Topics in Palliative Medicine

Topics in Palliative Medicine
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Articles from the medical literature are digested, abstracted, and discussed by our AI hosts, with topics in symptom management, diagnosis, ethics and others.

  1. JAN 27

    021 - Ethics Roundtable: Prescribing Controlled Substances in a Terminally Ill Patient With Suspected Substance Abuse Disorder and Opioid Agreement Violations

    Questions? Comments? Send us a message! This is an interdisciplinary ethics roundtable centered on a terminal lung cancer patient suspected of diverting methadone and violating his controlled substance agreement. Various experts, including physicians, a lawyer, a chaplain, and a psychologist, evaluate the conflict between the duty to relieve suffering and the necessity of maintaining legal and professional boundaries. The contributors suggest strategies ranging from stricter monitoring and liquid formulations to involving social services to investigate potential exploitation. While some argue for immediate dismissal due to safety risks and illegal activity, others emphasize harm reduction and the moral imperative to avoid patient abandonment. Ultimately, the text highlights the complex challenge of managing refractory pain in patients with possible substance use disorders during end-of-life care. Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    17 min

  2. 08/12/2025

    ACHPN PREP PART 6

    Questions? Comments? Send us a message! Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    35 min

  3. 08/08/2025

    020 - The Surrogate vs the Advance Care Plan

    Questions? Comments? Send us a message! This episode presents an "Ethics Roundtable" discussion, focusing on the complex case of a 68-year-old female veteran, LK, whose advanced directive conflicts with her family's wishes regarding life-sustaining treatment. The source explores this ethical dilemma from multiple professional viewpoints, including a trauma surgeon, ethicist, spiritual care provider, physician, lawyer, and social worker. Each perspective offers insights into the challenges of honoring patient autonomy when a designated surrogate is deemed unsuitable and family members disagree with the patient's explicit end-of-life instructions. The central theme revolves around the legal and moral obligations to uphold a patient's advanced directive, especially when a surrogate's cognitive impairment or emotional distress prevents them from making decisions aligned with the patient's stated wishes. keywords: autonomy, advance directive, surrogate decision making, substituted judgement Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    18 min

  4. 08/08/2025

    019 - DPD Deficiency: To Screen or Not To Screen?

    Questions? Comments? Send us a message! This academic article explores the complexities surrounding dihydropyrimidine dehydrogenase (DPD) deficiency screening in patients receiving 5-fluorouracil (5-FU) based chemotherapy. The authors present a case study of a fatal reaction to capecitabine, a prodrug of 5-FU, to illustrate the severe, potentially life-threatening toxicity that can occur in DPD-deficient individuals. The text analyzes various methods of DPD testing, highlighting their limitations in meeting the criteria for routine screening, and discusses the ethical considerations of offering such testing. Ultimately, the article advocates for patient counseling on the risks of 5-FU and the option of DPD testing, while emphasizing the need for healthcare providers to monitor for early signs of toxicity and consider alternative therapies or dose reductions when appropriate. Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    17 min

  5. 08/05/2025

    ACHPN PREP PART 5

    Questions? Comments? Send us a message! Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    34 min

  6. 08/01/2025

    018 - Is there a role for Cuirass Ventilation (e.g., Iron Lung) in palliative medicine?

    Questions? Comments? Send us a message! Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure" explores biphasic cuirass ventilation (BCV), a portable, non-invasive "forgotten" mode of respiratory support. This article highlights BCV's potential as a comfortable, home-based alternative for patients with chronic respiratory failure, particularly in palliative care settings Onweni C, Rashid S, Goswami R, Treece J, Shipley LC, De Souza R, et al. Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure. Home Health Care Management & Practice. 2019:1-5. doi:10.1177/1084822319875111 Cuirass Ventilation: An Alternative Home-Based Modality for Chronic Respiratory Failure - Chidinma Onweni, Saima Rashid, Rachna Goswami, Jennifer Treece, Lindsey C. Shipley, Randal De Souza, Luke O’Neill, Tander Simberloff, Steven J. Baumrucker, 2020 Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    17 min

  7. 07/29/2025

    ACHPN PREP PART 4

    Questions? Comments? Send us a message! Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    21 min

  8. 07/22/2025

    ACHPN PREP PART 3

    Questions? Comments? Send us a message! Support the show Thank you for your interest in Ethics in Palliative Medicine! Follow us at https://epionepalliative.com and on X: @PallCareEthics

    35 min
See All (27)

About

Articles from the medical literature are digested, abstracted, and discussed by our AI hosts, with topics in symptom management, diagnosis, ethics and others.

Information

  • Creator
    Topics in Palliative Medicine
  • Years Active
    2024 - 2026
  • Episodes
    27
  • Rating
    Clean
  • Copyright
    © 2026 Topics in Palliative Medicine
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    Topics in Palliative Medicine