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Category Archives: Palliative Medicine
“Tricky Dicky” – DO NOT Combine Foley Catheters & Diapers
With the aging trend in heathcare greater proportions of institutionalized patients have issues with incontinence. Therefore, most of them will have diapers applied, and a significant proportion will also have foley catheters inserted. Over the past year I have seen … Continue reading
Posted in Palliative Medicine, Wound Management
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“Trick or Treat”
As Halloween looms, I’m reflecting, metaphorically, on what occurs in healthcare everyday, particulary as it relates to the management of patients with advanced illness. With over 50% of our healthcare expenditures occuring in the last few months of patients’s lives, … Continue reading
Optimize “Wound Palliation” using TSAS-W
“Wound Palliation” (WP) is evolving as a key component of comprehensive Wound Management. WP is also referred to as “Wound-Related Pain & Symptom Management” or “Palliative Wound Care”. The only assessment tool that addresses Wound Palliation in ALL wound classes is … Continue reading
Posted in Palliative Medicine, Wound Management
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Read my newest publication
Wound healing isn’t everything Vincent Maida MD, MSc, BSc1,*, Jason Corban HBSc2 Article first published online: 27 JUL 2012 DOI: 10.1111/j.1742-481X.2012.01046.x © 2012 The Authors. International Wound Journal © 2012 Blackwell Publishing Ltd and Medicalhelplines.com Inc
Posted in Palliative Medicine, Wound Management
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Healthcare needs more MACROscopes not MICROscopes
I reviewed a patient whose management in a local ER exemplifies the dogged emphasis on the micro without regard for the macro. A 66 year old man with an end-stage brain tumour presents with lower abdominal pain 3 days earlier. The … Continue reading
“Missing the Forest for the Trees”
Today I saw a patient whose management in a local ER exemplifies having “missed the forest for the trees”. A 66 year old man with an end-stage brain tumour presents with lower abdominal pain 3 days ago. The patient has … Continue reading
“Best Supportive Care” – According to Whom ???
The expression “Best Supportive Care” is used frequently within clinical arenas pertaining to patients with “Advanced Illness“. However, its composition and philosophy remain nebulous and open to debate. This also depends upon the reference frame from which it is being defined. … Continue reading
Palliative Care = “Glass half-full NOT Glass half-empty”
I happened to inadvertently eavesdrop on one of my colleagues today during their efforts to explain the nature of palliative care to a family member of a clearly terminally ill patient. The young doctor involved equated palliative care to “doing nothing” by using the following list of … Continue reading
Wound Outcomes in Advanced Illness
Please read my new publication in the International Wound Journal: http://onlinelibrary.wiley.com/doi/10.1111/j.1742-481X.2012.00939.x/full
Posted in Palliative Medicine, Wound Management
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