Blogs

Disclaimer:  While every attempt is made to ensure that drug dosages provided within the text of this journal and the website are accurate, readers are urged to check drug package inserts before prescribing. Views and opinions in this publication and the website are not necessarily endorsed by or reflective of those of the publisher.

Abandoning Treatment Due to Age Alone

Author(s)
Deck
When caring for older adults with comorbidities, especially those at the extreme upper limits of life…
Thumbnail Image
Teaser

For some older individuals’ chronic conditions, the odds of a positive outcome may seem too distant or the patient’s discomfort—or, in many jurisdictions, the financial burden—may act as a barrier to the pursuit of answers.

When caring for older adults with comorbidities, especially those at the extreme upper limits of life, it may be easy for providers to lessen the intensity of their curiosity and medical investigation. For some older individuals’ chronic conditions, the odds of a positive outcome may seem too distant or the patient’s discomfort—or, in many jurisdictions, the financial burden—may act as a barrier to the pursuit of answers.

Topic
Section

Planning for the Future: Expected and Unexpected

Author(s)
Deck
For those of us who are planners, it seems perfectly natural to anticipate the possibilities of the future...
Thumbnail Image
Teaser

My late father, an engineer whose expertise was motor vehicles, drummed into me the importance of timely oil changes—which I do to this day: it is an almost obsession with me.

For those of us who are planners, it seems perfectly natural to anticipate the possibilities of the future and try to take steps to either avoid bad outcomes or implement steps to mitigate deleterious outcomes. My late father, an engineer whose expertise was motor vehicles, drummed into me the importance of timely oil changes—which I do to this day: it is an almost obsession with me.

Section

Treating Patients as Real People, Not a Collection of Symptoms

Author(s)
Deck
It’s understandable that physicians and nurses are primarily concerned with the medical conditions they’re responsible for treating.
Thumbnail Image
Teaser

Instead of asking a new patient, “How are you?” I recommend asking, “So who are you?”

When you enter a car showroom, a salesperson may identify you as a small-car buyer or a second-hand car buyer, or, if you're known to the dealership, perhaps as a solid every-three-year leaser. With a label in mind, the salesperson will approach you in a particular way.

Topic
Section

A Few Degrees of Separation

Author(s)
Deck
I have often talked about how important stories are when it comes to medical care.
Thumbnail Image
Teaser

Instead of asking a new patient, “How are you?” I recommend asking, “Who are you?”—meaning, “What is your story?”

I have often talked about how important stories are when it comes to medical care. We must, of course, use the best available medical knowledge to benefit our patients, but I believe it is also important to find the humanistic aspects of care and build on them, in order to foster human relationships.The importance of learning the patient’s personal story is key to achieving this goal.

Topic
Section

The Need to Feed—A Powerful Force

Author(s)
Deck
The mothers of all living species appear to have a biologically determined need to feed their young.
Thumbnail Image
Teaser

Food is clearly one of the essentials of life. Most people in the more developed world consider food as much for its culinary delights and aesthetics than for its nourishment attributes.

Why Families Should Consider Forgoing CPR

Author(s)
Deck
Physicians usually become adept at choosing medications for the complaints and illnesses that patients bring to their attention.
Thumbnail Image
Teaser

It happens a few times a month: I get a request for a meeting with a family struggling…

It happens a few times a month: I get a request for a meeting with a family struggling whether or not to provide a do not resuscitate (DNR) order for a frail and aged family member. Often the patient has dementia, and, therefore, the decision falls to the formal substitute decision maker (SDM), in keeping with the Health Care Consent Act in Ontario (and comparable legislation elsewhere).

Section
Keyword

Should We Keep Meeting Like This?—The Place for Reunions

Author(s)
Deck
Reunions are unusual and sometimes bizarre phenomena.
Thumbnail Image
Teaser

It is curious that people seem to be drawn to meeting over periods of many years or even decades with people…

Reunions are unusual and sometimes bizarre phenomena. It is curious that people seem to be drawn to meeting over periods of many years or even decades with people that they may or may not have been close to during some period of their formative years of education. Think about the likelihood that at a high school reunion, you might meet more than a few people of significance in your life or with whom you have even the remotest interest in knowing what they have done during the intervening years.

Section

Dealing with Family Strife

Author(s)
Deck
Physicians usually become adept at choosing medications for the complaints and illnesses that patients bring to their attention.
Thumbnail Image
Teaser

One always hopes that as medical practitioners, we will be able to focus our attention on the medical issues faced by seniors…

One always hopes that as medical practitioners, we will be able to focus our attention on the medical issues faced by seniors and help families cope with the fears, disappointments and tragedies that are faced by loved ones in the midst of what are often life-altering illnesses.

Section

Beyond Medications for Dementia

Author(s)
Deck
Physicians usually become adept at choosing medications for the complaints and illnesses that patients bring to their attention.
Thumbnail Image
Teaser

Dementia is the umbrella term used commonly to describe the cognitive decline that affects…

Physicians usually become adept at choosing medications for the complaints and illnesses that patients bring to their attention.

Topic
Section

Where's the Beef?

Author(s)
Deck
I was sitting in a coffee shop next to table with 5 older women…
Thumbnail Image
Teaser

I could hear one of them say to the group, “I am cutting bacon out of my diet—but I do love it once in a while”…

I was sitting in a coffee shop next to table with 5 older women. I could hear one of them say to the group, "I am cutting bacon out of my diet—but I do love it once in a while".

Section