coffee
counts!) 8 oz yogurt, 1 oz cheese: it adds up to got 1000 mg!
This month's Tip provided by: Maura Harrigan, RD, of the Connecticut
Challenge Survivorship Clinic.
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Journal Watch
Bakitas M, et al. Effects of a palliative care
intervention on clinical outcomes in patients with advanced cancer: the Project
ENABLE II randomized controlled trial. JAMA.
2009 Aug 19;302(7):741-9.
Read More >>
Caraceni
A, et al. Update on cancer
pain guidelines. J Pain Symptom Manage. 2009
Sep;38(3):e1-3.
Read More >>
Hurria
A, et al. Distress in older
patients with cancer. J Clin Oncol. 2009 Sep
10;27(26):4346-51.
Read More >>
Nelson
CJ, et al. The chronology of distress, anxiety, and depression in older prostate cancer patients. Oncologist. 2009;14(9):891-899.
Read More >>
Mystakidou K, et al. Self-efficacy beliefs and levels of
anxiety in advanced cancer patients. Eur J
Cancer Care. 2009 Jul 29. Read More >>
Quill TE, et al. Discussing treatment preferences with
patients who want "everything." Ann Intern Med. 2009 Sep
1;151(5):345-9.
Read More >>
Back AL, et al. Compassionate silence in the patient-clinician encounter: a contemplative approach. J
Palliat Med. 2009 Aug 21. Read More >>
Levy MH, et al. NCCN clinical practice guidelines in
oncology: palliative care. J Natl Compr Canc Netw. 2009
Apr;7(4):436-73.
Read More >>
Savard J, et al. Prevalence, natural course, and risk factors of insomnia comorbid with cancer over a 2-month period. J Clin Oncol. 2009 Sep 8. Read More >>
Hoffman
KE, et al. Psychological
distress in long-term survivors of adult-onset cancer: results from a national
survey. Arch Intern Med. 2009 Jul
27;169(14):1274-81.
Read More >>
Alkner
S, et al. Tamoxifen reduces the risk of
contralateral breast cancer in premenopausal women: Results from a controlled
randomised trial. Eur J Cancer. 2009 Sep;45(14):2496-502.
Read More >>
Droney J, Riley J. Recent
advances in the use of opioids for cancer pain. Journal of Pain Research. Sep 2009. Read More >>
Homsi J, et al. A Comparative Study of 2 Sustained-Release Morphine Preparations for
Pain in Advanced Cancer. Am J Hosp Palliat Care.
2009. Read More >>
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