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Family dynamics and doctors' emotions drive useless end-of-life care, says study

Medical Xpress

Researchers from Rutgers and other universities have developed a behavioral model that explains a long-standing health care mystery: Why do so many terminally ill patients undergo intense last-ditch treatments with little chance of meaningful life extension?

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Why is working with adolescents and young adults so hard? Abby Rosenberg, Nick Purol, Daniel Eison, & Andrea Thach

GeriPal

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. It is really difficult for the patients and the families. Abby: I think Andrea, you’re hitting on adolescence is super hard. Young adulthood is super hard. Thoughts on that?

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Alex: Bernie, as you were talking earlier and praising the generations of doctors today who have training in palliative care and able to have these complex communications with family members, including forming a relationship really quickly with them, getting to know their loved one, who’s now seriously ill, who they may not have met before.

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The Angry Patient: A podcast with Dani Chammas and Keri Brenner

GeriPal

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. And she couldn’t control her husband’s illness the way it was heading towards his death. Summary Transcript Summary Think about the last time a patient yelled at you in anger.

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

And really, I mean, so for example, if a social worker were doing this listening, perhaps there are family dynamics or psychosocial needs that they would be attuned to, whereas I as a physician might have something else I pay attention to. But all of us need to be able to listen deeply. Eric: I want to be mindful of the time.

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