Palliative Care Program MCW

Managed by Division of Geriatric and Palliative Medicine @medicalcollege #Palliative #PalliativeCare #PalliativeMedicine #PalliativeFellowship @PallCareNetWisc

[Palliative Care Program MCW @CareMcw]

Welcome to the revolution…
@SammyWinemaker
#greatlakespalliative24

[Palliative Care Program MCW @CareMcw]

A palliative approach has 3 core factors:
1. Quality of Life
2. Acknowledge mortality
3. Whole-person holistic care

Shouldn't this be the underpinning of all care?

Such a powerful consideration from @SammyWinemaker
#greatlakespalliative24

[Palliative Care Program MCW @CareMcw]

Incredible speakers from @Froedtert and @MedicalCollege today at the 12th annual Great Lakes Palliative Care Conference #greatlakespalliative24

[Samantha Winemaker she/her @SammyWinemaker]

#OT & #PT across the entire trajectory of an illness!!

Thank you K. Conrad & P. Molosky who presented at Great Lakes #Palliative Care Conference in Wisconsin.

You remind us how OT & PT help w/ autonomy & decrease the patient’s sense of burden on family.🌸
#Medtwitter @CareMcw

[Palliative Care Program MCW @CareMcw]

“We put the human back in the patient just before they go” - So grateful for @SammyWinemaker sharing the challenges, difficulties and rewards of providing #palliativecare #greatlakespalliative24

[Samantha Winemaker she/her @SammyWinemaker]

Amazing opening session at the Great Lakes Palliative Care Conference by ��@rabob⁩ ⁦@vitaltalk⁩!!! Reminding us that healthcare providers are the travel guides for the #patient & #caregiver journey. It’s their journey!
⁦⁦@CareMcw⁩ #Medtwitter #waitingroomrev

[Palliative Care Program MCW @CareMcw]

4/ EBRT plus steroids is the primary treatment for epidural mets with or without spinal cord compression. EBRT or stereotactic radiosurgery (gamma knife) can prolong survival for people with brain mets.

[Palliative Care Program MCW @CareMcw]

FF67: Radiation for Palliation-Part 2 by Carolyn Rutter MD and David Weissman MD https://t.co/lknBVqvNcs #ffchallenge #hapc #hpm #palliativecare 1/

[Palliative Care Program MCW @CareMcw]

3/ Radionuclide therapy including Strontium 89 or Samarium 153 can be used for patients with multiple sites of bony mets

[Palliative Care Program MCW @CareMcw]

4/ Early toxicity from radiation therapy is from inflammation and cell death. Late toxicity (years after RT) is from vascular changes.

[Palliative Care Program MCW @CareMcw]

FF66: Radiation for Palliation-Part 1 by Carolyn Rutter MD, Candice Johnstone MD, and David Weissman MD https://t.co/zDUYzWHGsO #ffchallenge #hpm #hapc #palliativecare

[Palliative Care Program MCW @CareMcw]

3/ Radiation doses are in Gray (Gy) and are most often given in one fraction per day. Before the first RT, a simulation maps the treatment area. External beam is delivered once a day.

[Palliative Care Program MCW @CareMcw]

2/ Consider reframing the dialogue around incurable illnesses by asking, "How can we help you live well?" Treatment decisions can then be discussed in context of the patients hopes and goals.

[Palliative Care Program MCW @CareMcw]

FF65: Establishing End-of-Life Goals: The Living Well Interview by Bruce Ambuel PhD https://t.co/nS3YKrwelc #FFchallenge #hapc #hpm #palliativecare 1/

[Joseph Fasano @Joseph_Fasano_]

An absolutely life-changing poem about mothers by @adalimon:

[Palliative Care Program MCW @CareMcw]

4/ Follow up: Send a bereavement card (FF22). Consider attending the funeral or memorial. Consider referral to a bereavement service. Share contact information if there are follow up questions.

[Palliative Care Program MCW @CareMcw]

FF64: Informing Significant Others of a Patient's Death by Diane Midland BSW, MS https://t.co/sqrRS6Ix72 #FFchallenge #hapc #hpm #palliativecare 1/

[Palliative Care Program MCW @CareMcw]

3/ Meeting: Use your basic palliative skills (intros, use empathy). Identify and respect cultural traditions. Use the patient's name. Use words like "death" or "died" instead of euphemisms. Avoid jargon. Offer opportunity to see the deceased. Give time.