Often overlooked, surgery can be a key part of palliative care


Palliative medicine is a largely unrecognized discipline. While many physicians may view it as reserved for dying patients, it can benefit anyone living with serious and complex illness. Additionally, palliative interventions can be invasive and may even include surgical care.

But whatever the intervention, palliative care must be guided by intention – by patients, their families and their doctors, aiming not to cure disease or prolong life, but to improve quality. of life at any given time.

The October issue ofWADA Ethics Journal® (@JournalofEthics) studies surgical palliation, paying particular attention to the formation of intention and the preservation of confidence.

Articles include:

    1. No single person should decide for whom or by what criteria palliative surgery is clinically and ethically appropriate.

    1. The duty of a surgeon is to identify goals of care, including those relating to quality of life, from the patient’s perspective and to consider how to achieve them.

    1. Calls to expand palliative care training have been explicit since the 1990s, but surgical palliative care training remains too narrowly focused on end-of-life.

    1. Advice on sedation to unconsciousness and medically ineffective interventions can be applied to surgical palliation.

In the October newspaper “Let’s Talk Ethics” podcast, editor C. Alessandra Colaianni, MD, chief resident of the Department of Otolaryngology-Head and Neck Surgery at Harvard Medical School, describes the creation of this month’s issue on Surgery palliative. In the same episode, Wynne Morrison, MD, MBE, director of the Justin Michael Ingerman Center for Palliative Care at Children’s Hospital of Philadelphia, discusses how to explore palliative surgical goal training with children and their caregivers.

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The October issue also features six author interview podcasts. to listen previous episodes of the “Ethics Talk” podcast or subscribe to itunes or other benefits.

ThoseWADA Ethics Journal CME modules are each designated by WADA for a maximum of 1AMA PRA Category 1 â„¢ Credit:

In addition, the CME module “Ethical discussion: why “palliative surgery” is not like a “giant shrimp”Is designated by WADA for a maximum of 0.5AMA PRA Category 1 â„¢ Credit.

The offer is part of theAMA Education Centerâ„¢, an online learning platform that brings together high-quality CME, certification maintenance and educational content – in one place – with relevant learning activities, automated credit tracking and reporting for certain states and specialized councils.

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The journal’s editorial focus is on commentaries and articles that offer practical tips and ideas for medical students and physicians.Submit a manuscriptfor publication. The review tooinviteoriginal photographs, graphics, comics, drawings and paintings that explore the ethical dimensions of health or healthcare.

The next issues of theWADA Ethics Journalwill focus on healthcare and homelessness, health justice and diversity, and disparities along the medico-dental divide.Register nowto receive email alerts when new issues are published.


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