#hapc21 day #2's plenary is starting! Thank you @questmd @RonitElk @palliator for sharing your wisdom.
.@questmd shares her story. #hapc21
Thank you @questmd for such a heartfelt reflection. Such a complex story of oppression, mistrust, compassion, and hope. #hapc21.
"You have to be trustworthy for a community to trust you. That takes a long time. But it's so, so rewarding." @roneetE on culturally-concordant systems of care. #hapc21
Who wants to be shoved into something that's not culturally appropriate? So when it came to advance directives, @roneetE & team asked patients, "How do YOU want to share your values with your doctor?" #hapc21
To summarize @roneetE: #hapc21
Such an important takeaway. Reminds me of the quote, "We don't see things as they are. We see them as we are." Critical to remember when caring for patients. #hapc21
.@palliator: "Google hospice or palliative care-sure looks like something for white people provided by white people.”
We have a lot of work to do-not only are there a lot of palliative "sad hands," they're all white sad hands! #hapc21
Lots of learned lessons from @palliator! Thank you. #hapc21

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More from @Top_Gundersen

18 Feb
Time for a master class in pruritus! #hapc21
Thanks to pruritus presenters @AMehtaMD, @mlmcpherson, Eric Prommer, Mellar Davis, Kathryn Walker. #hapc21
Pruritus definition: Note that chronic pruritus is itching that lasts 6 weeks or longer (this is different than chronic pain). #hapc21
Read 14 tweets
18 Feb
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
Read 13 tweets
18 Feb
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
Read 10 tweets
17 Feb
You don't have to be a SEXpert to validate your patients' feelings around their sexuality!

1st take home point from #hapc21's session on "Setting SEXpectations with Patients and Families." @SexANDDeathPos @PalCareErin @CaitlynMooreNP @PCMagicMo
Remember: sex is more than intercourse. #hapc21 Image
The circles of sexuality. #hapc21 Image
Read 9 tweets

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