Hospice Foundation of America
E-Newsletter
Volume 5, Issue 2
March 2005
http://www.hospicefoundation.org
In this issue:
Message from David Abrams,
President
With this issue,
you'll notice that our e-newsletter is coming to you in a new design and
HTML format. Our surveys have indicated that the majority of our
subscribers can utilize this format, and it allows us to enhance our
design and readability. If you are unable to read this month's e-news
and want to continue receiving it as a text document, please send us an
email to enews@hospicefoundation.org. We will be making additional
enhancements, both in structure and in content, over the next few
months.
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Focus on: A
Discussion with Richard Fife, Chair, Corporate Ethics Committee, VITAS
Healthcare Corp.
In an exclusive interview, HFA spoke
with Dr. Richard Fife of the VITAS Healthcare Corporation about being
based in Florida and following the events in the Schiavo case. When
asked, "do these types of national stories about end-of-life care have
an impact on hospice ethics committees around the country?" Fife
replied, "Very much so; there has been lots of discussion in all of our
hospices nationally about
advance directives and end-of-life decision making in light of the
Schiavo case. It has been very strange to me that this has all happened
in Florida, as our state has always been a key player in the issue of
patient's rights. In addition, Florida law is actually very clear that
in cases such as these...."
See the full text of Dr. Fife's comments as he discusses how
hospices can develop and train ethics committees; looks at some of the
common issues that these committees face; and offers advice for families
who are dealing with difficult end-of-life choices.
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End-of-Life Care In the News
The Drug Enforcement Administration is seeking
comments from health care professionals and others regarding the use of
controlled substances for the treatment of pain. The DEA drew criticism
recently when it withdrew its support of the document, "Prescription
Pain Medications: Frequently Asked Questions and Answers for Health Care
Professionals and Law Enforcement Personnel (FAQ)." In a joint letter to
the DEA, the American Academy of Pain Medicine, the American Pain
Society, and the American Society of Addiction Medicine called the DEA's
action an "unfortunate step backward" for pain management. The Pain and
Policy Studies Group, a key player in the development of the FAQ, said
that the DEA's actions are "likely to interfere in medical practice and
pain management, while contributing little if anything to addressing
prescription drug abuse and illegal activities that result in
diversion". You can read the DEA's solicitation for public comment, and
the letters from the pain groups on the
AACPI website.
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FYI
The National Hospice and Palliative Care
Organization will hold its 6th Clinical Team Conference, "Science,
Skills and Soul: Advancing the Continuum of Care," April 21-23 in
Atlanta. The conference offers more than 100 educational sessions,
nationally recognized plenary speakers including Joan Borysenko,
networking opportunities, exhibits, poster sessions, and more.
Continuing education credits/hours for nurses, physicians, pharmacists,
chaplains, and social workers are available. For more details visit
the conference Web site or
call 800-646-6460.
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What's New@HFA
Each year, HFA publishes a book in conjunction with
the annual national bereavement teleconference. The
book is an excellent stand-alone resource, with
contributions on a wide range of topics by experts in
the field as well as from family caregivers. The book
will be available at many teleconference sites, but
can also be ordered directly by individuals; simply
call us at 800-854-3402 for ordering information.
See the full Table of Contents.
The cover image of this year's book is "Science E
Charite" by Pablo Picasso. By juxtaposing the caring
arts with medicine, the artwork is a beautiful
illustration of the many difficult questions
surrounding ethical dilemmas at the end of life.
See the book cover with the image.
Alan Meisel and Bruce Jennings contributed a chapter
to the book which notes that, "The main challenge
facing the law of end-of-life care is to avoid the
twin wrongs of burdensome overtreatment and neglectful
undertreatment." Read the full chapter on
"Ethics,
End-of-Life Care, and the Law: Overview."
John Mulder, MD, medical director for Alive Hospice in
Nashville, TN, further explores how technology can
complicate end-of-life care in a case study focusing
on
"Withdrawal of Implantable Cardiac Devices."
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HFA Teleconference Update
On April 20, HFA will broadcast its twelfth annual
National Bereavement Teleconference, "Ethical Dilemmas
at the End of Life." We are pleased that William
Colby, JD., has joined the teleconference panel. Mr.
Colby serves as a Fellow at the Center for Practical
Bioethics in Kansas City. He represented the family of
Nancy Cruzan; the Cruzan case is the first so-called
right-to-die case heard by the United States Supreme
Court. Mr. Colby is the author of Long Goodbye: The
Deaths of Nancy Cruzan.
See a full listing of this year's teleconference panel. Mr. Colby
recently wrote an op-ed piece about the importance of having family
conversations about end-of-life wishes. Read the article that was
published in
USA Today.
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Locate a Teleconference Site
If you are an individual interested in attending the
HFA annual Teleconference broadcast in April, you can
locate a site in your area.
Please be sure to contact the local site coordinator
listed for information about attending the
teleconference at his or her location. Some sites have
limited space and a reservation must be made with the
local site coordinator. Individual attendees do not
need to register with Hospice Foundation of America.
If there is no site listed in your area, check back as
new sites are added regularly.
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Site Coordinator's Corner
Congratulations to
Catholic Hospice of Miami Lakes,
FL! This host site
won a complimentary box of Living With Grief: Ethical
Dilemmas at the End of Life books (a $260 value). All
sites registered by February 18 were entered in the
drawing.
Please remember: Book orders must be submitted, with
payment, by April 1.
Reminder: If your site is offering CEUs through HFA,
applicants must use the evaluation form provided by
HFA; substitutions cannot be accepted due to strict
board guidelines.
If you have questions or concerns about your
registration, please send an email to
telecon@hospicefoundation.org.
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This newsletter is sent to more than 6,350 subscribers on the 2nd Wednesday of
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This newsletter is published by Hospice Foundation of America
Jack D. Gordon, Chairman
David Abrams, President
http://www.hospicefoundation.org
Board of Directors: Thomas E. Bryant, MD, JD; Myra MacPherson; Priscilla Perry;
Patricia Spulak; Thomas Spulak
© Hospice Foundation of America 2005
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