Discussion Sessions - Topics for 8:00 a.m. Sessions

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Introduction to Palliative Care and Suffering

  1. Cassel, E. J. (1982). The nature of suffering and the goals of medicine. The New England Journal of Medicine, 306, 639-645.
  2. Steinhauser, K. E., Clipp, E. C., McNeily, M., Christakis, N. A., McIntyre, L. M., Tulsky, J. A. (2000). In search of a good death: observations of patients, families, and providers. Annals of Internal Medicine, 132 (10), 825-832.

Complex Pain Issues

  1. Palliative Response Sections: 1.10, 1.11, 1.12
  2. Balducci, Lodovico. (2003). Management of cancer pain in geriatric patients. Journal of Supportive Oncology, 1 (3). 175-191.
  3. Foley, Kathleen, M. (2003). Opioids and chronic neuropathic pain. The New England Journal of Medicine, 348, 1279-1281.
  4. **Kochhar, R., Legrand, S, B., Walsh, D., Davis, M, P., Lagman, R., Rivera, N, I. (2003) Opiods in cancer pain: common dosing errors. Oncology, 17, 571-579.

Anorexia and Feeding Tubes

  1. Palliative Response Sections: Anorexia (1.1, 1.7, 1.8) and Tube Feeding (5.6)
  2. **Jatoi, A., & Loprinzi, C. L. (2001). Current management of cancer-associated anorexia and weight loss. Oncology, 15(4), 497-510.
  3. Finucane, T, E., Christmas, C., Travis, K. (1999). Tube feeding in patients with advanced dementia: A review of the evidence. Journal of American Medical Association, 282, 1365-1370.
  4. Shega, J, W., Hougham, G, W., Stocking, C, B., Cox-Hayley, D., Sachs, G, A. (2003) Barriers to limiting the practice of feeding tube placement in advanced dementia. Journal of Palliative Medicine, 6, 885-893.


  1. Palliative Response Section: 1.4
  2. Thomas, J. R., and von Gunten, C. F. (2003). Management of dyspnea. Journal of Supportive Oncology, 1, 23-34.
  3. Campbell, M. L. Terminal dyspnea and respiratory distress. (2004) Crit Care Clinic (20) 3: 403-417.


  1. Palliative Response Section: 1.2
  2. Clinical practice guidelines in oncology: Cancer-related fatigue. (2003). Journal of the National Comprehensive Cancer Network, 1 (3), 308-331.
  3. Escalante, C. P. Treatment of cancer-related fatigue: update (2003) Support Cancer Care volume 11 2:79-83.

DNR and Advance Care Planning

  1. Palliative Response Section: 5.3
  2. Gillick, Muriel, R. (2004). Advance care planning. The New England Journal of Medicine, 350, 7-8.
  3. Lynn, J., Goldstein, N, E., (2003). Advance care planning for fatal chronic illness: avoiding commonplace errors and unwarranted suffering. Annals of Internal Medicine, 138, 812-818.

Depression and Delirium

  1. Palliative Response Sections: 3.1 and 3.3
  2. Massie, m, J., & Payne, D, K. (2000). Depression and anxiety. Principles & Practice of Supportive Oncology, 3 (updates 2).
  3. Pereira, Jose., & Bruera, Eduardo. (2001). Depression with psychomotor retardation: diagnostic challenges and the use of psychostimulants. Journal of Palliative Medicine, 4 (1), 15-21.
  4. Centeno C, Sanz A, Bruera E. (2004). Delirium in advanced cancer patients Palliative Medicine volume 18 3:184-194.

Spiritual Suffering and Transcendence

  1. Palliative Response Sections: 4.1 and 4.2
  2. Puchalski, Christina, M. (2002). Spirituality and end-of-life care: A time for listening and caring. Journal of Palliative Medicine, 5 (2), 289-294.
  3. Block, Susan, D. (2001). Psychological considerations, growth, and trancendence at the end of life: the art of the possible. Journal of American Medical Association, 285, 2898-2905.

Prognostication and Hospice Referral

  1. Palliative Response Sections: Medicare Hospice Benefit and Goals of Care 2.2 and 5.2
  2. Christakis, N. A., & Lamont, E. B. (2000). Extent and determinants of error in doctors' prognoses in terminally ill patients: prospective cohort study. British Medical Journal, 320, 469-473.
  3. Head, B, Ritchie, CS., Smoot TM. Prognostication in hospice care: can the palliative performance scale help? J Palliative Medicine (2005) volume 8 3:492-502.

Communications and Sharing Bad News

  1. Back, A, L., Arnold, R, M., & Quill, T, E. (2003). Hope for the best and prepare for the worst. Annals of Internal Medicine, 138, 439-443.
  2. Back, A., & Baile, W. (2003). Communication skills: myths, realities, and new developments. Journal of Supportive Oncology, 1(3), 169-171.