Paul Henteleff

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Dr. Paul D. Henteleff (born 1931) led the world's first hospital-based terminal care unit.

Contents

Career

Raised in Stonewall, Manitoba, Canada, by his parents nurse Lillian Axelrode and businessman Harry Henteleff, Dr. Paul Henteleff earned his medical degree from the University of Manitoba in 1956. He worked in a general family practice and trained in epidemiology and biostatistics at the London School of Hygiene and Tropical Medicine before becoming the assistant executive director of the Manitoba Health Services Commission from 1972 to 1974. In that role, he helped design the Manitoba personal-care-home program and facilitated Drs. Noralou and Les Roos turning the commission's routinely collected administrative information into data for innovative health-services research. [1] Dr. Henteleff then returned to clinical practice at St. Boniface Hospital in Winnipeg, where he served from 1975 to 1991 as director of Canada's first hospital palliative care unit, established in November 1974. [2] Hospital-based palliative care is a Canadian innovation developed independently in Winnipeg and Montreal. [3] [4] [5] Dr. Henteleff’s advocacy efforts led to palliative care becoming a core service in Manitoba and his work influenced the development of palliative care across Canada. [6] [7] [8] He modeled a flexible, interdisciplinary team approach to palliative care, which recognized nurses, social workers, psychologists, pharmacists and spiritual care-givers as valuable colleagues. [9] The unit's innovations included death reviews, a bereavement program, and integrated home-care. [10] Dr. Henteleff also co-authored the first study of depression and suicidal thoughts in terminal illness. [11] He supports medically assisted dying. [12]

Honours

Dr. Henteleff was the founding president of the Canadian Palliative Care Association, which honoured him with an Award of Excellence in 2013. [13] A lecture series is named in his honour. [14] In 2016, Dr. Henteleff received an honorary degree from the University of Manitoba. [15] [16]

Related Research Articles

Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain, illnesses including other problems whether physical, psychosocial, and spiritual". In the past, palliative care was a disease specific approach, but today the WHO takes a broader patient-centered approach that suggests that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. This shift was important because if a disease-oriented approach is followed, the needs and preferences of the patient are not fully met and aspects of care, such as pain, quality of life, and social support, as well as spiritual and emotional needs, fail to be addressed. Rather, a patient-centered model prioritizes relief of suffering and tailors care to increase the quality of life for terminally ill patients.

Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, dementia or advanced heart disease than for injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. Life expectancy for terminal patients is a rough estimate given by the physician based on previous data and does not always reflect true longevity. An illness which is lifelong but not fatal is a chronic condition.

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References

  1. ↑ "The Story of the Manitoba Centre for Health Policy" (PDF).
  2. ↑ Duffin, Jacalyn (2014). "Palliative Care: The Oldest Profession?". Canadian Bulletin of Medical History. 31 (2): 205–228. doi: 10.3138/cbmh.31.2.205 . ISSN   0823-2105. PMID   28155344.
  3. ↑ "Why Quality of Life Matters, Even in Your Final Hours | The Walrus". 2019-05-29. Retrieved 2021-06-29.
  4. ↑ Bruera, Eduardo (2006). Textbook of Palliative Medicine. CRC Press.
  5. ↑ "Milestones in Hospice Palliative Care". Canadian Hospice Palliative Care Association. Retrieved 2021-07-07.
  6. ↑ Henteleff, Paul D. (1978). "Treatment Decisions in the Care of the Dying". Essence. 2 (2): 15–17.
  7. ↑ Quint Benoliel, Jeanne (1988). "Health Care Providers and Dying Patients: Critical Issues in Terminal Care". OMEGA - Journal of Death and Dying.
  8. ↑ Kadota, Diane (26 July 1984). "Hearing the truth about dying is uncomfortable". Western Living. p. 28.
  9. ↑ Wiseman, Eva (2019). "Palliative Care". Healing Lives: A Century of Manitoba Jewish Physicians. Winnipeg: Jewish Heritage Centre of Western Canada. ISBN   9781999167202.
  10. ↑ O'Malley, Martin (1983). "The Last Doctor". Doctors. Macmillan of Canada.
  11. ↑ Brown, J.; Henteleff, P.; Barakat, S.; Rowe, C. J. (1986). "Is it normal for terminally ill patients to desire death?". The American Journal of Psychiatry. 143 (2): 208–211. doi:10.1176/AJP.143.2.208. PMID   3946656. S2CID   32668192.
  12. ↑ Henteleff, Dr Paul (2 March 2015). "Terminal sedation not an answer". Winnipeg Free Press.
  13. ↑ "Paul Henteleff: Award of Excellence".
  14. ↑ "Saluting a Pioneer in Palliative Care".
  15. ↑ "Congrats Manitoba's newest doctors, honoured guests Drs. Henteleff and Pope".
  16. ↑ "Honorary degree recipients". Archived from the original on 2020-11-16. Retrieved 2021-06-27.
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