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Patients with advanced cancer often develop enterocutaneous fistulae. The enterocutaneous fistulae usually develop from gastrointestinal malignancies. We describe a case report of a patient with schwannoma of the ovarian cyst wall who developed enterocutaneous fistula but presented with...
We report a case of a patient with metastatic testicular cancer and intractable pain refractory to massive doses of oral, intravenous, and intrathecal (IT) opioids supported by analgesic adjuvants. During our efforts to control his pain, the patient exhibited opioid-induced hyperalgesia, an...
Little attention has been paid to documenting the quality and impact of hospice bereavement programs. While quality of life, quality of dying, and quality of end-of-life measures are common indicators of effective clinical service, they are not adequate gauges of quality from a bereavement...
This paper reports the first year’s experience of a consultative, interdisciplinary, integrated palliative medicine program in a community hospital system. Prospective data collection was performed on 308 consecutive consultations. A computer database was developed and used to analyze...
This discussion is derived from a qualitative research study that examined the benefits of small group supervision for hospice nurses. Sigmund Freud’s beliefs about early human development, Melanie Klein’s theories of projective identification, and the later developments by Wilfred Bion...
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