Hospice is a service to support a terminally ill patient’s physical, emotional, social and spiritual needs. Hospice concentrates on managing a patient’s pain and other symptoms so that the patient may live as comfortably as possible and make the most of their remaining time. Hospice also supports the patient’s family and caregivers, including grief and loss counseling.
Another advantage of hospice is that a hospice nurse can declare death and facilitate transportation to a mortuary. If someone dies at home and you call 911 and there is no DNR, paramedics may attempt emergency procedures.
Typically hospice care is provided in the patient’s home, with the majority of the day-to-day care falling on family members and caregivers. As this article on the “Cost of Dying..” points out, ” hospice has ballooned into a nearly $19 billion industry. It’s now the most profitable service sector in health care, as the industry’s business model relies heavily on unpaid family caregivers.”
As we increasingly see that we want to provide home-based care, we’re relying even more on caregivers. And it does take a toll.
-professor Katherine Ornstein, who studies the last year of life at Mount Sinai Hospital
Medicare will pay a set fee to qualified hospices for care of those with a terminal illness with a prognosis of six months or less to live. To stay on hospice, Medicare requires documented continued decline. Medicare will cover medications related to the terminal diagnosis and medical equipment, but will not pay for treatments intended to cure a terminal illness or treatments unrelated to the terminal diagnosis. The Medicare hospice benefit does not cover room and board in a nursing home or hospice residential facility. Some hospices provide extra services such as aroma, music therapy, etc. Some hospices have volunteers for extra support.
If you have a Medicare Advantage Plan you may be limited to hospices approved by the Medicare Advantage Plan.
You have the right to change your hospice provider once during each benefit period.
Articles related to hospice:
New Survey Findings on Nurses’ Values and Perspectives on MAIDMay 19, 2022The American Nurses Association’s Center For Ethics and Human Rights and the University of California, San Diego Health released the results from two new comprehensive studies of more than 2,374 nurses in the United States on Medical Aid in Dying (MAiD). Both qualitative and quantitative responses explore and describe nurses’ values, perceptions, and perspectives on ... Upcoming TV Show on Swedish Death CleaningMay 19, 2022NBC’s Peacock streaming service has ordered unscripted series The Gentle Art of Swedish Death Cleaning, which is based on the best-selling book by Margareta Magnusson. According to Peacock, the series will star a “Swedish Death Cleaner” who will help people who “are at a major crossroads … organize and demystify homes, lives, and relationships,” thereby “allowing us to prepare ... State Right-to-Die StatutesMay 19, 2022Death with Dignity is a national leader in end-of-life advocacy and policy reform. Their website provides an interactive map of the U.S. with current information on their RTD laws and the status of pending legislation. Click Here for State Statues Colorado Composts its First Human RemainsMarch 31, 2022https://www.smithsonianmag.com/smart-news/colorado-composts-its-first-human-remains-180979771/ Oregon ends residency rule for medical aid in dyingMarch 29, 2022https://www.nbcnews.com/news/us-news/oregon-ends-residency-rule-medically-assisted-suicide-rcna21932?fbclid=IwAR3H8TwESh3hY3WnfR2eNXstDmhAND424paeTB_IPxk_1xX4mTFz_CRxeBI California Advance Health Care Directive Online FormMarch 11, 2022Your California AHCD can be filled out online. The form and instructions are available on this link: https://oag.ca.gov/sites/all/files/agweb/pdfs/consumers/ProbateCodeAdvancedHealthCareDirectiveForm-fillable.pdf After completing this form, print it and sign and date the form at the end. The form must be signed by two qualified witnesses or acknowledged before a notary public. Give a copy of the signed and completed form ... Our New Mailing AddressMarch 10, 2022Please note our new mailing address: Hemlock Society of San Diego P.O. Box 600481 San Diego, CA 92160 New Video: A Visit to PegasosFebruary 16, 2022https://www.youtube.com/watch?v=giTet2PLneU In this video, Christie shares the personal story of her mother, who was diagnosed with Alzheimer’s disease at age 88. With no prospect of improvement, Christie’s mother decided to end her life at Pegasos in Switzerland. Christie has carefully presented the details of their planning and experience with Pegasos, hoping her experience will be helpful ... 3-D Printed Suicide Pod is Now Legal in SwitzerlandDecember 6, 2021https://interestingengineering.com/a-3d-printed-assisted-suicide-pod-is-now-legal-in-switzerland?utm_source=newsletter&utm_medium=mailing&utm_campaign=Newsletter-06-12-2021 The inventor of the Sarco, Dr. Philip Nitschke, will be our guest speaker live on Zoom at our meeting on January 16, 2022 at 1:30pm. The link to register for this program can be found on the event card directly above on this page. Simply click on the link, then enter your name and email ... Changes in California’s End of Life Option Act Taking Effect in JanuaryDecember 4, 2021https://khn.org/news/article/new-california-law-eases-aid-in-dying-process/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsmi=190750941&_hsenc=p2ANqtz-82Qi87WJ4H912xRjyWoMSffv9Z7JXvz3z3NbfTzPY9ThzD1vrTImFfrjniqzim3bd1zSb1JJFEeNmmP42pjlHbsBSGKg&utm_content=190750941&utm_source=hs_email Human CompostingDecember 2, 2021For anyone interested eco-friendly burial, this is a very informative video from Caitlin Doughty at The Order of the Good Death. Final Exodus – Advance Planning for a Good DeathNovember 29, 2021Final Exodus will teach you how to think, talk, and write about your plans for a good death. Valuable information and the latest AHCD and POLST forms are provided on this website by California attorney and HSSD member Bill Simmons. Assisted dying now legal in New Zealand, End of Life Choice Act a ‘huge relief’ for someNovember 7, 2021“We have to remember people who are eligible are already dying, this is just the way that they die – not the fact they will die.” https://www.stuff.co.nz/national/health/euthanasia-debate/300443715/assisted-dying-now-legal-in-new-zealand-end-of-life-choice-act-a-huge-relief-for-some Good News for Californians!November 6, 2021https://www.usnews.com/news/best-states/california/articles/2021-11-04/lawsuit-briefly-blocking-california-assisted-death-law-ends What Ways Can You Die When You’ve Had Enough of LifeOctober 26, 2021https://www.thegooddeathsocietyblog.net/2021/10/24/what-ways-can-you-die-when-youve-had-enough-of-life/ Dr Rodney Syme has died aged 86 – The VE Movement Has Lost a GiantOctober 25, 2021Many Hemlockers may not know Rodney, but he was a towering voice. Faye interviewed him at length in a recent presentation, Current Issues in the Right to Die: Australia. He was a gutsy doctor — an inspiration for all and a fighter to extend the law. The interview begins at 35:00. Click here These people want to die. Will their countries allow euthanasia?October 22, 2021https://www.nbcnews.com/news/latino/people-want-die-will-countries-allow-euthanasia-rcna3307?fbclid=IwAR1JowKHVmEkCH_FAKZy-7UVmpboWLHmdnyjP8LjtfT3H-Q0-wPTfPM2QpE What’s Wrong With Advance Care Planning?October 11, 2021Viewpoint What’s Wrong With Advance Care Planning? October 8, 2021 R. Sean Morrison, MD1,2; Diane E. Meier, MD1; Robert M. Arnold, MD3 Author Affiliations Article Information JAMA. Published online October 8, 2021. doi:10.1001/jama.2021.16430 Advance care planning (ACP) has emerged during the last 30 years as a potential response to the problem of low-value end-of-life care. The assumption that ACP will result in goal-concordant end-of-life care led to widespread public initiatives promoting its ... Governor Newsom Signs SB 380!!October 6, 2021https://www.fresnobee.com/news/california/article254793857.html California Passes Major Hospice Reform LawsOctober 5, 2021 Head of Dutch RTD Group DetainedSeptember 30, 2021https://apnews.com/article/europe-health-crime-netherlands-assisted-suicide-54fd090d8a261723b9a04bcb8fea08f4 Sandy Morris Challenges California LawSeptember 22, 2021September 19, 2021 Sandy Morris Challenges California Law Lisa Krieger, Mercury News Sandy Morris Challenges California Law – But How? Sandy Morris challenges California law because when found out she would die of ALS, she resolved that she would bravely, peacefully and legally end her own life, surrounded by her beloved family and views of the Sierra Nevada. California’s End of ... California State Assembly Passes SB 380September 13, 2021https://www.recordnet.com/story/news/state/2021/09/11/california-moves-extend-streamline-process-assisted-death/8298243002/ Happy 100th Birthday to Our Board Member Ken Watson!September 6, 2021https://www.lajollalight.com/news/story/2021-09-04/la-jolla-centenarian-retired-la-jolla-physicist-ken-watson-celebrates-a-century-of-having-fun New Lawsuit Challenges Self-Administration in EOLOAAugust 30, 2021A group of doctors has just filed a lawsuit California challenging the self-administration requirement of the EOLOA. The complaint filed on 8/27/2021 states: “However, there is one group of Californians who cannot avail themselves of the benefits of this compassionate law: physically disabled individuals whose disability prevents them from self-administering the AID medication without assistance. ... Your Experiences, PleaseAugust 26, 2021We’d like to hear about your experiences with loved ones, or yourself, trying to or using VSED (Voluntarily Stopping Eating and Drinking) and also using the End of Life Option Act to achieve a peaceful death. I will compile them, respecting your confidentiality, and will be able to let our members know important pointers to ... Support CA SB 380August 24, 2021SB 380, the bill in the California State Legislature that would liberalize the End of Life Option Act in several important ways, is currently in The State Assembly Appropriations Committee with a hearing on August 26, 2021. The one local committee member is Dr. Akilah Weber, an OB GYN and daughter of Shirley Weber. If ... NEW VIDEO – Current Issues in the RTD: AustraliaJuly 13, 2021https://www.youtube.com/watch?v=u6k4Y5MbX0Y A discussion on right-to-die issues and laws in Australia led by Faye Girsh with speakers from Australia presented on July 8, 2021, NEW Video – Current Issues in the Right to Die: SwitzerlandJune 29, 2021This program was held on June 24, 2021 via Zoom. It is first in a series of presentations by Faye Girsh and Ken Watson on Current Issues in the Right to Die. Note: To view this video, click “Watch on YouTube”, then click “I understand and wish to proceed”. New Book: Voluntarily Stopping Eating and Drinking edited by Timothy E. Quill, Paul T. Menzel, Thaddeus Pope, and Judith K. Schwarz.June 11, 2021Available for pre-order and will ship July July 27, 2021. https://global.oup.com/academic/product/voluntarily-stopping-eating-and-drinking-9780190080730?lang=en&cc=ca# Stanford Letter ProjectMay 21, 2021Using the Stanford What-Matters-Most letter form and answering some simple questions, any adult can write about what matters most to them when it comes to their healthcare choices they want to make for their future when they cannot speak for themselves. https://med.stanford.edu/letter.html Forms: Advance Health Care Directive, Covid-19 Addendum, And POLSTMay 13, 2021Advance Health Care Directive Form Covid-19 Advance Health Care Directive Addendum Physician Orders for Life Sustaining Treatment The Father . . . a film to spark a movement ???May 12, 2021By Anne M. Haule, Hemlock Society Member and Volunteer Recently I went to a movie theater and saw my first movie in over 14 months of pandemic. It was so exciting to be in an actual theater again instead watching films online or on zoom. Walking into the lobby, seeing other movie goers, and smelling the ... American Clinicians Academy on Medical Aid in DyingMay 2, 2021A resource for patient-to-doctor referrals for medical aid in dying and educational information for clinical practitioners. We Are All One “Bad Death” Away From Becoming Right To Die AdvocatesApril 28, 2021By Anne Haule, Member, Hemlock Society It’s been almost 10 years, but I still cry when I think or talk about Larry’s death. I can’t get the picture out of my mind of his deteriorating body, hooked to his catheter, lying on the floor after falling out of bed. He died 5 days later in a hospice ... The Inevitable: Dispatches on the Right to DieApril 17, 2021The Inevitable: Dispatches on the Right to Die by Katie Engelhart, 2021 Review by Faye Girsh While thousands were dying from Covid 19, assisted dying laws were passed in Spain, Austria, New Mexico, being considered in both Australian and U.S. states, and expanded in Canada. Equally refreshing and hopeful is this new book by Katie Engelhart ... Dutch Push for Demedicalisation of Euthanasia LawsApril 12, 2021April 11, 2021 (From Exit International) The Coöperatie Laatste Wil (CLW), together with thirty Dutch citizens, is taking the Dutch State to court to create the legal right for voluntary, elective dying at a time of one’s choosing that does not require medical sanction or assistance. This Dutch push for the Demedicalisation of Euthanasia Laws is ... Medical Emergency: The Church-State Wall Has Collapsed When It Comes To End-Of-Life CareMarch 13, 2021Kim Callinan of Compassion and Choices writes about the ways the Catholic Church’s Ethical and Religious Directives (ERD’s) govern what kind of treatment you will receive (or NOT) at Catholic hospitals. Many of these directives influence end-of-life care. The majority of these hospitals do not publicly disclose these policies. … the number of Catholic-affiliated hospitals grew ... I’m the Doctor Who Is Here to Help You DieMarch 2, 2021In an article adapted from the newly-released book “The Inevitable,” Dr. Lonny Shavelson, Chairman of the American Clinicians Academy on Medical Aid in Dying talks about his experiences prescribing life-ending drugs to terminally ill people in California and how he came to transition from emergency room doctor to end-of-life specialist. Most of his patients were ... Right of WayFebruary 21, 2021Bette Davis and James Stewart star in this 1983 film as an aging couple who have decided to end their lives together after the wife is diagnosed with a debilitating terminal illness, in spite of objections by their daughter and community. Death with Dignity: How I helped my dad dieFebruary 2, 2021A daughter’s story of her father’s decision to end his life when he lost his independence and freedom due to Amyotrophic Lateral Sclerosis, also known as Lou Gehrig’s disease. He was facing quadriplegia. Her dad sent her a text message saying he was ready to die, and he needed her to help. The safeguards of ... Do you know if your hospital has directives that would force you to receive unwanted treatment at end of life?January 29, 2021January 16 marks Religious Freedom Day. While people’s spiritual beliefs take on heightened meaning at the end of their life, religious freedom at this time is unfortunately an aspiration, not a reality. A Jan. 4 study in the Journal of American Medical Association, found that an overwhelming 71% of Americans believe that personal decisions about ... Soylent GreenDecember 22, 2020This ecological dystopian thriller film portrays the year 2022. The cumulative effects of overpopulation, pollution and some apparent climate catastrophe have caused severe worldwide shortages of food, water and housing. Government-assisted euthanasia is available on request. Starring: Charlton Heston, Leigh Taylor-Young and the last performance of Edward G. Robinson. The Farewell Pary (Israel)October 18, 2020This is a wonderful Israeli movie telling a unique, compassionate and surprisingly funny story of a group of folks at a Jerusalem retirement community who decide to help their terminally ill friend end his life. When rumors of their assistance begin to spread, more and more people ask for their help. What do they do ... In-Hospital Cardiac Arrest Common, Survival Poor, in COVID-19October 13, 2020Medscape reported on two studies of in-hospital cardiac arrest in Covid patients. In a report from William Beaumont Hospital, Royal Oak, Michigan, 60 of 1309 hospitalized patients with COVID-19 (4.6%) had an in-hospital cardiac arrest. Of these, 54 had documented cardiopulmonary resuscitation (CPR). None survived to discharge. In a multicenter cohort study published online September ... How Doctors Redefined Death. Is it as binary as it seems?September 28, 2020by Rohin Francis, MBBS, Medlife Crisis Modern technology has blurred the lines of life and death to a confusing extent. Heart transplant operations changed the definition of death. The external corporeal membrane oxygenation (ECMO) machine can keep a person “alive” with no heart or lung in their body. In New York and New Jersey, a family can ... That Good Night: Life and Medicine in the Eleventh Hour by Sunita PuriSeptember 18, 2020At the end of her training in internal medicine, Dr Puri was doubting the professional choice she had made, questioning if medicine was really what she wanted to do with her life. At the suggestion of a colleague, Dr Puri applied for a position in the palliative care department. She had found her medical passion. At ... GuzaarishAugust 16, 2020This is a visually stunning film shot in an elegant Goa mansion about a handsome young show man who has become a quadriplegic and his devoted, gorgeous nurse (who dresses exquisitely). His helplessness and total dependence lead him to the courts, where even his mother pleads for his right to die. Save your tears for the ... Limitations of Palliative CareJuly 21, 2020Retired Palliative Care Nursing Supervisor Beverley Young talks about the limitations of Palliative Care in New Zealand Being Patient: Alzheimer’sJune 28, 202058 year old Kelly Bone, with early onset Alzheimer’s, discusses her plans to go to a clinic for euthanasia. One of the requirements for all of the US medical aid in dying laws is mental capacity; Alzheimer’s patients cannot use medical aid in dying laws. She mentions her attorney’s comments about the difficulty of getting a Do ... Education is the Key for End of Life ChoicesJune 14, 2020Drew Schlosberg interviews Barry Price, Ph.D., President and Faye Girsh, EdD, Founder, of the Hemlock of Society of San Diego for Spotlight on the Community radio program. They discuss the history of the Hemlock Society of San Diego, the Hemlock Society of San Diego’s Covid-19 addendum to an advance health care directive and ... An Appearance on KUSI by our Medical Advisory Chair Regarding our Covid-19 Specific Advance DirectiveApril 24, 2020Hunt Kooiker, MD, MPH, Chair of the Hemlock Society of San Diego’s Medical Advisory Committee, appeared on KUSI with Logan Byrnes to discuss end of life directives, particularly important in the time of Covid-19. Click here to view the segment. Patient Rights Eroded as Pendulum Swings to More Rights for InstitutionsApril 23, 2020This important discussion highlights the ways in which faith-based institutions impose religious value based treatment decisions on doctors and patients. Most often, patients enter faith-based institutions without any idea that the institution is bound by Ethical Rights Directives which can prohibit participation in Medical Aid in Dying and other procedures the institution ... What You Should Know Before You Need a VentilatorApril 18, 2020Covid-19 can cause Acute Respiratory Distress Syndrome (ARDS) in which oxygen levels plunge and breathing is impossible without a ventilator. Unless there is an advance directive stating that the patient does not want ventilation, she is heavily sedated and a 10 inch tube is inserted which is connected to a ventilator through the mouth and ... First Conference on Clinician Training for Medical Aid in DyingFebruary 25, 2020The conference was held in Berkeley, CA on 2/13-15/2020. Some things discussed: Drug protocols Dr. Shavelson, in conjunction with anesthesiologist Carol Parrot, have researched why some people – ‘outliers’ take so long to die. They have developed a list of “red-flags” that indicate a death may take longer than normal. They no longer give estimates of time ... A Short Stay in SwitzerlandFebruary 16, 2020This movie mirrors the dilemma that many fear or face in our current culture. If you shared your decision to have a “peaceful death,” how do you perceive your loved ones would respond? Inspired by the true story of Dr Anne Turner, who in 2006 took her own life at Dignitas clinic in Zurich after ... Awareness During CPRFebruary 1, 2020Zdogg relates a case of a 69 year old man who was subjected to 90 minutes of high-quality CPR during an ordeal in the hospital where he ultimately could not be saved due to his massive aortic dissection. The patient woke up during CPR, but when they stopped, he went unconscious again. He notes that ... End of Life ChoicesJanuary 24, 2020You have the right (in the U.S.): To be fully informed and involved in decisions about your medical care, including end of life care To refuse or withdraw unwanted medical treatment, including food and fluids. This may be difficult to do if you are in an institution, as they are required to offer you food; but they may not ... Rosemary Bowen’s Self-Directed Death by Voluntarily Stopping Eating and Drinking (VSED)January 24, 202094-year old Rosemary Bowen experienced a loss of independence after a spinal compression fracture. She was clear throughout her life and after the compression fracture that once she was unable to care for herself she wanted to end her life. Rosemary wanted to …get out of life while the “getting was good.” The below video ... Canadian Medical Assistance in Dying: Dr Ellen WiebeJanuary 22, 2020A Friends at the End talk by Dr Ellen Wiebe, a Medical Aid in Dying (MAiD) provider from Canada. Dr. Wiebe talks about the criteria for physician aid in dying in Canada and tells us about some of her patients, including some patients with dementia. At 18:00 she notes that Canadian law gives the patient ... Terry Pratchett: Choosing to DieDecember 31, 2019Author Terry Pratchett, diagnosed with Alzheimer’s in 2008, visits people with serious disease considering ending their lives on their own terms. He talks with close family members about their feelings. Terry and his assistant visit Dignitas in Switzerland and film the chosen death of Peter Smedley, with his loving wife by his side. His ... It’s My Right: The Handmade Death of Herta SturmannDecember 30, 2019This video shows a woman with congestive heart failure who chose to die by Voluntarily Stopping Eating and Drinking (VSED), or Sterbefasten or Death Fast, as known in Germany. She died at home after 10 days, with round-the-clock care from her sons and support of hospice. Her sons built her coffin ... The Diving Bell and the ButterflyDecember 16, 2019December 15, 2019 - The Diving Bell and the Butterfly Better Endings | The Islamic Perspective on End-of-Life CareDecember 10, 2019Dr. Ramy Salah, a hospice & palliative care clinical fellow at the University of California, San Francisco discusses end of life issues from an islamic perspective. The Ventilator: Life, Death And The Choices We Make At The EndNovember 24, 2019“What if the seemingly rational choices you prefer when you’re healthy no longer make sense to you when you’re actually confronting death?” This poignant story is told by the husband of a nurse. Throughout her life this nurse, Stephanie, was adamant in repeatedly telling her family about multiple circumstances she had encountered in the emergency room: ... Draft Addendum to Advance Health Care Instructions v 8 (addresses cognitive impairment)October 23, 2019You may consider adding wording similar to the below to your advance directive ( you DO have one, right ?) if you are concerned about being kept alive with severe cognitive impairment. I am not afraid of death, which will come to us all. However, it is very important to me that I do not ... Youth in OregonOctober 20, 2019Frank Langella plays a retired doctor who is unwilling to endure further treatment for a hopeless heart condition. But when he announces his intention to travel from New York to Oregon to seek legal approval to end his life comfortably, his family rebels. How to Die in CaliforniaSeptember 22, 2019How to Die in California - expert speakers addressed the fundamentals of hospice, medical aid in dying, the Final Exit Network, and other exit options. The program begins with expert speakers addressing the fundamentals of hospice, medical aid in dying, the Final Exit Network, and other exit options. We see a compelling documentary of a 75 year old San Francisco resident using California's End of Life Option Act. Dutch doctor acquitted in landmark euthanasia caseSeptember 11, 2019The issue of advance directives for dementia is a hot topic in the right to die field. In the US there is little legal guidance on this issue. Ethicists argue whether it is ethical to honor these documents once a person has lost legal capacity. Some say the person that signed them – the “then-self” ... The Inescapable TruthSeptember 2, 2019Opponents of assisted dying often use as an argument that assisted dying is not necessary because good quality palliative care can alleviate suffering at end of life. This report from England concludes that 17 people a day suffer at the end of their lives, despite the best efforts of hospice and palliative care. In research commissioned for ... The CarerAugust 20, 2019August 18, 2019 What Happens When we Die?August 20, 2019“The more people engage and understand death and know where it’s heading … the better prepared the person is to be able to let go to the process, and the better prepared the family is to reconcile with it, for a more peaceful death.” Associate Professor Mark Boughey, director of palliative medicine at Melbourne’s St Vincent’s ... The questions surgeons need to ask their seniors before surgeryAugust 15, 2019Judith Graham | Kevin Md, Conditions | August 13, 2019 This article talks about: “….a common complaint: Surgeons don’t help older adults and their families understand the impact of surgery in terms people can understand, even though older patients face a higher risk of complications after surgery. Nor do they routinely engage in “shared decision-making,” which involves ... Faye Girsh appeared on the “Living to 100 Club” radio hour with Joseph M. Casciani, PhDAugust 9, 2019Faye Girsh talks about end of life laws worldwide, documents necessary to increase your chances of a good death and medical aid in dying laws. Cancer Medicine is Failing UsAugust 1, 2019Cancer is the #1 diagnosis for those taking advantage of medical (or physician) aid in dying. This could be simply because the prognosis (to achieve the required six months or less to live) is more predictable than other diseases. This author makes the case for “slow medicine,” or, as he calls it, ... Voluntarily Stopping Eating and Drinking Is Legal—and Ethical—for Terminally Ill Patients Looking to Hasten DeathJuly 14, 2019by Thaddeus Mason Pope, J.D. The Asco Post, June 25, 2018 Attorney and law professor Thad Pope discusses the fact that Voluntarily Stopping Eating and Drinking (VSED) is legally more accessible to terminally ill patients than Medical or Physician Aid in Dying and that it is becoming more accepted by physicians as a legitimate way to ... Faye Girsh talks with KPBS about Rational SuicideJuly 11, 2019Founder of the Hemlock Society of San Diego, Faye Girsh, is interviewed by KPBS TV. They discuss the difference between rational suicide and the "normal" definition of suicide, which is a permanent solution to a temporary problem - and often involves violence and a death alone. 2018 Statistics – California’s End of Life Option ActJuly 10, 2019The 2019 Annual Report is now out For 2018 337 California individuals died from ingestion of aid-in-dying drugs, a rate of 12.6 per 10,000 deaths based on 268,4743 deaths to California residents in 2018. 23 of those received their prescriptions in 2017. Compare with the Canadian Medical Aid in Dying system – which allows physician administered drugs: For ... When “do no harm” is no longer textbookJuly 8, 2019by Jim Demaine, Md, KevinMD.com, July 7, 2019 A call came about noon a few years ago that a patient I’ll call Stella was being admitted once again. She had come into the ER from her nursing home to receive transfusions. These were now needed every two weeks to keep her alive. The problem was that ... My Time To Die: Nick Ferrari Follows Dementia Patient To Swiss ClinicJuly 2, 2019Leading Britain’s Conversation – July 2, 2019 Every 8 days a briton travels abroad for help to die. An interview with an early onset Alzheimer’s patient and his plans to go to a Swiss clinic to end his life. Philip Nitschke Makes the Point that Rational Suicide should be a rightJuly 1, 2019Philip Nitschke makes the point that it is an illusion that patients have choice in Medical Aid in Dying. It is the doctor who decides and no one else. The right the patient has is simply to ask the doctor for permission. Nitschke describes the medical model process as “beg and grovel” ... What Does That DNR Really Mean? with Dr. Fred MirarchiJune 30, 2019ZDoggMD talks with emergency room physician Dr. Fred Mirarchi about misconceptions healthcare providers often have about living wills/POLSTS. Both doctors make a distinction between witnessed and unwitnessed cardiac arrests. Miracle Machine Makes Heroic Rescues — And Leaves Patients In LimboJune 18, 2019Melissa Bailey, Kaiser Health News June 18, 2019 The latest miracle machine in modern medicine — whose use has skyrocketed in recent years — is saving people from the brink of death: adults whose lungs have been ravaged by the flu; a trucker who was trapped underwater in a crash; a man whose heart had stopped ... PaddletonJune 16, 2019A “guy” way of looking at the end of life. It very nicely portrays the process of using California’s End of Life Option Act (EOLOA), how a person who is alone needs a companion to be with , and the many ways sadness, friendship and loss can be portrayed without an overt display of emotion. ... Do Not Resuscitate Orders In An Operating Room SettingJune 10, 2019Many health care institutions have practices and policies which automatically suspend do-not-resuscitate (DNR) orders when patients go to the operating room. Read more about DNR during surgery. What It’s Like To Prescribe Aid-In-Dying DrugsMay 15, 2019By Ryan Warner, Colorado Matters Podcast. May 1, 2019 A Colorado physician talks about medical aid in dying in Colorado. As he notes, you must ask about aid in dying. It is almost universal in the states that allow it that no one will offer this as an option; you must ask for it. Listen to the ... John L’Heureux on Death and DignityApril 29, 2019Writer John L’Heureux describes coming down with Parkinsons, and his decision to use California's End of Life Option Act to end his life. EndgameApril 28, 2019Endgame is an award-winning documentary following the lives of people contemplating a medically assisted suicide in Switzerland. Tt shows the speed and ease of the intravenous method of medically assisted suicide used at Lifecircle. By controlling a valve, the patient knowingly takes the final step themselves, clearly making this an act of assisted ... How to Make Doctors Think About DeathApril 28, 2019Opinion piece by Theresa Brown, hospice nurse. New York Times, April 27, 2019 A hospice nurses argues that lack of time is the main cause of over treatment at end of life. She suggests the development of end-of-life treatment guidelines. “Such guidelines exist for a host of conditions: cardiac arrest, diabetes, depression. Though ... When wishes are not respected at end of lifeApril 24, 2019David Wood, MD, the Chief Medical Officer at Beaumont Health, describes the challenging experience he faced as the surrogate decision maker for his father at the end of life. “It’s a casacade.” People kept saying “he’ll get better.” Video: 5.08 mins.