Palliative Care

Cutting for comfort: Understanding the role of palliative surgery

Would you or a loved one undergo surgery knowing that it would not lead to a cure? This question invites a broader discussion about the risks and benefits of such decisions.

Essential exposure: The case for mandatory palliative care clinical rotations

Clinical exposure to palliative care is not afforded the attention it deserves in undergraduate medical curricula. To rob medical learners of such experiences is a travesty.

Dr. AI & Me

AI is here to stay. But with its rapidly evolving nature, could it eventually replace real-life physicians?

Palliative care as a true art form

When the foundation of communication begins to crumble, what will be the pillar health-care professionals can lean on to support patients afflicted with dementia during their final days?

Palliative pixie dust

Just as Disney World has grown and evolved, so must palliative care. The time for Ontario to update palliative care into the 21st century may have arrived.

Hospice care, not hospital beds: Investing in palliative care will help solve the health-care crisis

6,000 patients in Ontario currently need an “Alternate Level of Care” (ALC). They do not need to be in hospital, but there is nowhere safe for them to go. Government investment in palliative care is a crucial part of the solution.

The key to living longer and better? Dying at home

Despite our preferences, most Canadians do not have the privilege of dying at home. Although it is not possible to guarantee a good death, it is possible to reduce your risk of a bad death by thinking and talking about end-of-life.

How to build a palliative care empire

Though some may say that we can’t train enough palliative physicians, much like the Imperial Commander on the second Death Star, I recommend we “double our efforts.”

Re-evaluating visitor restrictions

While visitor policies have undoubtedly helped prevent COVID transmission in hospitals, as we move away from a crisis response to COVID-19, caregivers and families may once again be able to support patients alongside their health-care teams.

Palliative care (still) in need of better PR and a new spokesperson

Palliative care has an image problem. We need to find someone who can get the message across to the thousands of Canadians who could benefit from a palliative approach to care and those who care for them.

On fathers: Paying tribute to those in my life and career

My job gives me an interesting perspective. The simplest lesson I have learned is this: At the end of life, it is not what we have done that we remember most, but it is the things we did not do that we regret.

No need for super heroes. What we need is the will to fix our health-care system

Panels have been stuck. Articles and reports have been written. But Canadians will have to stay informed and involved if we want to improve our health-care system.

There is no debate – Patient Medical Homes are the way to go

The Patient's Medical Home is a vision for the future of family practice in Canada: One that focuses on comprehensive, coordinated, and continuing care for populations through a family physician working with health care teams.

Palliative care doctor bridges health-care worlds

Michael Anderson, a doctor of Mohawk and English-Canadian ancestry, is drawing on Indigenous knowledge to not only improve palliative care – but also discover his culture and himself.

Holy health care, Batman! Do you have a plan for What if …?

What if you needed urgent medical care, but someone else had to speak on your behalf about the care that you'd receive? Advance care planning would prepare you for such a situation. Don't leave it to others to make guesses about your care.

Western’s Centre for Palliative Care is an idea whose time has come

Western University may open an institute meant to foster cross-disciplinary innovation in the field of palliative care. If fully realized, it could transform health care in southwestern Ontario. Now, let's go even farther.

Virtual care evens the odds in ‘palliative care lottery’

While virtual care comes with drawbacks that must be carefully managed, it will ultimately be a huge step forward in improving access to palliative care in Ontario and Canada.

‘You need not be alone anymore’: The doctor redefining palliative care

Dr. Ramona Mahtani has led an effort to integrate palliative care into siloed medical specializations throughout the pandemic. In doing so, she has put forward a bold, boundary-pushing vision of what palliative care can be.

In praise of nurses – and Grammy

In hospice settings, nurses wet the mouths of patients as they take their last breaths. Sometimes, they simply sit with them so that no one dies alone. As a physician, I could not do my job without them.

HOMR’s Odyssey: Calculating palliative need in real time

By using tools that identify which patients have an elevated risk of mortality in the coming year, we can catch patients who would benefit from palliative care planning before they fall through the cracks.