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Can you help me prepare for a talk on palliative care in prostate cancer?


DavidAbrahams

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Fellow Members of this Great Forum.

 

This is extremely short notice and it would be great to get feedback from all members, however as some of you are  spending your hard earned income overseas or in Oz it is  highly unlikely. However if you can answer the following 8 questions it would be appreciated.

 

I have been asked to give a 20 min Presentation on Palliative Care from a consumers view point on the 18th. May down on the Goal Coast:

 

Your Death Your Choice Community Forum (Gold Coast)
Southport Community Centre
8.30 am – 3.30pm Saturday May 18th
Bookings essential, call (07) 3256 2486 or email enquiries@palliativecareqld.org.au 
Further information.

 

 

1) Do currently see a Palliative Care Consultant?

2) Do you know where your nearest Palliative Care Consultant  is located?

3)Has your GP mentioned Palliative Care to you?

4) When diagnosed with AMPC or APC did your medical specialist mention seeing a Palliative Care Consultant?

5) As part of Allied Health Support that you may have been offered was Palliative Care Mentioned?

6) When do you think you should see a Palliative Care Consultant?

7) Prior to joining the APC Forum where you aware of Palliative Care and its purpose?

8) Do you think your community would benefit if there was a Palliative Care Consultant in your district?

 

Many Thanks and Good Health

Kind Regards

David

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1) Do currently see a Palliative Care Consultant?                                                                                                                 No

2) Do you know where your nearest Palliative Care Consultant  is located?                                                                            No

3)Has your GP mentioned Palliative Care to you?                                                                                                                 No

4) When diagnosed with AMPC or APC did your medical specialist mention seeing a Palliative Care Consultant?                     No

5) As part of Allied Health Support that you may have been offered was Palliative Care Mentioned?                                         No

6) When do you think you should see a Palliative Care Consultant?                                                                                       Probably when I am much further down the treatment track for advanced PCa

7) Prior to joining the APC Forum where you aware of Palliative Care and its purpose?                                                          I think I was reasonably aware of palliative care and its purpose

8) Do you think your community would benefit if there was a Palliative Care Consultant in your district?                                   Probably: the aging of the community will increase the need for such services 

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David: Good luck with this. My answers are as follows:

 

1) Do currently see a Palliative Care Consultant? .....................................................................................................................No

 

2) Do you know where your nearest Palliative Care Consultant is located? .............................................................................No, but I suspect they would be at the local hospitals. I went looking for information at one of the local hospitals and was told that they had palliative  and hospice care but patients need a referral. 

 

3)Has your GP mentioned Palliative Care to you? ....................................................................................................................No

 

4) When diagnosed with AMPC or APC did your medical specialist mention seeing a Palliative Care Consultant? ................No, none of the specialists

 

5) As part of Allied Health Support that you may have been offered was Palliative Care Mentioned? .....................................I have not received any allied health support

 

6) When do you think you should see a Palliative Care Consultant? ........................................................................................Possibly an initial consultation on diagnosis then again when/if cancer progressess.

 

7) Prior to joining the APC Forum where you aware of Palliative Care and its purpose? .........................................................Yes. from prior experience with friendss and family and also from web posts.

 

8) Do you think your community would benefit if there was a Palliative Care Consultant in your district? ................................Yes

 

David, I hope this was of some help????? give a shout if you think of anything else that the group or myself could help with. I see the title of the forum might suggest euthanasia as the subject of the evening. Good luck 

 

Lee aka Popeye

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David

My answers would be the same as Lenny's

Geoff

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David

 

1-5 No

6 Onset of pain

7 Not fully - just regarded it as terminal care.

8 Yes - definitely. I have seen the difference in pain management between members who have, or do not  have, access to comprehensive palliative care.

 

Good luck with your talk.

Cheers

Jim

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Palliative Care can have a couple meanings: 1) Moving to medications for hopefully reining in and managing cancer, or 2) that care that comes when end-of-life is imminent.

 

The following papers provide a description of Palliative Care with the first providing information that may help you, and the second a somewhat lengthy report by Dr. James Tulsky,  Director of the Program on the Medical Encounter and Palliative Care at the Durham VA Medical Center, and Associate Professor of Medicine at Duke University in the U.S.  

 

http://www.getpalliativecare.org/?gclid=CPm1k6azu7YCFQQEnQodOT8Avw

 

http://www.aging.senate.gov/minority/public/index.cfm/files/serve?File_id=41a90a03-acb9-61e1-002a-ddd6592f33e4

 

When I am working with a caregiver whose spouse/partner is approaching end-of-life, I provide both of the following papers:

 

END OF LIFE CONSIDERATIONS:*  http://tinyurl.com/6xlz6mm  

 

GRIEVING PROCESS AND PLANNING AHEAD FOR THE LOSS OF A LOVED ONE:*

http://tinyurl.com/3rk9ufn

 

When I am aware that a patient will be referred to a Medical Oncologist for further care because either or both surgical removal of or radiation to the prostate gland has failed and the patient will now be moved to palliative care, I provide the questions in the following to ask the Medical Oncologist:

 

Questions to ask your Medical Oncologist* http://tinyurl.com/bu88de3

 

I hope the foregoing will provide you enough information for your presentation regarding palliative care.  I would think your presentation should include both the recognition that palliative care begins when usual surgical removal of the prostate gland or radiation to the prostate gland has failed and further treatment will now depend on appropriate use of medications to rein in and manage the cancer - and that care necessary when end-of-life is imminent.

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  • 2 weeks later...

David: Good luck with this. My answers are as follows:


 


1) Do currently see a Palliative Care Consultant? .....................................................................................................................No (I  had immediate PSA recurrence after RP and confirmed Stage 4 disease in lymph nodes only 10 years after Dx, but I am in excellent health otherwise)


 


2) Do you know where your nearest Palliative Care Consultant is located? .............................................................................Yes - Hume Region Integrated Cancer Support in Wodonga, Vic, about an hours drive from where I live  (and I sit on a consultative committee with HUMERICS)  


 


3)Has your GP mentioned Palliative Care to you? ....................................................................................................................No (but we review PCa treatments and progress periodically, and actively monitor bone density, blood lipids and glucose)


 


4) When diagnosed with AMPC or APC did your medical specialist mention seeing a Palliative Care Consultant? ................No, but again we review progress, treatment options and strategies together regularly, and also monitor liver, kidney and pancreatic function, as well as T, DHT and PSADT.  


 


5) As part of Allied Health Support that you may have been offered was Palliative Care Mentioned? .....................................I have not received any allied health support


 


6) When do you think you should see a Palliative Care Consultant? ........................................................................................When/if cancer progresses to a point where it is not being controlled, and particularly when it begins to impinge on quality of life, through either direct effects or side effects from treatment.


 


7) Prior to joining the APC Forum where you aware of Palliative Care and its purpose? .........................................................Yes., from prior experience with friends and family with terminal cancer, from web posts and from my involvement with HUMERICS.


 


8) Do you think your community would benefit if there was a Palliative Care Consultant in your district? ................................Yes


 


I recently came across an excellent interview on spiritual aspects of palliative care: let me know if you're interested in it.


 


Best of luck with your presentation.


 


Regards,


 


Alan Barlee

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David, I have made my offer to you previously and await your final draft.  I don't think I need to enter ti here, unless you wish.

Bruce Kyn..

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