Thursday, January 30, 2014

Common Palliative Care Practices Misconstrued as "Murder" and "Killing"

This week, a British paper reports that Shanna Hodge has endured abusive messages labeling her a "baby killer" after making the agonizing decision to turn off her dying son's life support system. She even tried to take her own life following her abuse and is now fearful to walk down the street and answer her phone.

While sad and disturbing, this story reminded me of something even more disturbing:  a March 2012 study in the Journal of Palliative Medicine.  

It found that even healthcare professionals accused each other of "murder" or "killing" when engaged in even commonly used palliative care practices.





3 comments:

Carol Cross said...

It is not surprising that "Common Palliative Care Practices (are) Misconstrued as "murder" and "Killing" AND isn't this sometimes correct.

The legal significance of being on either Curative Care or Palliative Care/Hospice under Medicare law is not explained by treating physicians.

Physicians are NOT seeking informed consent for palliative treatment as opposed to "curative" treatment in the outpatient setting.

Much of the palliative care given is thought to be "curative" by patients who are over treated (for profit) in the outpatient/inpatient setting and then have their lives shortened when they are hospitalized with unilateral DNR code status because the treatment will NOT be reimbursed by CMS and its partner, BIG Insurance.

Isn't it murder when patient's lives are shortened without their informed consent for fiscal expediency of the hospital?

The covert/overt(default) unilateral DNR Code status eliminates the need to even talk about "medical futility" ---doesn't it?

Carol Cross said...

It is not surprising that "Common Palliative Care Practices (are) Misconstrued as "murder" and "Killing" AND isn't this sometimes correct.

The legal significance of being on either Curative Care or Palliative Care/Hospice under Medicare law is not explained by treating physicians.

Physicians are NOT seeking informed consent for palliative treatment as opposed to "curative" treatment in the outpatient setting.

Much of the palliative care given is thought to be "curative" by patients who are over treated (for profit) in the outpatient/inpatient setting and then have their lives shortened when they are hospitalized with unilateral DNR code status because the treatment will NOT be reimbursed by CMS and its partner, BIG Insurance.

Isn't it murder when patient's lives are shortened without their informed consent for fiscal expediency of the hospital?

The covert/overt(default) unilateral DNR Code status eliminates the need to even talk about "medical futility" ---doesn't it?

Carol Cross said...

It is not surprising that "Common Palliative Care Practices (are) Misconstrued as "murder" and "Killing" AND isn't this sometimes correct.

The legal significance of being on either Curative Care or Palliative Care/Hospice under Medicare law is not explained by treating physicians.

Physicians are NOT seeking informed consent for palliative treatment as opposed to "curative" treatment in the outpatient setting.

Much of the palliative care given is thought to be "curative" by patients who are over treated (for profit) in the outpatient/inpatient setting and then have their lives shortened when they are hospitalized with unilateral DNR code status because the treatment will NOT be reimbursed by CMS and its partner, BIG Insurance.

Isn't it murder when patient's lives are shortened without their informed consent for fiscal expediency of the hospital?

The covert/overt(default) unilateral DNR Code status eliminates the need to even talk about "medical futility" ---doesn't it?