Choosing the right time

When is the right time to move a patient into palliative or hospice care? It’s a question that both family and medical practitioners wrestle with, and one that’s been examined in a recent journal article. Unfortunately, the study found that in a great many cases referrals for terminal cancer patients are being made too late. Some oncologists are only referring terminal patients to hospice care after their treatments are complete—which as the article explains may be just weeks or even days before they pass.

So why am I concerned about this finding? Well, the end result of delaying a referral is that the patients don’t really have the opportunity to benefit from the care and may undergo undue physical and emotional suffering as a result.

The reason for this problem is, I think, two-fold. A large part of this stems from the overall lack of understanding from those outside the palliative realm about the exact purpose guiding the services we provide. Palliative care is about giving patients the highest possible quality of life we can during their final days, weeks, or months. People facing a terminal diagnosis often need that kind of support very early on, even if they’re still getting chemotherapy or another type of treatment.

It also speaks to the compartmentalization of modern health care delivery. Far too often one practitioner is unaware of what another is doing, or is unaware of what their relationship is to those services. One of my main goals as both a practitioner and an instructor is to ensure that people understand that palliative care is done best when it’s done in a complementary fashion, recognizing that at this difficult time in a person’s life we have to treat the mind, body and spirit.

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Meditating my way towards perspective

Ever since my time at Upaya, meditation has been playing an increasingly important role in my life. In fact, it’s an important part of the coping mechanisms to avoid stress and burn-out that I talked about a few weeks ago.

I’d taken a break from it for a little while, but recently a friend got me back into practicing it more regularly. She sent me this little blurb as a reminder why it had been so important to me to do in the first place:

12 symptoms of a spiritual awakening:

1.   An increased tendency to let things happen rather than making them happen.
2.   Frequent attacks of smiling.
3.   Feelings of being connected with others and nature.
4.   Frequently overwhelming episodes of appreciation.
5.   A tendency to think and act spontaneously rather out of fear based on past experience.
6.   An unmistakable ability to enjoy each moment.
7.   A loss of the ability to worry.
8.   A loss of interest in conflict.
9.   A loss of interest in interpreting the actions of others.
10. A loss of interest in judging others.
11. A loss of interest in judging oneself.
12. Gaining the ability to love without expecting anything in return.

People sometimes get thrown off by the words “spiritual awakening,” but they needn’t be The beauty of meditation is that it requires no religious affiliation to be practiced.. In the context of meditation, it’s really just about achieving psychological balance, calm, and emotional and physical relaxation—what person couldn’t use more of those things their life?

And the benefits of meditation are countless both for medical practitioners and patients. Stress can have a serious negative impact on your health and it’s not to be taken lightly. Meditation can help provide you with the perspective needed to better cope with daily stresses.

With the autumn months come myriad changes and its easy to get bogged down with all the details. It’s the perfect time to embrace the opportunity for self-examination to the balance in our lives we all need and deserve.