October 2, 2008

A Sacred Level of Attention is Necessary

Dr. Diane Meier, 55, won a genius award from the  MacArthur Foundation for her work as a geriatrician improving treatment for critically-ill patients.

Her goal is to make palliative care "part of the genome of American medicine" writes Jane Gross in the New Old Age blog at the New York Times  A Time When Listening is 'Sacred"

Dr. Meier, 56, director of the Center to Advance Palliative Care and professor of geriatrics and medical ethics at Mount Sinai School of Medicine in New York, parted ways a decade ago with an outspoken group of physicians nationwide who sought the legalization of assisted suicide.
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Her argument then — and even more vociferously now — is that the American health care system reimburses doctors for doing procedures, not spending hours plumbing the souls of their patients. Thus no physician has time for the discussion, reflection and explanation necessary to conclude, knowledgeably and honorably, that helping a patient die is a reasonable and ethical choice
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Her research has shown that virtually nobody actually wants to die if given access to adequate pain control, emotional and spiritual support for themselves and their family, and what Dr. Meier calls the “sacred level” of attention necessary to “validate their suffering.” As with hospice care, but without the requirement of a terminal diagnosis, palliative care physicians spend most of their time talking to patients and caregivers.

Posted by Jill Fallon at October 2, 2008 5:34 PM | Permalink
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