Hospice & Palliative Medicine

Oregon assisted suicide update …

Oregon’s public health division has released statistics on deaths under its physician-assisted suicide (PAS) legislation. It shows a steady increase in the number of lethal prescriptions and in the number of deaths. In 1998, the first year after PAS was legalized, there were 24 prescriptions and 16 deaths. In 2011, there were 114 prescriptions and […]

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prognosis factors marking 6 month survival …

Salpeter et. al. summarize prognostic factors in cancer and non-cancer diagnoses that are consistently associated with a survival of 6 months or less. “Despite different cancer characteristics, a fairly universal picture of terminal disease included decreasing performance status, advancing age, weight loss, metastatic disease, disease recurrence, and laboratory abnormalities indicating extensive disease. Most of the

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grief … an opportunity for growth? … or a disease?

“… a serious change is afoot and not just in the meaning of profound loss. Technology’s attendant rational technical practices of classifying, diagnosing, and intervening do not just change the world; they carry the potential to make up new people. So does the cultural sensibility of new generations to use psychoactive substances to manage the

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suffering is what remains when control runs out …

“ … what one suffers is beyond one’s control – suffering is what one undergoes, what happens, what one endures. One cannot control true suffering. Suffering is what remains when one’s control runs out. And the very fact that it is beyond one’s control means that it helps to define one’s limits. To be a

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