THE SENATE                           S.C.R. NO.            6
TWENTIETH LEGISLATURE, 1999                                
STATE OF HAWAII                                            
                                                             
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                    SENATE  CONCURRENT
                        RESOLUTION

  ENCOURAGING THE UNIVERSITY OF HAWAII SCHOOL OF MEDICINE AND
    SCHOOL OF NURSING TO REQUIRE COURSES IN PALLIATIVE CARE
    AND PAIN MANAGEMENT IN THEIR CURRICULA.


 1        WHEREAS, terminally ill patients who are near death are
 2   faced with end-of-life circumstances that are physically
 3   unbearable and humanly undignified; and
 4   
 5        WHEREAS, symptoms experienced by such patients include
 6   severe depression, anxiety, shortness of breath, nausea,
 7   constipation, diarrhea, wasting, and delirium; and
 8   
 9        WHEREAS, pain is the most feared symptom of terminally ill
10   patients as they near death; and
11   
12        WHEREAS, assuring comfort and dignity in dying should be
13   one of the primary responsibilities of a physician; and
14   
15        WHEREAS, an adequate level of pain control may not always
16   be instituted by a physician, according to the "Final Report of
17   the Governor's Blue Ribbon Panel on Living and Dying with
18   Dignity" (Panel); and
19   
20        WHEREAS, the Panel recommended "that pain management be
21   part of the required curriculum of all medical, nursing and
22   other health professional schools in the State of Hawaii"; and 
23   
24        WHEREAS, recent medical advances in understanding the
25   mechanisms of pain transmission have been accompanied by the
26   development of new medications and techniques to modulate pain
27   transmission and pain perception; and
28   
29        WHEREAS, successful management for nearly all painful
30   conditions, including cancer, can be achieved; and
31   
32        WHEREAS, pain management in hospice care is particularly
33   crucial in allowing the patient to die in a dignified manner;
34   now, therefore,
35   
36          BE IT RESOLVED by the Senate of the Twentieth

 
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                                  S.C.R. NO.            6
                                                        
                                                        

 
 1   Legislature of the State of Hawaii, Regular Session of 1999,
 2   the House of Representatives concurring, that the University of
 3   Hawaii School of Medicine and School of Nursing are encouraged
 4   to require courses in pain management, hospice care, and
 5   palliative care in their curricula; and
 6   
 7          BE IT FURTHER RESOLVED that certified copies of this
 8   Concurrent Resolution be transmitted to the respective Deans of
 9   the University of Hawaii School of Medicine and School of
10   Nursing, and the President of the University of Hawaii.
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14                         OFFERED BY:  ____________________________