Edencare is an end of life service. It community-led: working with the community, rather than providing services ‘for’ or ‘to’ needy people.
After a Dutch ambulance driver stopped off to let a dying man revisit his favourite canal, he realised that it isn’t only kids who have last wishes. Older people may want different things from those widely advertised, aspirational end of bucket lists:
The BMJ’s Secret Doctor has written about CPR several times. This week s/he wrote about the horrors of CPR again: a woman in her ninth decade was punched in the chest, before continuous CPR for 40 minutes, with 15 shocks, the patient “pulling at the hands on her chest, gagging on the airway device”. Eventually it was agreed there was no chance of recovery.
Lehman’s journal blog again highlights the unenviable choices in Oncoland. If he had non-small-cell lung cancer that recurred after first line treatment, he would prefer to “buy a case or two of malt whiskey, and book a good hotel in Venice”, rather than choosing between docetaxel or one of the newer treatments.
These are so good that I think they should be shared more widely. As they say on the TV, this is in no particular order.
Don Dizon’s blog this week for the American Society of Clinical Oncology was about how he had to / chose to break bad news to another doctor’s patient.
Life expectancy for patients with CHF is worse than for any of the common cancers. Despite the advances: