Bio
Specialties:
- Hospice Nursing
Affiliation:
- President, Compassion & Choices Organization
Location:
- Portland, OR
Group Memberships:
Credentials
Activity
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How can I talk to my doctor about end-of-life issues?
Unfortunately, your doctor is unlikely to broach the subject, so it’s up to you. You might wonder how to begin this conversation without seeming morbid. I humbly offer several openers for yo...
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What qualities should I look for in a healthcare proxy?
States use various names for the person designated to make health care decisions if we are unable to make them for ourselves. Some of the terms are “attorney-in-fact for healthcare”, &l...
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What are the benefits of refusing food and fluids to end one's life?
The purposeful refusal of food and fluids -- in medical jargon known as voluntarily stopping eating and drinking (VSED) -- features these benefits: It requires no special laws or regulati...
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Why should I talk to my doctor about an advance directive?
Experts on advance directives have stressed the importance of discussing end-of-life options before patients and families become vulnerable in a crisis. With a chance to plan with their personal ph...
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What should a person consider before refusing fluids to end one's life?
Voluntarily stopping eating and drinking (VSED) doesn’t always go smoothly, and we recommend careful planning. Before beginning a person should: Carefully consider palliative options and ...
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What is elder abuse?
Elder abuse includes instances in which families, caregivers or others physically assault or verbally abuse elders in their care. Whether these instances arise from criminal pathology, frustration ...
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How can I determine how my doctor feels about end-of-life issues?
I recommend starting with a positive, upbeat declaration that, by gum, you feel healthy, you love life and you intend to savor its fullness as long as humanly possible. But you also believe in prep...
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What is New York's Palliative Care Information Act (PCIA)?
The Palliative Care Information Act (PCIA) instructs New York doctors and nurse practitioners to offer terminally ill patients information on hospice, palliative care and appropriate end-of-life op...
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What is significant about Montana's aid in dying decision?
Here are some aspects of the ruling: The Montana Supreme Court called the practice “aid in dying” and enshrined that name in a legal context. Professional associations, medical and ...
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How does Europe address end-of-life issues?
The European Charter of Patients’ Rights states: “Each individual has the right to avoid as much suffering and pain as possible, in each phase of his or her illness. The health services...
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What is the Montana aid in dying ruling?
On New Year’s Eve 2009, Montana’s Supreme Court handed down the ruling in Baxter v. Montana and authorized the practice of aid in dying for mentally competent, terminally ill adults. Th...
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Why should I talk to my doctor about my end-of-life wishes?
One important study evaluated the quality of life at the end of life for people with advanced cancer. Lo and behold, those individuals who had discussed end-of-life values and preferences with thei...
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What is an advance directive?
The term “advance directive” refers to a set of documents in which people can document their wishes and guide their care if they can no longer speak for themselves. One document, a &ldq...
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How can I best communicate with my hospice care team as a cancer patient?
Honestly and often. Hospice does its best work when the team knows the nature of your symptoms, whether they are stable or increasing, and what is most important to you --- you specifically --- as ...
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What are keys to good end-of-life care?
America's reluctance to accept death means we usually respond to dying with overwhelming fear. In compassion, we must honestly listen to what our dying loved one actually wants. Most of us do n...
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