Hospice & Palliative Medicine

breaking up is painful …

… Kross et. al. in “Social rejection shares somatosensory representations with physical pain” use functional MRI to show that “rejection [recent break-up of a relationship] and physical pain are similar not only in that they are both distressing—they share a common somatosensory representation as well.” Pain is what the patient says it is … but

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discharge planning … sicker & quicker

Kane summarizes the options patients and families have when they are discharged from the hospital to another health care venue. a key concern … “Often social workers are really concerned with the immediate discharge plan … from their facility’s perspective; they’re not always as in tune with the future placement options for that [patient].” Mor

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more than “just what the doctor says” …

… factors that influence family member’s perception of their loved ones prognosis … an experiential study in a recent Critical Care Medicine. Among major influences on family member’s understanding of prognosis … – patient’s intrinsic qualities and will to live – patient’s physical appearance or status – patient’s prior history of illness/survival – power of

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