Are you thinking about how you might enhance your skills and knowledge in 2024? Join thousands of people around the world who have already learned the basics of palliative care from faculty in the University of Colorado School of Medicine’s Master of Science in Palliative Care program. You can access our short videos (under 10 minutes each) for free on the Coursera education platform.
Dec 12, 2023
by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
Our palliative care team recently had the honor of consulting with the family of Joseph** (the facts of the story have been changed for privacy), a 42-year-old man who identified as a member of the Navajo Nation and had been living in western Arizona for the past several years.
In 2003, I was an oncology nurse educator just finishing my master’s degree in adult nursing. I had been an oncology nurse for the 14 years and had already felt very comfortable taking care of patients with serious illness. I enjoyed the hustle, bustle and stress of a busy unit; the hanging of multiple IV medications and the intricacy of knowing just what medication should be given when so as to avoid or combat distressing symptoms, the near oncologic emergency and even the occasional near-code. How morbid, I know.
Nov 28, 2023
by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
Richard Alpert grew up in Boston, Massachusetts to a prominent Jewish family of privilege that valued education and prestige. Although a brilliant man, he also was known to be a bit verbose; he was captivating to others even as a child. The Alpert’s owned a 300-acre farm in New Hampshire in a community not unlike where I grew up about 30 minutes away.
Only twelve percent of pediatric patients die with hospice support (1,2) and nearly a third of pediatric deaths are related to chronic complex conditions (3). The majority of these patients are enrolled in Medicaid due to disability status or severity of disease(3).
Planning for an elective surgical procedure provides opportunity to review patients’ wishes regarding not only the upcoming surgery, but overall goals of care. The procedure itself is a “touchpoint” with the healthcare system and includes a formal informed consent discussion, including how the surgery or resultant complications may adversely affect a patient’s life.
Linda and I maintained what I would classify as a Christmas Card correspondence following her retirement 10 years ago. We would exchange cards and updates on our lives. So I was surprised when I received a text from her in June sharing that she was in “my hospital,” that she thought she might be making some hard decisions in the days ahead and asking if I could come see her.
Oct 31, 2023
by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
We have reached the time of year where some believe that the veil between the living and the dead is more permeable. In many cultures, including those who identify as Latinx/Chicano/Hispanic, death is not a black and white ending but a transition to another world or form.
Oct 24, 2023
by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
Recently a good friend presented me with “Broken Open: How Difficult Times Can Help Us Grow” by Elizabeth Lesser for my birthday. I’ve been savoring it, reading one chapter a day, and reflecting on how Lesser’s stories apply to the significant losses and hardships we have both been through in the past year.
Oct 17, 2023
by Beth Patterson, MA, Certified Palliative Care Chaplain
Good deathing stories keep us going in the palliative care work---going deeper, ringing more true, honoring our pain, our patients’ pain, the world’s pain. And sometimes, that sorrow tastes like freshly canned apricots.
Oct 10, 2023
by Melissa C Palmer, LCSW, ACHP-SW, APHSW-C, JD
July 12, 2023 at 6:05 am. The time my grandfather left his body and transitioned to death and whatever else is out there. But the story starts a month before…
During my first week in Palliative Care, my team of four female providers was consulted to meet with the family of Gayle, an elderly woman of African descent with dementia who had broken her hip during a fall, requiring surgery. We planned to discuss how her dementia was affecting her quality of life and may impact her recovery. Almost instinctively, as I thought of what a tragic situation this was and what a mournful conversation it would be, the words of Jane Austen entered my mind - “Prepare yourself for something very dreadful.” I could not have been more wrong.