Pub Date : 2023-12-08DOI: 10.1177/10499091231221204
Yoo Jeong Lee, In Cheol Hwang, Youn Seon Choi, Hong Yup Ahn, Eun Jeong Lee, Da Eun Kim
Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into “Good,” “Moderate,” or “Poor” groups based on OHAT scores. The Kaplan-Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The “Poor” group had a shorter survival than the “Good” oral group ( P = .010). A multivariate Cox proportional hazards analysis revealed that the “Poor” group was significantly associated with poor survival compared to the “Good” group (hazard ratio, 2.05; P = .047). Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival.
{"title":"Association Between Oral Health Status and Survival Time in Terminally Ill Cancer Patients","authors":"Yoo Jeong Lee, In Cheol Hwang, Youn Seon Choi, Hong Yup Ahn, Eun Jeong Lee, Da Eun Kim","doi":"10.1177/10499091231221204","DOIUrl":"https://doi.org/10.1177/10499091231221204","url":null,"abstract":"Patients with terminal cancer often experience various oral problems. Whether oral health status is associated with the survival of terminally ill cancer patients receiving palliative care remains unclear. We analyzed the data of 59 Korean patients with terminal cancer receiving palliative care, including their oral health status, using a modified Korean version of the Oral Health Assessment Tool (OHAT). Patients were categorized into “Good,” “Moderate,” or “Poor” groups based on OHAT scores. The Kaplan-Meier method was used to compare the median survival time, and the prognosis between groups was estimated using Cox proportional hazard models. The most common oral symptoms observed were xerostomia (69.5%) and mucositis (17.0%). Significantly shorter survival times were observed in patients with hyperbilirubinemia, elevated creatinine levels, and no use of dentures. The “Poor” group had a shorter survival than the “Good” oral group ( P = .010). A multivariate Cox proportional hazards analysis revealed that the “Poor” group was significantly associated with poor survival compared to the “Good” group (hazard ratio, 2.05; P = .047). Terminally ill cancer patients with poor oral health may have a higher risk of shorter survival. Palliative care professionals should pay attention to oral health. Further research is needed to determine the effects of oral care on survival.","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"88 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138586797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-01-01DOI: 10.1177/104990910602300113
Shirley, S. Travis, S. Moore, Pamala D. Larson, Kathy, Egan, C. Kassner, J. Kutner, M. Twaddle, Michael E. Preodor, K. Neely, Jeanne M. Martinez
WRIGHT, LEONARD D., MD, DABMA: Pain and symptom management. The use of motion sickness bands to control nausea and vomiting in a group of hospice patients. January/February 2005; 22(1): 49-53. YE, XIANG Y., MS: Spiritual well-being as a dimension of quality of life for patients with advanced cancer and AIDS and their family caregivers: Results of a longitudinal study. September/October 2005; 22(5): 349362. (Joint authors: Calabrese, M.; Gatto, M.; McSherry, C.; Parkas, V.; Sherman, D. W.)
WRIGHT, LEONARD D, MD, DABMA:疼痛和症状管理。在一组临终关怀病人中使用晕动带控制恶心和呕吐。2005年1月/ 2月;22(1):调查。叶向阳，MS .:精神健康作为晚期癌症和艾滋病患者及其家庭照顾者生活质量的一个维度:一项纵向研究的结果。9月/ 2005年10月;22(5): 349362。(联合作者:卡拉布雷斯，M.;与m;McSherry c;大衣,诉;谢尔曼，d.w.)
{"title":"2005 Cumulative subject index","authors":"Shirley, S. Travis, S. Moore, Pamala D. Larson, Kathy, Egan, C. Kassner, J. Kutner, M. Twaddle, Michael E. Preodor, K. Neely, Jeanne M. Martinez","doi":"10.1177/104990910602300113","DOIUrl":"https://doi.org/10.1177/104990910602300113","url":null,"abstract":"WRIGHT, LEONARD D., MD, DABMA: Pain and symptom management. The use of motion sickness bands to control nausea and vomiting in a group of hospice patients. January/February 2005; 22(1): 49-53. YE, XIANG Y., MS: Spiritual well-being as a dimension of quality of life for patients with advanced cancer and AIDS and their family caregivers: Results of a longitudinal study. September/October 2005; 22(5): 349362. (Joint authors: Calabrese, M.; Gatto, M.; McSherry, C.; Parkas, V.; Sherman, D. W.)","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"5 1","pages":"73 - 78"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81658627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-11-01DOI: 10.1177/104990910502200603
Results of a national survey appearing in the September 2005 issue of Archives of Surgery indicate that most surgeons lack training in palliative care for cancer patients. Richard J. Bold, MD, and associates at the University of California/ Davis Medical Center surveyed 124 surgeons across the country to determine their experience, training, and attitudes toward palliative surgical management of patients with advanced malignancies. Seventy surveys were returned. “Given the vast differences in recommendations by the surgeons in our sample who were all trying to achieve the same goal,” said Bold, “I think that a standardized curriculum should be developed for educational purposes.” Eighty-four percent of respondents had received no palliative care education during their residencies, while those who did reported a mean length of training of six hours. Excluding seven trainees, slightly more than half of respondents had received additional palliative surgical training through continuing medical education sources. Nonetheless, the median length of career palliative care training was only four hours. With regard to treatment options when provided with four potential clinical scenarios, the respondents chose functional status, expected survival, and potential for pain and symptom relief as factors most influencing palliative treatment decisions. Significantly, no consensus was reached on treatment recommendations in three of the four scenarios. Surgeons who had received training in palliative care were somewhat more likely than other respondents to select surgical palliative interventions for patients in three of the scenarios and were significantly more likely to recommend hernia repair in the fourth scenario. “Education should form the basis of recommendations [for palliative surgical interventions] rather than personal experience,” the authors concluded. (Source: Archives of Surgery, September 2005, pp. 873-880.)
2005年9月出版的《外科档案》上的一项全国调查结果表明，大多数外科医生缺乏对癌症患者进行姑息治疗的培训。加利福尼亚大学/戴维斯医学中心的Richard J. Bold医学博士及其同事调查了全国124名外科医生，以确定他们对晚期恶性肿瘤患者姑息性手术治疗的经验、培训和态度。共收到70份调查问卷。博尔德说:“考虑到我们样本中外科医生的建议存在巨大差异，他们都在努力实现同样的目标。我认为，应该为教育目的制定一套标准化的课程。”84%的受访者在住院期间没有接受过姑息治疗教育，而那些接受过姑息治疗教育的人报告的平均培训时间为6小时。除7名受训人员外，略多于一半的答复者通过继续医学教育来源接受了额外的姑息外科培训。尽管如此，职业姑息治疗培训的中位数长度仅为4小时。当提供四种潜在的临床方案时，关于治疗方案，受访者选择功能状态、预期生存、疼痛和症状缓解的潜力作为最影响姑息治疗决策的因素。值得注意的是，在四种情况中的三种情况下，没有就治疗建议达成共识。在三种情况下，接受过姑息治疗培训的外科医生比其他受访者更有可能为患者选择手术姑息干预，而在第四种情况下，更有可能推荐疝气修复。作者总结道:“教育应该成为[姑息性手术干预]建议的基础，而不是个人经验。”(资料来源:《外科档案》，2005年9月，第873-880页)
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Pub Date : 2005-11-01DOI: 10.1177/104990910502200615
{"title":"Call for manuscripts","authors":"","doi":"10.1177/104990910502200615","DOIUrl":"https://doi.org/10.1177/104990910502200615","url":null,"abstract":"","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"7 1","pages":"477 - 477"},"PeriodicalIF":0.0,"publicationDate":"2005-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79800117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1177/104990910502200515
J. Barnhill
The possibilities of robotic surgery, stem cell research, and cytokine-boosting immunotherapy lurk in the minds of the dying patient. Often first diagnosed in massive hospitals, the patient may have come to equate medical sophistication with blinking hardware. Alongside this battleship of technological possibility sits a sailboat of psychosocial uncertainty. Is the patient depressed? How do we talk to the terminally ill? How do we minister to spiritual needs? How should caregivers care for themselves? How should hope be defined for the dying patient? Can medical sophistication be redefined to include psychosocial and spiritual complexity? Psychosocial Issues in Palliative Care consists of a dozen chapters written by 18 clinicians and researchers, each of whom is accomplished and dedicated to the cause of palliative care. The book is intended to be a useful guide to the care of the dying, and it succeeds. The huge number of listed citations underlines the reality that sophisticated healthcare must include not only blinking machines but also the latest within the realm of the psychosocial. I very much liked the book’s attention to the human being who is sick. For example, one chapter described that, while it is important to recognize cultural differences, the clinician should still explore the person’s individual issues rather than assume that the patient fits neatly into one’s cultural expectation. I was also struck by another chapter’s description of the many ways in which clinicians dodge intimacy. Through the use of, for example, medical jargon or selective attention to dry topics, we avoid the people who are sitting in front of us. I also enjoyed the emphasis on narrative as it applies to the terminally ill. It can be very healing for the patient to integrate his illness into a personal biography. The most pressing reason for the reading of this book is the fact that much psychiatric and psychological morbidity goes untreated in the terminally ill and that much of the treatment comes too late. Some of the delay relates to the complexity of diagnosis. Acute onset of irritability is, for example, common, and the clinician may find it difficult to differentiate adjustment disorders, major depression, delirium, pulmonary embolus, and the effects of a cytokine cascade. The book expertly delineates the efforts that have been made to account for the fact that many symptoms of affective illness overlap with illness behaviors. It also discusses the controversy over whether adjustment disorder is a less severe variant of depression. An alternative theory posits that depression refers to a symptom-based cluster, while adjustment disorder is more functionally based. The authors discuss the possibility that rigid premorbid thinking might reduce the patient’s ability to adapt to the reality of constricting opportunities. Compromised coping might amplify distress and lead to depression. This underlines the importance of not only diagnosing depression but als
{"title":"Book Review: Psychosocial Issues in Palliative Care","authors":"J. Barnhill","doi":"10.1177/104990910502200515","DOIUrl":"https://doi.org/10.1177/104990910502200515","url":null,"abstract":"The possibilities of robotic surgery, stem cell research, and cytokine-boosting immunotherapy lurk in the minds of the dying patient. Often first diagnosed in massive hospitals, the patient may have come to equate medical sophistication with blinking hardware. Alongside this battleship of technological possibility sits a sailboat of psychosocial uncertainty. Is the patient depressed? How do we talk to the terminally ill? How do we minister to spiritual needs? How should caregivers care for themselves? How should hope be defined for the dying patient? Can medical sophistication be redefined to include psychosocial and spiritual complexity? Psychosocial Issues in Palliative Care consists of a dozen chapters written by 18 clinicians and researchers, each of whom is accomplished and dedicated to the cause of palliative care. The book is intended to be a useful guide to the care of the dying, and it succeeds. The huge number of listed citations underlines the reality that sophisticated healthcare must include not only blinking machines but also the latest within the realm of the psychosocial. I very much liked the book’s attention to the human being who is sick. For example, one chapter described that, while it is important to recognize cultural differences, the clinician should still explore the person’s individual issues rather than assume that the patient fits neatly into one’s cultural expectation. I was also struck by another chapter’s description of the many ways in which clinicians dodge intimacy. Through the use of, for example, medical jargon or selective attention to dry topics, we avoid the people who are sitting in front of us. I also enjoyed the emphasis on narrative as it applies to the terminally ill. It can be very healing for the patient to integrate his illness into a personal biography. The most pressing reason for the reading of this book is the fact that much psychiatric and psychological morbidity goes untreated in the terminally ill and that much of the treatment comes too late. Some of the delay relates to the complexity of diagnosis. Acute onset of irritability is, for example, common, and the clinician may find it difficult to differentiate adjustment disorders, major depression, delirium, pulmonary embolus, and the effects of a cytokine cascade. The book expertly delineates the efforts that have been made to account for the fact that many symptoms of affective illness overlap with illness behaviors. It also discusses the controversy over whether adjustment disorder is a less severe variant of depression. An alternative theory posits that depression refers to a symptom-based cluster, while adjustment disorder is more functionally based. The authors discuss the possibility that rigid premorbid thinking might reduce the patient’s ability to adapt to the reality of constricting opportunities. Compromised coping might amplify distress and lead to depression. This underlines the importance of not only diagnosing depression but als","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"68 1","pages":"397 - 398"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77300338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1097/01.DCC.0000522073.50822.c6
admin gizi
We invite unpublished novel, original, empirical and high quality research work pertaining to recent developments & practices in the areas of Computer Science & Applications; Commerce; Business; Finance; Marketing; Human Resource Management; General Management; Banking; Economics; Tourism Administration & Management; Education; Law; Library & Information Science; Defence & Strategic Studies; Electronic Science; Corporate Governance; Industrial Relations; and emerging paradigms in allied subjects like Accounting; Accounting Information Systems; Accounting Theory & Practice; Auditing; Behavioral Accounting; Behavioral Economics; Corporate Finance; Cost Accounting; Econometrics; Economic Development; Economic History; Financial Institutions & Markets; Financial Services; Fiscal Policy; Government & Non Profit Accounting; Industrial Organization; International Economics & Trade; International Finance; Macro Economics; Micro Economics; Rural Economics; Co-operation; Demography: Development Planning; Development Studies; Applied Economics; Development Economics; Business Economics; Monetary Policy; Public Policy Economics; Real Estate; Regional Economics; Political Science; Continuing Education; Labour Welfare; Philosophy; Psychology; Sociology; Tax Accounting; Advertising & Promotion Management; Management Information Systems (MIS); Business Law; Public Responsibility & Ethics; Communication; Direct Marketing; E-Commerce; Global Business; Health Care Administration; Labour Relations & Human Resource Management; Marketing Research; Marketing Theory & Applications; Non-Profit Organizations; Office Administration/Management; Operations Research/Statistics; Organizational Behavior & Theory; Organizational Development; Production/Operations; International Relations; Human Rights & Duties; Public Administration; Population Studies; Purchasing/Materials Management; Retailing; Sales/Selling; Services; Small Business Entrepreneurship; Strategic Management Policy; Technology/Innovation; Tourism & Hospitality; Transportation Distribution; Algorithms; Artificial Intelligence; Compilers & Translation; Computer Aided Design (CAD); Computer Aided Manufacturing; Computer Graphics; Computer Organization & Architecture; Database Structures & Systems; Discrete Structures; Internet; Management Information Systems; Modeling & Simulation; Neural Systems/Neural Networks; Numerical Analysis/Scientific Computing; Object Oriented Programming; Operating Systems; Programming Languages; Robotics; Symbolic & Formal Logic; Web Design and emerging paradigms in allied subjects. ABSTRACT A question that seems to be popping up more and more in the minds of recruiters and general HR leadership is, "Why should branding be important to me? I work in HR, not marketing." In proposing my response to this question, I must admit that just a few short years ago my answer would have been significantly more limited than it is today, in that branding in HR has traditionally been limited to the emp
{"title":"Call for manuscripts","authors":"admin gizi","doi":"10.1097/01.DCC.0000522073.50822.c6","DOIUrl":"https://doi.org/10.1097/01.DCC.0000522073.50822.c6","url":null,"abstract":"We invite unpublished novel, original, empirical and high quality research work pertaining to recent developments & practices in the areas of Computer Science & Applications; Commerce; Business; Finance; Marketing; Human Resource Management; General Management; Banking; Economics; Tourism Administration & Management; Education; Law; Library & Information Science; Defence & Strategic Studies; Electronic Science; Corporate Governance; Industrial Relations; and emerging paradigms in allied subjects like Accounting; Accounting Information Systems; Accounting Theory & Practice; Auditing; Behavioral Accounting; Behavioral Economics; Corporate Finance; Cost Accounting; Econometrics; Economic Development; Economic History; Financial Institutions & Markets; Financial Services; Fiscal Policy; Government & Non Profit Accounting; Industrial Organization; International Economics & Trade; International Finance; Macro Economics; Micro Economics; Rural Economics; Co-operation; Demography: Development Planning; Development Studies; Applied Economics; Development Economics; Business Economics; Monetary Policy; Public Policy Economics; Real Estate; Regional Economics; Political Science; Continuing Education; Labour Welfare; Philosophy; Psychology; Sociology; Tax Accounting; Advertising & Promotion Management; Management Information Systems (MIS); Business Law; Public Responsibility & Ethics; Communication; Direct Marketing; E-Commerce; Global Business; Health Care Administration; Labour Relations & Human Resource Management; Marketing Research; Marketing Theory & Applications; Non-Profit Organizations; Office Administration/Management; Operations Research/Statistics; Organizational Behavior & Theory; Organizational Development; Production/Operations; International Relations; Human Rights & Duties; Public Administration; Population Studies; Purchasing/Materials Management; Retailing; Sales/Selling; Services; Small Business Entrepreneurship; Strategic Management Policy; Technology/Innovation; Tourism & Hospitality; Transportation Distribution; Algorithms; Artificial Intelligence; Compilers & Translation; Computer Aided Design (CAD); Computer Aided Manufacturing; Computer Graphics; Computer Organization & Architecture; Database Structures & Systems; Discrete Structures; Internet; Management Information Systems; Modeling & Simulation; Neural Systems/Neural Networks; Numerical Analysis/Scientific Computing; Object Oriented Programming; Operating Systems; Programming Languages; Robotics; Symbolic & Formal Logic; Web Design and emerging paradigms in allied subjects. ABSTRACT A question that seems to be popping up more and more in the minds of recruiters and general HR leadership is, \"Why should branding be important to me? I work in HR, not marketing.\" In proposing my response to this question, I must admit that just a few short years ago my answer would have been significantly more limited than it is today, in that branding in HR has traditionally been limited to the emp","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"CE-26 1","pages":"399 - 399"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84567746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-09-01DOI: 10.1177/104990910502200502
C. Saunders, D. Saunders
Dame Cicely Saunders, regarded as the founder of the modern hospice movement and a pioneer in the field of palliative care, died peacefully on July 14, 2005, at St. Christopher’s Hospice in London. She was 87. The founder of St. Christopher’s Hospice, Dame Cicely dedicated her life and professional work to alleviating the pain and suffering of the dying. St. Christopher’s opened its doors in 1967 and provided a model of care that gave birth to one of the most significant grassroots movements of the late 20th century in the United States. Her guiding principle was “to cure sometimes, but to comfort always.” Fittingly, Dame Cicely was cared for as a patient at St. Christopher’s Hospice for some time before her death. “Dame Cicely’s vision and work has transformed the care of the dying and the practice of medicine in the UK and throughout the world,” said Barbara Monroe, current Chief Executive of St. Christopher’s. “She is an inspiration to us all. Her influence will carry on around the world as we work together in hospice and palliative care to support dying people and those close to them.” Working as a nurse during World War II, Dame Cicely later became a social worker and then went on to medical school to become a physician. As a physician, she felt she could make the greatest impact by improving the culture of care for people at the end of life. The recipient of numerous awards and honors, she was made a Dame of the British Empire in 1980. In 1987, she was appointed to the Order of Merit by Queen Elizabeth II of the United Kingdom. Limited to only 24 persons, this order is the highest honor the monarch can bestow. “Few people can go to their rest having done more to relieve suffering and to advance compassion in the world than Dame Saunders. She was our matriarch and our guiding light, never wavering in her quest to advance care for the dying,” said Stephen Connor, Vice President for Research and International Development at the National Hospice and Palliative Care Organization. “According to our colleagues at St. Christopher’s, she died today peacefully in the hospice she founded. No one could be more deserving.” The Journal of Hospice and Palliative Medicine, along with the NHPCO, the National Hospice Foundation, and the Foundation for Hospices in Sub-Saharan Africa extend their deepest sympathies to Dame Cicely’s family, friends, and colleagues the world over and honor her for her special gifts and contributions that improved the way we live and die.
{"title":"Hospice news","authors":"C. Saunders, D. Saunders","doi":"10.1177/104990910502200502","DOIUrl":"https://doi.org/10.1177/104990910502200502","url":null,"abstract":"Dame Cicely Saunders, regarded as the founder of the modern hospice movement and a pioneer in the field of palliative care, died peacefully on July 14, 2005, at St. Christopher’s Hospice in London. She was 87. The founder of St. Christopher’s Hospice, Dame Cicely dedicated her life and professional work to alleviating the pain and suffering of the dying. St. Christopher’s opened its doors in 1967 and provided a model of care that gave birth to one of the most significant grassroots movements of the late 20th century in the United States. Her guiding principle was “to cure sometimes, but to comfort always.” Fittingly, Dame Cicely was cared for as a patient at St. Christopher’s Hospice for some time before her death. “Dame Cicely’s vision and work has transformed the care of the dying and the practice of medicine in the UK and throughout the world,” said Barbara Monroe, current Chief Executive of St. Christopher’s. “She is an inspiration to us all. Her influence will carry on around the world as we work together in hospice and palliative care to support dying people and those close to them.” Working as a nurse during World War II, Dame Cicely later became a social worker and then went on to medical school to become a physician. As a physician, she felt she could make the greatest impact by improving the culture of care for people at the end of life. The recipient of numerous awards and honors, she was made a Dame of the British Empire in 1980. In 1987, she was appointed to the Order of Merit by Queen Elizabeth II of the United Kingdom. Limited to only 24 persons, this order is the highest honor the monarch can bestow. “Few people can go to their rest having done more to relieve suffering and to advance compassion in the world than Dame Saunders. She was our matriarch and our guiding light, never wavering in her quest to advance care for the dying,” said Stephen Connor, Vice President for Research and International Development at the National Hospice and Palliative Care Organization. “According to our colleagues at St. Christopher’s, she died today peacefully in the hospice she founded. No one could be more deserving.” The Journal of Hospice and Palliative Medicine, along with the NHPCO, the National Hospice Foundation, and the Foundation for Hospices in Sub-Saharan Africa extend their deepest sympathies to Dame Cicely’s family, friends, and colleagues the world over and honor her for her special gifts and contributions that improved the way we live and die.","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"66 1","pages":"330 - 333"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77711472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-07-01DOI: 10.1177/104990910502200403
In June, the US Supreme Court ruled that use of homegrown marijuana prescribed to relieve pain and reduce the side effects of chemotherapy could not be regulated and was, thus, illegal and subject to prosecution. Setting aside a lower court ruling, the court ruled in a 6-3 decision against two California women who were growing and using marijuana for symptom relief related to serious illnesses. The vote is seen as a major setback for proponents of medical marijuana and also stirs up controversy as a states rights issue, since the use of marijuana for medical purposes is legal under California statute. Justice John Paul Stevens spoke for the court majority in the case, citing that the ruling was a valid use of federal power under the Controlled Substances Act of 1970. Stevens said the power of Congress to regulate commerce among the states includes the authority to prohibit the local cultivation and use of marijuana despite its compliance with California law. The Supreme Court opinion was welcomed by the Bush administration, which appealed the lower court decision in California that found in favor of the two women. The lower court had ruled that marijuana used for medical purposes was different from drug trafficking; however, the administration feared that deregulating marijuana use would make it difficult to regulate use of other illegal substances and might lead to as many as 100,000 Californians using marijuana for medical purposes. Chief Justice William Rehnquist and Justices Sandra Day O’Connor and Clarence Thomas dissented. “This case exemplifies the role of states as laboratories,” O’Connor wrote. “Relying on Congress’ abstract assertions, the court has endorsed making it a federal crime to grow small amounts of marijuana in one’s own home for one’s own medicinal use,” she said. “This overreaching stifles an express choice by some states . . . to regulate medical marijuana differently.” (Source: Reuters Health News, June 6, 2005.)
今年6月，美国最高法院裁定，用于缓解疼痛和减少化疗副作用的自制大麻的使用不受监管，因此是非法的，将受到起诉。法院不顾下级法院的裁决，以6票赞成、3票反对两名加州妇女种植和使用大麻来缓解与严重疾病有关的症状。这次投票被视为医用大麻支持者的一次重大挫折，也引发了作为州权利问题的争议，因为根据加州法规，医用大麻是合法的。大法官约翰·保罗·史蒂文斯(John Paul Stevens)在该案中代表法院多数人发言，称该裁决是对1970年《受控物质法案》(Controlled Substances Act)规定的联邦权力的有效运用。史蒂文斯说，国会监管各州商业活动的权力包括禁止在当地种植和使用大麻的权力，尽管这符合加州法律。最高法院的判决受到布什政府的欢迎，布什政府对加州下级法院的判决提出了上诉。下级法院的判决对两名妇女有利。下级法院裁定，用于医疗目的的大麻不同于毒品贩运;然而，政府担心，放松对大麻使用的管制将使对其他非法物质的使用难以管制，并可能导致多达10万加州人出于医疗目的使用大麻。首席大法官威廉·伦奎斯特和大法官桑德拉·戴·奥康纳和克拉伦斯·托马斯持不同意见。“这个案例体现了国家作为实验室的作用，”奥康纳写道。“依靠国会的抽象主张，法院支持将在自己家中种植少量大麻用于自己的医疗用途定为联邦犯罪，”她说。“这种过度干预扼杀了一些州的明确选择……以不同的方式管理医用大麻。(来源:路透社健康新闻，2005年6月6日)
{"title":"Hospice news","authors":"","doi":"10.1177/104990910502200403","DOIUrl":"https://doi.org/10.1177/104990910502200403","url":null,"abstract":"In June, the US Supreme Court ruled that use of homegrown marijuana prescribed to relieve pain and reduce the side effects of chemotherapy could not be regulated and was, thus, illegal and subject to prosecution. Setting aside a lower court ruling, the court ruled in a 6-3 decision against two California women who were growing and using marijuana for symptom relief related to serious illnesses. The vote is seen as a major setback for proponents of medical marijuana and also stirs up controversy as a states rights issue, since the use of marijuana for medical purposes is legal under California statute. Justice John Paul Stevens spoke for the court majority in the case, citing that the ruling was a valid use of federal power under the Controlled Substances Act of 1970. Stevens said the power of Congress to regulate commerce among the states includes the authority to prohibit the local cultivation and use of marijuana despite its compliance with California law. The Supreme Court opinion was welcomed by the Bush administration, which appealed the lower court decision in California that found in favor of the two women. The lower court had ruled that marijuana used for medical purposes was different from drug trafficking; however, the administration feared that deregulating marijuana use would make it difficult to regulate use of other illegal substances and might lead to as many as 100,000 Californians using marijuana for medical purposes. Chief Justice William Rehnquist and Justices Sandra Day O’Connor and Clarence Thomas dissented. “This case exemplifies the role of states as laboratories,” O’Connor wrote. “Relying on Congress’ abstract assertions, the court has endorsed making it a federal crime to grow small amounts of marijuana in one’s own home for one’s own medicinal use,” she said. “This overreaching stifles an express choice by some states . . . to regulate medical marijuana differently.” (Source: Reuters Health News, June 6, 2005.)","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"4 1","pages":"252 - 253"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78502568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2005-07-01DOI: 10.1177/104990910502200416
D. Cable
{"title":"Book Review: Physician-Assisted Dying: The Case for Palliative Care & Patient Choice","authors":"D. Cable","doi":"10.1177/104990910502200416","DOIUrl":"https://doi.org/10.1177/104990910502200416","url":null,"abstract":"","PeriodicalId":7716,"journal":{"name":"American Journal of Hospice and Palliative Medicine®","volume":"56 1","pages":"317 - 318"},"PeriodicalIF":0.0,"publicationDate":"2005-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79223940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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