A deeper dive into sexual identity. Remember that this is fluid and can change during the course of serious illness (e.g. a patient can reconsider what "manhood" is). Also, it's important to use affirming pronouns and language. #hapc21
Interesting concept under sensuality: skin hunger. Skin hunger refers to our need for physical touch. #hapc21
It's important to validate different levels of skin hunger. Offering patients a hug with arms outstretched can make them feel uncomfortable/forced as opposed to offering with arms down. We need to be trauma informed in our touch. #hapc21
Here's an example of how we can support patients' sexuality.
If you take away one question to ask patients, this is it: How has your illness impacted your sexuality? #hapc21
Next talk at #hapc21! Controlling the dyspnea-anxiety cycle.
Remember that dyspnea is very common. Not just in COPD but in other diagnoses, and not just in hospice patients but in the ICU and other settings as well. #hapc21
The complicated and vicious cycle of breathlessness. #hapc21
Diving into a difficult topic at #hapc21. Dr. Horowitz is starting with his mother, who had dementia and was considering voluntarily stopping eating and drinking (VSED).
Key points about the key clinical considerations around VSED: note that life should be unacceptable and IRREVERSIBLY difficult. This can't be an impulsive decision. #hapc21.
Psychiatric considerations are important too. There is an important difference between the wish to die vs. the wish to "not live like this" when considering VSED. #hapc21