HPNA Podcast Corner

In this deeply personal and resonant episode, longtime hospice nurse and podcast host of The Heart of Hospice, Helen Bauer, BSN RN CHPN®, shares an intimate look at the soul of hospice nursing — the part that's rarely documented but always deeply felt. With more than seven years behind the mic and a career alongside patients and families at the bedside, Helen reflects on the intimacy and intensity of hospice care, and the challenges of translating those sacred moments into clinical notes and checkboxes.  Together, we explore the personhood-centered mindset that defines exceptional hospice nursing: arriving as a blank slate, open and eager to learn who the patient is, then crafting care that honors the individual's story, values, and needs. Helen speaks candidly about the emotional toll of the work, the cumulative grief nurses carry, and the resilience it takes to keep showing up — not just for patients, but for ourselves.  Listeners will hear reflections on:  The artistry and difficulty of painting a picture through documentation  How hospice nurses excel at education and advocacy, even outside traditional care settings  What we're doing well as a community — and where we can grow  The value of Hospice Navigation Services and empowering families with information  The quiet power of showing up, day after day, with care and presence  This episode is a tribute to hospice nurses everywhere — a reminder that your work matters, your presence is powerful, and you are just as important as the care you provide.  Whether you're a hospice nurse, a health care professional, or a family member navigating end-of-life care, this episode will speak to the heart of what it means to accompany someone at life's end — with compassion, courage, and creativity.    Helen Bauer, BSN RN CHPN®  Helen Bauer is a highly experienced hospice nurse with more than 15 years dedicated to end-of-life care. Her expertise spans across bedside care, caregiver support, nursing leadership, and hospice consulting. Since 2016, she has been the voice behind The Heart of Hospice podcast, where she shares her deep knowledge and compassionate approach to end-of-life care.  As the founder of Hospice Navigation Services, Helen provides unbiased, expert guidance and support for individuals and families navigating the complexities of hospice and serious illness. Her work as an End of Life Educator and Advocate focuses on empowering caregivers and hospice workers, ensuring that those facing serious illness experience the best possible care at the end of life. Known for her compassion, empathy, and respect, she remains a trusted resource in the field of hospice care.    Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.

In this episode, we explore the profound impact of Kelli Anspach MSN, CV-BC, NPD-BC, CHPN®'s thriving and sustainable training program, which has successfully trained more than 1,000 hospital nurses over the past 10 years through the End-of-Life Nursing Education Consortium (ELNEC) program, founded by Betty Ferrell PhD, MSN, CHPN®. By providing nurses with the essential skills and knowledge to lead compassionate palliative care conversations, this initiative empowers staff to facilitate critical "goals of care" discussions with patients and families. In this episode, Kelli and Brett discuss how this training not only enhances collaboration with palliative care teams but also drives improved patient satisfaction and better overall care outcomes. Additionally, the conversation takes a closer look at the return on investment (ROI) for hospitals and demonstrates how training nurses across all service lines is a cost-effective strategy to elevate patient care, boost nurse confidence, and foster a more supportive health care environment. With the right education, staff can empower frontline nurses across various serious illness service lines to make a lasting, positive impact on patient care. HPNA is proud to partner with Betty Ferrell and City of Hope to offer virtual ELNEC Train-the-Trainer courses twice per year. Visit the HPNA website for more information on upcoming courses and to learn how you can make a difference at the system level in your own health care organization.     Kelli Maher Anspach, MSN, CV-BC, NPD-BC, CHPN® Kelli has her BSN and MSN from Drexel University. She holds multiple certifications: Cardiac Vascular Certified Nurse, Nursing Professional Development Specialist, Certified Hospice and Palliative Nurse. Kelli has her ONS chemotherapy administration certification, is a certified Aromatherapy provider, and a Level 2 Reiki practitioner. Kelli has planned, presented, hosted, and facilitated many conferences from Women and Heart Disease to Nursing Research to Integrative Therapies but the most rewarding was her work with End of Life Nursing Education Consortium (ELNEC). Kelli implemented ELNEC across a five-hospital health system from 2013-2018.  This included securing grant money for the project and educating more than 900 staff in end-of-life patient care. Kelli was the Winner of International ELNEC Award for excellence in education, has as presented at local and national conferences, and is published in her field.  Kelli continues to be a strong advocate for palliative care and started a palliative care champion model for nurses in her health system to support identified knowledge and practice gaps. Kelli is a Nurse Residency Facilitator where she helps to support and mentor new graduate nurses in their transition to their first year as a professional nurse and lectures for the program on End-of-Life Nursing and Self Care. She teaches classes in oncology, telemetry nursing, and preceptor development for her health system. Kelli is a mother of three, loves to dance and hike, and enjoys her day-to-day role as a Clinical Nurse Educator at Lankenau Medical Center, part of Main Line Health System.   Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.

Join us for an insightful episode featuring seasoned Pediatric Nurse Practitioner Meggan Mikal-DeMont DNP, APRN-FPA, PCNS-BC, CPNP-PC, CHPPN ®, FPCN® with more than10 years of experience in palliative care and pain management. In this whole-hearted interview, she reflects on her husband's nine-month experience with Stage IV colorectal cancer and offers an insider's perspective as both a palliative care clinician and caregiver- how as a couple they navigated the miracle they were hoping for within the system, how these experiences have transformed Meggan's clinical practice, and how life has unfolded since then. Listen for what the health care teams did well, areas where they could improve, and how administrators can champion hospice and palliative care services to make end of life easier for patients and their families.     Meggan Mikal DNP, APRN-FPA, PCNS-BC, CPNP-PC, CHPPN®, FPCN®Meggan Mikal-DeMont is the nurse practitioner of Pediatric Advance Care Team - Palliative & Pain at Advocate Children's Hospitals in Oak Lawn, IL.  Pursuing her interest in working with families that have children living with complex and series illnesses, Meggan has completed a fellowship in pediatric neurodevelopmental disabilities through the Illinois Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program. She also has completed a fellowship in pediatric palliative and hospice nursing through University of Illinois in Chicago and through the Coleman Foundation. This led her to also become a board-certified pediatric hospice and palliative nurse in 2009.  Meggan, along with an interdisciplinary committee, started the Pediatric Palliative and Supportive Care program at Advocate Children's Hospital - Oak Lawn in October of 2012.  Her background as a pediatric intensive care nurse is where her love and passion for working with children with critical and chronic illness grew.  She is an End-of-Life Nursing Education Consortium (ELNEC) trainer and received that training at St. Jude's Hospital in Memphis, TN.  Meggan is an active member of the Hospice and Palliative Nurses Association (HPNA) where she serves on the Advocacy and Legislative Committee. She participated as both an item writer and chair for the pediatric hospice and palliative nurse exam from 2010-2016. Meggan was also recently inducted as a Fellow of Palliative and Hospice Nursing (FPCN®) and is so thrilled to be recognized for her true passion and purpose to this field.   Becoming a widow and a solo parent in 2017 after her husband Andrew died from advanced colorectal cancer has only grown her passion for delivering and advocating for nothing short of the best delivery of palliative and hospice care. Meggan is blessed to be given a new chapter and now lives with her husband Nate, eight year old son Andy, bonus seven year old daughter Elizabeth, and two and a half year old rescue dog Zoey, in Plainfield.   Within palliative care, Meggan has a strong interest in the areas of patient-provider boundaries, patient and family advocacy, and the delivery of diverse, equitable, and inclusive care.   Meggan believes that caring for children with serious illnesses truly starts at the grassroots of relationships. She believes that the family is the center of the care being provided and it is a relationship built on partnership. Helping children live life to their fullest ability without burdensome symptoms is something that she strives to achieve each day.  Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.  

In this episode, we hear from nurses and nurse practitioners who attended the 2025 Annual Assembly of Hospice & Palliative Care. Whether it's their first time attending or they attend this conference year after year, they share what brings them to the event, what inspires them, and the key takeaways they plan to bring back to their clinical practice. Tune in for an inside look at how the Annual Assembly is shaping the future of hospice and palliative care.  

In this episode, we explore two innovative projects—Project UPHOLDS (Utilizing Palliative care for Heart failure Optimized using Lay navigators to Decrease Suffering) and Project ADAPT HF (ADdressing All Pain Through navigator-led palliative care optimized for Heart Failure)—which focus on utilizing community-based lay navigators to optimize palliative care for heart failure, especially among older Black adults. We delve into the importance of shared decision-making and how co-designed interventions are shaping pain management trials, with a special emphasis on inclusivity and addressing under-representation in research. Rachel shares her personal journey and career trajectory, highlighting the privilege of being able to advocate for these communities and the impact of culturally responsive care. Rachel Duncan Wells, PhD, MSN, RN, CNL Dr. Rachel Wells is an Assistant Professor and Core Mixed Methods Faculty in the School of Nursing at the University of Alabama at Birmingham. As a nurse and Clinical Nurse Leader with more than 10 years of clinical experience in cardiac critical care, palliative medicine, and rural health, her research bridges the fields of chronic illness care and early palliative care and is focused on refining palliative care access for under resourced older adults living with serious illness. Specifically, Dr. Wells has focused on the development and testing of highly efficient and effective models of early palliative care for those living with advanced heart failure. Her emerging program of research focuses on the examination of active palliative care intervention elements and dosing of palliative care to develop optimized interventions that uniquely address palliative care needs, a novel approach to addressing health disparities in under resourced palliative care populations. She has been involved with a number of federally-, foundationally-, and intramurally funded grants as a PI and Co-I that have involved intervention development and tailoring and clinical trials testing and implementation of models of early palliative care for those living with serious illness and their family caregivers. Dr. Wells is regularly engaged in the American Academy of Hospice and Palliative Medicine, American Heart Association, American College of Cardiology, and the Hospice and Palliative Nurses Association, where she has championed efforts to educate clinicians and others to identify, monitor, and intervene early for cardiovascular challenges in under resourced populations.    Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.

In this episode, three HPNA Diversity, Equity, Inclusion, & Belonging (DEIB) Committee members reflect on their lived experience- how positionality impacts the way they show up to their work as hospice and palliative care clinicians and researchers and how they've shifted from cultural competency toward cultural responsiveness. Together, these experts discuss how our knowledge and actions must evolve in the face of new information, and how we can foster a healthcare environment that not only acknowledges but celebrates individual identity and culture. Whether you're a clinician, researcher, or anyone passionate about making healthcare more equitable, this conversation provides valuable insight into how we can all "do better" by truly seeing each person as they are.   Nancy Dias, PhD, RN, MSN, FPCN® Nancy Dias is an Associate Professor in the Nurse Science Department at the College of Nursing. Her work experience in nursing includes both experiences in the United States and internationally (India and Oman) as a clinician, educator, administrator, and a researcher. She completed her PhD at Duke University School of Nursing and a 1-year T32 post-doctoral fellowship from Indiana University School of Nursing. As a researcher, she has a niche for a very significant and innovative aspect of pediatric palliative care services that includes caregiver health outcomes, their bereavement processes, social and structural determinants of health, and innovative technology. Her academic initiatives have focused on transforming educational curriculum to integrate a nursing curriculum with a goal “charting a path to achieve health equity”. Her entrepreneurial skills are exemplified through her role as a co-founder of the Indo-American Evidence based practice Academy and development of an innovative app for bereaved families. She has received several research grants and among many awards, she is the recipient of the Research Nurse of the Year Award 2020, from North Carolina Nurses Association. She has also been recognized with several other awards including, East Carolina University College of Nursing Outstanding Faculty award (2022), Outstanding Mentor award from Sigma Theta Tau's Beta Nu chapter (2024). She was inducted as the Fellow in Palliative Care Nursing in 2024. She has international collaborations with nurses in India and Egypt and mentors these nurse scientists with whom she shares common research and scholarship interest. She has several publications and presentations done locally, nationally, and internationally.  Adrienne Jones-Adamczyk, MBE, RN, ACNP-BC ACHPN®, HEC-C Adrienne Jones-Adamczyk MSN, MBE, RN, ACNP-BC, ACHPN®, HEC-C is a Senior Clinical Ethics Specialty Program Director for Banner Health. She has more than 14 years of experience as a board-certified Acute Care Nurse Practitioner and is an Advanced Certified Hospice and Palliative Care Nurse. She has spent her career in Neuroscience, Palliative Medicine, Home Hospice, and Hospice GIP settings. The clinical conundrums and ethical dilemmas of the COVID-19 pandemic inspired her to continue her education in bioethics, and she obtained a Master of Bioethics degree in May 2023 from Harvard Medical School. She continues her work in equity and human flourishing as an active member of the HPNA Diversity, Equity, Inclusion, and Belonging Committee. Katherine Doyon, PhD, MED, RN, CHPN® Kate Doyon is an assistant professor at Boise State University, School of Nursing. She serves on HPNA's Diversity, Equity, Inclusion, and Belonging Committee and Research Advisory Committee and is a former co-chair of the Emerging Scholars Special Interest Group. She is a certified hospice and palliative care nurse and volunteers on the CHPN® Credentialing Committee. She is a member of the most recent Cambia Sojourns Leadership scholars' program. Kate is passionate about mentoring the next generation of hospice and palliative care nurse scientists and mentors several nurse scholars. She is the recipient of the HPNF Research Scholar Award, the first author of the section on health equity for the HPNA Research Agenda and a reviewer for palliative care journals and conferences including the Annual Assembly of Hospice and Palliative Medicine. Through her advocacy, mentorship, and research of equitable hospice and palliative care, Dr. Doyon exemplifies the highest standards of HPNA's commitment to compassionate care.   

In this episode, host Lynn Reinke, PhD, ANP-BC, FAAN, FPCN®, ATSF discusses approaches to philanthropy with Amy Jacobs, MSN, RN and Catherine Pyke, M.A. Ed., board members of the Hospice and Palliative Nurses Foundation. Related Resources: Learn more about the Hospice and Palliative Nurses Foundation (HPNF) Contribute to HPNF's 2024 Annual Appeal About the Speakers: Amy Jacobs, MSN, RN Amy Jacobs received her BSN from Lock Haven University of Pennsylvania and her MSN from the University of South Alabama. Amy is currently a Hospice Compliance RN for Compassus. Prior to her current position, she held leadership positions in hospice, palliative care, and quality with BJC Homecare in St. Louis. She was an integral part in the development and opening of Evelyn's House, a 16-bed hospice inpatient house, in St. Louis. She also assisted in the implementation of a system-wide palliative care program. She has volunteered with HPNA and HPNF for several years as an award reviewer, member of the planning committee for the annual assembly, and a member of the HPNA Professional Development Advisory Council. She is especially proud to have facilitated support for the Emerging Leaders Award with HPNF and the BJC Institute for Palliative and Supportive Care.   Catherine Pyke, M.A. Ed.  Catherine Pyke worked for thirty years in non-profits in the San Francisco Bay Area, primarily as a program officer for the Hearst Foundations and more recently as a Philanthropic Advisor for the Gladstone Institutes in Mission Bay. She is the founder of Centerpiece Philanthropy, a consultancy that provides philanthropic advising and coaching, grant writing, strategic planning and group facilitation. She is the author of Jane Lathrop Stanford, Mother of a University. In addition to serving on the HPNF board, she serves as the Communications Chair for the San Francisco Region of the Order of St John, an international volunteer organization whose mission is to support St John of Jerusalem Eye Hospital and social and health care needs in the U.S. She recently completed two terms on the board of the Episcopal Impact Fund in San Francisco. An alumna of Scripps College in Claremont California, with a Masters in Education from Stanford University, she came to appreciate the contributions of innovative philanthropists, while visiting colleges, universities, medical centers arts organizations and social service agencies throughout the West. A native of Salt Lake City, she currently lives in Santa Rosa, California.

This brief episode offers an update from Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH. Listen for an update on the patient discussed in Episode 38. Related Resources: Episode 38: Discharged to Airport: Navigating Complex Symptom Management Down on the Pharm: Contemporary Issues in Pharmacopalliation   About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters.   Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.

In this episode, Mary Lynn McPherson, PharmD, PhD, FAAHPM and Alexandra L. McPherson, PharmD, MPH discuss a complicated case involving a patient in her mid-50s from East Africa who is suffering from metastatic cancer. The conversation highlights the challenges of complex pain & symptom management while supporting a patient's goals of care. Related Resources: Down on the Pharm: Contemporary Issues in Pharmacopalliation About the Speakers: Mary Lynn McPherson, PharmD, PhD, FAAHPM Dr. McPherson has practiced hospice and palliative care as a clinical pharmacist her entire career. She is a professor at the University of Maryland and executive program director of the online Graduate Studies in Palliative Care (Graduate Certificates, MS, PhD) program. She has served as a resource to medical staff for pain and symptom consultations, opioid conversion calculations, methadone dosing and other medication-related issues. McPherson is particularly interested in assuring patients with a serious illness receive goal-concordant medication therapy. She has authored five books including the popular Demystifying Opioid Conversion Calculations: A Guide to Effective Dosing and numerous peer-reviewed articles and chapters.   Alex McPherson, PharmD, MPH Dr. McPherson received her Bachelor of Science in International Business from the University of Maryland in College Park, MD, followed by her Master of Public Health (MPH) with a dual certificate in International Health and Pharmaceutical Assessment, Management, and Policy from Boston University in Boston, MA. She went on to receive her Doctor of Pharmacy from the University of Maryland School of Pharmacy in Baltimore, MD. Subsequently she completed a Pharmacy Practice Residency at Einstein Medical Center in Philadelphia, PA and Pain Management and Palliative Care Specialty Residency at the University of Maryland School of Pharmacy/MedStar Health. She is currently a Palliative Care Clinical Pharmacy Specialist at MedStar Washington Hospital Center in Washington, DC, where she serves as faculty in the interdisciplinary Hospice and Palliative Medicine Fellowship program. In addition, she serves as a faculty member for the nation's first M.S. in Medical Cannabis Science and Therapeutics (University of Maryland School of Pharmacy), and M.S. in Palliative Care (University of Maryland Graduate School) programs. She is an active member of the American Academy of Hospice and Palliative Medicine and the Society of Pain and Palliative Care Pharmacists and has published and presented internationally on topics pertaining to pain management and palliative care. Her academic interests include early integration of palliative care in advanced illness, navigating transitions of care at the end-of-life, and the pharmacologic management of symptoms in serious illness. Her newest interest includes the integration of narrative medicine practices as a tool for reducing burnout and improving resiliency among palliative care providers.    

In this episode, pediatric palliative care nurse practitioner Mallory Fossa, MS, CPNP-PC, CCRN, CHPPN® discusses her experiences in pediatric palliative care with Kathy Perko, MS, PPCNP-BC, CHPPN®, CPON, CPLC, FPCN, FAPHON, a pediatric nurse for 40 years and PNP for 30 years. Together, they discuss the obstacles of managing pain in children, including communication between the patient, caregivers, and palliative care team. Topics discussed include assessment, management of pain including tissue injury, nerve pain, and mixed pain, and the concept of total pain. Related Resources: NEW! Palliative Care Pediatric Pain Basics Publications for Pediatric RNs CHPPN® Prep About the Speakers: Moderator: Kathy Perko, MS, PPCNP-BC, CHPPN®, CPON, CPLC, FPCN, FAPHON Featuring:  Mallory Fossa, MS, CPNP-PC, CCRN, CHPPN® Mallory Fossa, MS, CPNP-PC, CCRN, CHPPN® Mallory Fossa is a pediatric palliative care nurse practitioner practicing at Connecticut Children's. She received her bachelor's degree from the University of Rhode Island, following which she was a pediatric ICU nurse. She received her MSN in pediatric primary care at New York University with a subspecialty certificate in palliative care. After graduation, she worked in Los Angeles at Children's Hospital Los Angeles on the pediatric palliative care team caring for children both in the acute care setting as well as outpatient setting. She is now working at CT Children's on their palliative care team, where in addition to her clinical role she works on QI projects to improve the care provided to pediatric palliative care patients and children in the hospital at end of life. Additionally, she serves on the AAHPM Pediatric State of the Science workgroup. Kathy Perko, MS, PPCNP-BC, CHPPN®, CPON, CPLC, FPCN, FAPHON Kathy Perko has been a pediatric nurse for 40 years, a PNP for 30 years. She started her career in pediatric oncology, specifically caring for children with brain tumors which she continued through 2015. She founded the Bridges Pediatric Palliative Care Program at OHSU Doernbecher Children's Hospital in 2003 and was the director until her retirement in November 2020. Kathy helped develop the Pediatric Track of the UW Palliative Care Certificate Program and directed the track until 2024.  She provides education and consultation in pediatric palliative care through PANDA Consultants, PLLC  She is nationally certified as a pediatric nurse practitioner, pediatric oncology nurse, perinatal loss clinician and pediatric palliative care and hospice nurse.  She is recognized as a Fellow in Palliative and Hospice Care and in Pediatric Hematology/Oncology.  She is national faculty for ELNEC, EPEC, and Vital Talk. Kathy has a certificate in pediatric bioethics from Children's Mercy in Kansas City and in Palliative Care from the University of Washington. 

In this episode, HPNA and HPNF board members Rikki Hooper and Yvonne Ruathaiwat expand on their perspectives and experiences regarding the palliative continuum of care, and how they break down the silos between palliative care and hospice.  About the Speakers: Moderator: Lynn Reinke, PhD, ANP-BC, FAAN, FPCN, ATSF Featuring:  Richelle (Rikki) Hooper, MBA, MSN, FNP-BC, ACHPN, NE-BC, FPCN Yvonne Ruathaiwat, RN, MSN, GCNS-BC, NE-BC Rikki Nugent Hooper MBA, MSN, FNP-BC, ACHPN® NE-BC, FPCN Rikki Hooper joined Four Seasons, a not-for-profit Hospice and Palliative Care organization, in 2005 as a palliative care nurse practitioner and has been providing patient care since that time. Initially in a full-time clinical role she has also served in various leadership roles including Palliative Care Professional Development Director, Regional Director of Palliative Care, Vice President of Palliative Care and now Chief Clinical Operations Officer with leadership for both Hospice and Palliative Care programs. As a strong believer in quality care at end of life, Rikki consistently advocates for her patients and families to achieve their goals. Certified in Advanced Hospice and Palliative Nursing, she provides care for patients in all settings, both pediatric and adult in Palliative Care and Hospice services. She has presented at regional and national meetings on a variety of topics related to serious and advanced illness as well as operation of community-based programs and has served on the American Academy of Hospice and Palliative Medicine (AAHPM) Task Force for Quality, and on the Home-Based Workgroup for the Center to Advance Palliative Care. She has been part of the long-term care faculty for Bootcamp at the CAPC annual seminar for 3 years and facilitated Virtual Office Hours since 2018. Rikki is the author of several book chapters in APRN textbooks and Core Competencies and contributed to a number of articles published in HPM journals.  She has been part of the core team for several Project Echo projects at Four Seasons. Rikki has provided both didactic education and mentoring to APRNs on Palliative Care and Hospice to local students over multiple years.  Most recently she has attained certification as a Nurse Executive and was inducted as a 2023 Fellow in Hospice and Palliative Nursing. She has volunteered on the HPNA Clinical Forum planning committee, the AAHPM/HPNA Annual Assembly Abstract Review Committee, served as the Co-Chair for the Community Palliative Care SIG and currently serves as State Ambassador for North Carolina and on the FPCN Application Review Committee.  Yvonne Ruathaiwat, MSN, RN, GCNS-BC, NE-BC, CCM, PHN Yvonne Ruathaiwat has a diverse clinical and leadership background across the care continuum. Yvonne most recently served as the Chief Operating Officer/Senior VP of Clinical Services for Hospice of the East Bay in Northern California. Her previous experience involved operations and quality improvements for Palliative Care service line, transition of care programs, post-acute ambulatory care, skilled nursing facility partnerships, and population health management for medical respite/high utilizer groups. Yvonne's past roles ranged from advanced practice nurse to adjunct professor.   Yvonne obtained her Master of Science degree as a Geriatric Clinical Nurse Specialist with specialty in Nursing Education. With a passion to deliver seamless and timely access to services, Yvonne is certified as a nurse executive, case manager, and in hospice operations. She is active with the schools in her community to foster creativity and opportunities.    

In this episode, Holli and Brett discuss the integration of the Family Frailty Score as an assessment tool for patients undergoing advanced heart failure therapies. Various key considerations surrounding the tool are discussed, including multidisciplinary team involvement, socioeconomic challenges, patient and family support, and more. Featuring: Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Holli Martinez FNP-BC, ACHPN®, FPCN Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Brett Snodgrass has been a registered nurse since 1997 and a family nurse practitioner since 2007, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain, and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She is a nationally recognized nurse practitioner, speaker and teacher. Brett Is a chronic pain expert, working for more than 20 years with chronic pain patients in a variety of settings. She currently serves on the TN Chronic Pain Task Force. She is a director at large of the TN Pain Society. Past awards include AANP State Excellence Award for Tennessee for her work across the state on the TN Chronic Pain Task Force, as well as advocating for TN Full Practice Authority for Nurse Practitioners and the 2017 Memphis Business Journal Healthcare Hero Award. Holli Martinez FNP-BC, ACHPN®, FPCN Holli has been a nurse for 26 years with the last 17 as an advanced practice registered nurse. In addition to providing palliative care consultations to patients and families, Holli also serves as the Program Director for the Supportive and Palliative Care Program at the University of Utah Hospital and Huntsman Cancer Institute; an adjunct faculty member for the University of Utah College of Nursing; past Board president for the Hospice and Palliative Nurses Association and the Hospice and Palliative Nurses Foundation; and faculty member for UCoPE - Utah Certificate of Palliative Education and Senior Faculty for VitalTalk. She is Board certified as a Family Nurse Practitioner and an Advanced Certified Hospice and Palliative Nurse. Holli has been inducted as an HPNA Fellow in Palliative Care Nursing and has been honored with the Cambia Foundation Sojourns Award and the American Association of Nurse Practitioners State of Utah Award for Excellence.

In this episode, we welcome HPNA and HPNF board members Craig Durie, DNP, CRNP, ACHPN®, RNFA and Blake J. Tobias Jr., MHCI, MS, HA-ODL. Moderated by Board President Lynn Reinke, PhD, ANP-BC, FAAN, FPCN, ATSF, the group discusses their respective roles within health care, highlighting their commitment to improving patient outcomes through innovative practices and leadership in their respective professions. Featuring: Craig Durie, DNP, CRNP, ACHPN®, RNFA Blake J. Tobias Jr., MHCI, MS, HA-ODL Craig Durie, DNP, CRNP, ACHPN®, RNFA Craig is a palliative care nurse practitioner working in an multi hospital inpatient consult-based practice in Eastern Pennsylvania.  He is passionate about education and creating access through program development. He is a book author, educator, and TEDx speaker. During his 28 years of practice, he has worked in critical care, emergency medicine research, as an organ transplant coordinator, adjunct faculty, and colorectal surgical NP before finding his calling in palliative care. During his 13 years of palliative practice, he worked to develop the region's first palliative telemedicine consult service to reach underserved rural patients. Outside of the hospital he has engaged in state and national lobbying relating to diabetes care and full practice authority for nurse practitioners. Craig balances his professional activities with family, a love of gardening, biking, and the outdoors.   Blake J. Tobias Jr., MHCI, MS, HA-ODL Blake Tobias, Jr., MHCI, MS HA-ODL, a first-generation college graduate, is a biologist turned administrator and educator with a proven record of pivotal and innovative leadership. Blake has been a member of the board since 2019 and currently is the Secretary/Treasurer for the HPNA and HPNF boards. He has previously held the positions of HPNF Board Treasurer, HPNF Board President, and HPNA/HPNF Co-Chair of Governance Committee. Blake is Senior Regional Practice Manager for the Penn Medicine Transplant Institute, overseeing a dozen satellite clinics for Kidney, Liver, and Pancreas transplant across Pennsylvania and New Jersey. Blake is also an Adjunct Professor of Professional Practice at the Albright College School of Business and Professional Studies, a doctoral student at Saint Joseph's University, and spends his time volunteering for numerous local and national board of directors. His professional experience focuses on health operations and disruptive innovation, with extensive experience managing process improvement, accreditation adherence and regulatory compliance, leading complex projects, budgets, and service integration, as well as managing stakeholder relations in various service lines, including General Hospital Operations, Oncology, and Solid Organ Transplantation. A member of the Saint Joseph's University 30under30 inaugural class, Blake was also one of six students awarded the President and Provost's Honor for Developing New Initiatives in Graduate and Professional Student Life in 2023 as a graduation honor from the University of Pennsylvania. 

In this episode, we welcome Dr. Christopher Kerr, who discusses his upcoming opening session for the Team Conference for Hospice & Palliative Care. Moderated by HPNA member and Team Conference planning committee chair Joan Carpenter, this episode touches on Dr. Kerr's experiences and published research that describes and validates patients' dreams and visions at the end of life.  Learn more about the Team Conference for Hospice & Palliative Care and register today!   About the Speakers: Moderator: Joan G. Carpenter, PhD, CRNP, ACHPN®, FPCN Featuring: Christopher Kerr, MD, PhD Joan is an expert in geriatric palliative care. She in an Assistant Professor at the University of Maryland School of Nursing, a Health Scientist at the US Department of Veterans Affairs, and a nurse practitioner with Coastal Hospice and Palliative Care. Her research focuses on the implementation and evaluation of non-pharmacologic palliative care interventions to improve the quality of life, reduce symptom burden, and enhance decision making for people living with serious illness and their care partners. Christopher is the Chief Medical Officer and Chief Executive Officer at Hospice & Palliative Care Buffalo. Born and raised in Toronto, Canada, Chris earned his MD as well as a PhD in Neurobiology. Outside of direct patient care, Chris' focus is in the area of patient advocacy. His passion is palliative care and a belief that such care should be throughout the continuum of illness. Under Dr. Kerr's medical leadership, Hospice Buffalo now serves 1,200 patients a day, the majority of whom receive services upstream of hospice care.  

This episode features Chris Acevedo, CHC, the presenter of HPNA's upcoming three-part APRN billing and coding webinar series. Chris discusses the series, which is designed for APRNs practicing in Palliative Care and within the hospice benefit. Moderated by HPNA Board member, Mansara Hassan, the discussion touches on recent changes to billing, EMR documentation, billing restrictions, and more.   Register for the three-part billing webinar series today! Registration is free for HPNA members.  The Basics on APRN Billing in Hospice and Palliative Care   June 24, 2024  3:00 – 4:00 p.m. ET  1 NCPD  Register Today  Nuances of APRN Coding and Billing in Hospice and Palliative Care  July 16, 2024  3:30 – 4:30 p.m. ET  1 NCPD  Register Today  Optimizing Revenue in APRN Hospice and Palliative Care Billing  August 12, 2024  2:00 – 3:00 p.m. ET  1 NCPD  Register Today    About the Speakers:  Moderator: Mansara Hassan, MSN, APRN, AGNP-C  Featuring: Christopher Acevedo, CHC  Mansara Hassan, MSN, APRN, AGNP-C, is a Palliative Care Nurse Practitioner in Dallas, TX. She earned her Master of Science in Nursing from the University of Pennsylvania. Mansara is deeply committed to ensuring equitable access to palliative care. She is also passionate about teaching and empowering nurses and is a proud End of Life Nursing Education (ELNEC) trainer. Mansara is an HPNA member and serves on the Board of Directors for HPNA and HPNF.  Christopher Acevedo, CHC is Chief Operating Officer and Partner at Acevedo Consulting Incorporated. He is a health care industry veteran with more than 20 years of expertise in combining the unique perspective of avoiding risk and liability with opportunities for optimizing reimbursement. Chris has a particular expertise in chart audits, compliance, and education related documentation and coding. He has assisted clients nationwide with these and many other organizational needs. His experience in operational management brings clients invaluable expertise in the operational aspects of organizations' billing processes and identifying areas for potential improvement. Through the firm, Chris often serves as an expert for clients undergoing alleged overpayment and/or fraud investigations, as the Independent Review Organization (IRO) representative in accordance with Corporate Integrity Agreements (CIA) with the OIG and as a litigative consultant to the US Department of Justice.  Chris is the Healthcare Compliance Officer for Barry University, is Adjunct Faculty at Florida Atlantic University teaching regulatory compliance and is a member of multiple CMS MAC Provider Outreach and Education Advisory Groups. 

In this episode, we welcome Dr. Heather Coats and Dr. Kelly Henrichs. Moderated by Dr. Betty Ferrell, this episode discusses the adult-gerontology nurse practitioner's role in hospice and palliative care. Listen in as Heather and Kelly touch on common areas for the nurse practitioner, examples of when two APRNs work together to care for a patient, the differences between primary and specialty care, and more.  This podcast episode coincides with an article written by Heather and Kelly in the June 2024 issue of the Journal of Hospice & Palliative Nursing. 1. Coats, Heather PhD, APRN-BC; Henrichs, Kelly DNP, RN, GNP-BC. The Role and Professional Standards of the Adult-Gerontology Nurse Practitioner in Hospice and Palliative Care. Journal of Hospice & Palliative Nursing 26(3):p 116-121, June 2024. | DOI: 10.1097/NJH.0000000000001025. Resources from the Episode: ACHPN® Credential AACN Call for Action: Nurses Lead and Transform Palliative Care ANA Call to Transform Palliative Care About the Speakers: Moderator: Dr. Betty Ferrell, PhD, MSN, RN, CHPN®, FAAN, FPCN, Director of Nursing Research & Education and Professor, City of Hope  Featuring:  Dr. Heather Coats, PhD, APRN-BC, FAAN, Director of Research, HPNA, and Assistant Professor, University of Colorado College of Nursing  Dr. Kelly Henrichs, DNP, RN, GNP-BC, Specialty Director, AGPCNP Program, Associate Professor, University of Colorado College of Nursing    Dr. Henricks  works at CU as an associate professor, where she has taught for nearly 10 years and her clinical specialty is Gerontology. She was recently appointed the specialty director of the Adult/Gerontology Nurse Practitioner Program at CU and teaches across the undergraduate and graduate program. Her research interests are focused on older adults, and how to shift nursing student attitudes toward them. She is passionate about improving care and outcomes for the older adult population. She currently practices in the UCHealth Senior's Clinic as a nurse practitioner.  Dr.  Coats, PhD, APRN-BC, FPCN, FAAN is Director of Research for Hospice and Palliative Nurses Association (HPNA) and faculty at the University of Colorado, College of Nursing, Anschutz Medical Campus, in Aurora, CO. With a well-founded base of palliative, oncology, and hospice care spanning over 26 years, Heather is sought out as a researcher, teacher, and consultant to nurses, physicians, and other health care professionals. She has been in numerous leadership positions and developed national/international recognition through her impact on the PC/EOL field. Heather is a well-known palliative care nurse leader who has communicated extensively through her publications, presentations and consultations with patients, families, and clinicians on the importance of palliative care for individuals living with serious illness.    Nationally, she was invited to the prestigious keynote at the AAHPM/HPNA National Assembly to present the “State of the Science” for three years, and a subsequent keynote for the HPNA Clinical Practice Forum. She was the 2021 HPNA Vanguard recipient, is a Fellow in Palliative Care Nursing, and a Fellow of the Western Academy of Nurses, and a Fellow of the American Academy of Nursing. Internationally, she has been invited to both India and Japan to share her knowledge and expertise in PC/EOL nursing.  Her program of research which investigates the use of person-centered narrative interventions to improve communication between patients, family caregivers, and clinicians has been funded by NIH and the Cambia Health Foundation. In 2015, she earned her PhD in Nursing from the University of Arizona, College of Nursing, earned her master's in nursing: Adult Nurse Practitioner from the University of Colorado, College of Nursing in 2006, and received her Bachelor of Science in Nursing from University of Arkansas, Eleanor Mann School of Nursing in 1996. 

In this episode, we welcome Tracy Fasolino and Mansara Hassan, board members from the Hospice & Palliative Nurses Association (HPNA) and the Hospice & Palliative Nurses Foundation (HPNF), Moderated by Lynn Reinke, this episode discusses the considerations surrounding caring for underserved patients in rural and urban settings. Resources from the Episode: HPNA DEIB Style Guide HPNF Diversity in Health Care Video Series HPNA Research Agenda HPNA Advocacy Efforts About the Speakers: Moderator: Lynn Reinke, PhD, MSN, ARNP-BC, FAAN, FPCN Featuring Tracy Fasolino, PhD, FNP-BC, ACHPN, FPCN and Mansara Hassan, MSN, APRN, AGNP-C Tracy Fasolino, PhD, FNP-BC, ACHPN, FPCN is a Professor and Distinguished Palliative Care Leader at Clemson University School of Nursing, Clemson, SC. She is passionate about rural communities having lived in rural Appalachia all her life. She is a rising policy leader for underserved, rural communities. Tracy is honored to serve as a mentor to students and peers exploring primary and specialty palliative care. She was inducted as a Fellow of Palliative Care Nursing (FPCN) of the Hospice & Palliative Nurses Association (HPNA) in 2024, serves on the Board of Directors for HPNA and the Hospice & Palliative Nurses Foundation (HPNF), and is an HPNF Florence Wald Champion. Mansara Hassan, MSN, APRN, AGNP-C, is a Palliative Care Nurse Practitioner in Dallas, TX. She earned her Master of Science in Nursing from the University of Pennsylvania. Mansara is deeply committed to ensuring equitable access to palliative care. She is also passionate about teaching and empowering nurses and is a proud End of Life Nursing Education (ELNEC) trainer.  Mansara is an HPNA member and serves on the Board of Directors for HPNA and HPNF.    

In this episode, we welcome Komal Patel Murali, PhD, RN, ACNP-BC, Chair of the HPNA DEIB Committee, and a panel of experts who provide an inside look at the Diversity in Health Care video series. The panel includes Dr. Leah Rosenberg, Dr. Rushil Patel, Reverend Katherine Engel, and Raniah El-Gendi. Listen to hear Dr. Murali ask the panel about their contributions to the video series and discuss the importance of providing interculturally sensitive care. The first in the series of Diversity in Health Care videos was made possible through a grant from the American Nurses Foundation. HPNF partnered with the Council on American-Islamic Relations-Florida to develop this resource for providing culturally appropriate care to patients observing the Islamic faith. The three additional videos were made possible through a grant to HPNF from the Jack Buncher Foundation to develop resources for providing culturally appropriate end-of-life care to Jewish, Hindu, and Buddhist patients. View the video series here.   About Komal: Moderator: Komal Patel Murali, PhD, RN, ACNP-BC, Chair of HPNA DEIB Committee Featuring Dr. Leah Rosenberg, Dr. Rushil Patel, Reverend Katherine Engel, and Raniah El-Gendi Komal Patel Murali is an assistant professor at New York University Rory Meyers College of Nursing interested in end-of-life care for seriously ill older adults in the home healthcare setting. Dr. Murali's research focuses on improving equity and end-of-life care surrounding hospice transitions for people living with dementia and their care partners. She aims to develop transitional care management interventions to improve hospice transitions and reduce disparities in hospice use through embedded pragmatic clinical trials in real-world practice in home healthcare. Dr. Murali is also interested in palliative care integration in the intensive care unit as her program of research is strongly influenced by her prior clinical experiences as a nurse and nurse practitioner delivering end-of-life care in the critical care setting. Dr. Murali is an HPNA member and volunteer. She currently serves as the chair of the HPNA DEIB Committee.

In this episode, we welcome Lynn Reinke, PhD, MSN, ARNP-BC, FAAN, FPCN back to the show where she speaks with HPNA's 2024 President-Elect Masako Mayahara, PhD, RN, FAAN, CHPN, FPCN and HPNA's Immediate Past President Michelle Webb, DNP, RN, CHPCA on the power of mentoring. About Lynn: Dr. Reinke is the Claire Dumke Ryberg, RN, Presidential Endowed Chair for Palliative and End of Life Care at the University of Utah, College of Nursing. In this role, she works to increase the palliative care workforce in rural and underserved populations by educating professionals and laypersons to deliver primary palliative care. Dr. Reinke's clinical practice and program of research focuses on improving the delivery of palliative and end-of-life care for patients with serious illnesses. She is internationally recognized as an expert in dyspnea management for patients diagnosed with advanced lung diseases. Her studies, funded by NIH, VA, and Foundations, are designed to test nurse-led palliative care interventions in sub-specialty and primary care services and to improve the quality of clinicians' end-of-life communication skills. About Masako: Dr. Mayahara is a clinical expert in pain management in hospice and palliative care. Her research focuses on reducing pain and suffering in patients and families facing serious illness. She utilizes innovative technology and evidence-based interventions to support family caregivers in delivering patient pain management at home. Her federally funded research includes the development and testing of a digital application (e-PainSupport) designed to reduce pain intensity in home hospice patients. Additionally, she serves as a co-investigator on multiple NIH R01 grants, including a study funded by the National Institutes of Aging to provide chronic grief intervention to dementia caregivers using video conference technology. She is a member of the editorial board of the Journal of Hospice and Palliative Nursing and serves as the president-elect of the Hospice and Palliative Nurses Association and the Hospice and Palliative Nurses Foundation. About Michelle: Dr. Webb is an Assistant Professor in the Duke University School of Nursing. She earned a Bachelor of Science in Nursing from Indiana University, a Master of Science in Nursing from The George Washington University and a Doctor of Nursing Practice degree from the University of Minnesota. She has diverse nursing practice and leadership experience and has held executive leadership positions in behavioral/psychiatric-mental health, home health, acute care, and hospice care. She is a member of the National Black Nurses Association and currently serves as the Past President of HPNA and the Hospice and Palliative Nurses Foundation Board of Directors. 

In this episode, we welcome Amisha Parekh de Campos, PhD, MPH, RN, CHPN to the show where she speaks on the research that she is conducting surrounding people of color in end-of-life care. Amisha speaks on the importance of incorporating race into practice to best serve our minority populations and how we can advocate for our patients of color.    About Amisha: Amisha Parekh de Campos, PhD, MPH, RN, CHPN has a joint appointment as an Assistant Clinical Professor, University of Connecticut School of Nursing, and Quality and Education Coordinator of the Middlesex Health Hospice Program, Middletown, CT. Amisha received her PhD in Nursing from the University of Connecticut (2020), and BS and MPH in Global Health from George Washington University (2001 & 2005). She received her BSN from the University of St. Joseph in 2009; additional certifications include hospice and palliative care (CHPN). Amisha started her career in public health by establishing public health clinics and training community health workers in rural areas of south India and the Dominican Republic. She led initiatives on the prevention of HIV, tuberculosis, and mosquito-borne illnesses with community, government, and private organizations. For the past ten years, Amisha has worked in hospice home care in various leadership roles, including community liaison and clinical supervisor. Currently, she manages research, quality, education, and orientation for the Hospice Homecare program, which serves approximately 150,000 people in Connecticut. In addition, Amisha is an Assistant Clinical Professor at the University of Connecticut, School of Nursing working towards enhancing the palliative care curriculum and education among undergraduate students. She is a Robert Wood Johnson, Future of Nursing Scholar (2017-2020) and Jonas Scholar for Chronic Health (2017-2020). In 2019, Amisha received the 2019 Hospice and Palliative Nurses Foundation Scholarship to fund a study in advance care planning through simulation with registered nurses. She is the 2021 recipient of the Hospice and Palliative Credentialing Center Certified Hospice and Palliative Nurse of the Year and recipient of the 2021 Young Investigator Award from the Connecticut Coalition to Improve End-of-Life Care. Amisha was also featured in the Journal of Hospice and Palliative Nursing. Amisha's program of research focuses on end-of-life care communication. Her dissertation focused on simulation among registered nurses in advance care planning communication. Working at a community health system, she has noticed the disparities in end-of-life care among people of color. With her public health background and working with communities, she would like to assess the barriers and facilitators to end-of-life care and provide interventions to expand EOL services to this population.      

In this episode, we welcome Lynn Reinke, PhD, MSN, ARNP-BC, FAAN, FPCN to the show where she speaks on mentoring, taking risks, and the engagement opportunities that have led her to the role of HPNA and HPNF's 2024 President of the Board of Directors. Lynn also shares what excites her most about the HPNA Strategic Plan and her focus on building a strong community of hospice and palliative care nurses. About Lynn: Dr. Reinke is the Claire Dumke Ryberg, RN, Presidential Endowed Chair for Palliative and End of Life Care at the University of Utah, College of Nursing. In this role, she works to increase the palliative care workforce in rural and underserved populations by educating professionals and laypersons to deliver primary palliative care. Dr. Reinke's clinical practice and program of research focuses on improving the delivery of palliative and end-of-life care for patients with serious illnesses. She is internationally recognized as an expert in dyspnea management for patients diagnosed with advanced lung diseases. Her studies, funded by NIH, VA, and Foundations, are designed to test nurse-led palliative care interventions in sub-specialty and primary care services and to improve the quality of clinicians' end-of-life communication skills.  

In this episode, we welcome Shari Alton, ADN RN, CHPN and Deb Bershad, BSN, RN, CHPN, to talk about Death Cafe in the Phoenix Chapter of HPNA. Deb and Shari speak on how Death Cafe encourages open discourse about death and dying for healthcare professionals and how to get involved.   About Shari: Shari Alton is an ADN RN, CHPN with 45 years of experience in the nursing field. Shari started as a CNA in 1978, then became an LPN and graduated from RN school in 1983. Her background includes inpatient Med-Surg, Ortho, Post-Partum and Nursery, Chemical Dependency and Adult Psychiatry and Endoscopy. For the last 20 years, Shari has worked at Hospice of the Valley, in Phoenix, Arizona, as an RNCM in Home Hospice. Currently, Shari is the President of the Phoenix Chapter of the Hospice and Palliative Nurses Association. She is passionate about Death Café and has benefitted tremendously from it. About Deb: Deb Bershad is a nurse with diverse experience. She has worked most nursing positions available in the acute care hospital setting. She spent 17 years in the acute care setting, until burnout took its toll. She left the field and found her most rewarding and challenging work to date. For the next ten years, she worked as a teacher, facilitator, and Professional Development Coach. Personal tragedy prompted a 3-day retreat in which she re-clarified her goals and passion in life. This led to her return to nursing, where she found new pride, purpose, and meaning in her life as a nurse. Some of her most rewarding work has come in her latest role, as a Hospice nurse.  

In this episode, we welcome Pat Berry, PhD, APRN, CNP, GNP-BC, FPCN, FAAN, to the show where she speaks on the evolution of hospice care, how she was involved in these advancements, and some of the most valuable lessons she has learned in hospice.    About Pat: Pat Berry, PhD, APRN, CNP, GNP-BC, FPCN, FAAN has 46 years of experience in Hospice and Palliative care including as a staff RN, quality improvement coordinator, Joint Commission hospice surveyor, educator, author, nurse practitioner, and researcher. Pat has been active in HPNA and HPNF and has witnessed a great deal of growth and change in our field, including the growth and acceptance of palliative care, nursing and team member certification, evidence-based practice, and educational programs focused on increasing the knowledge of students and professionals in both hospice and palliative care.

This episode of Palliative Perspective introduces Sari Williams, RN, FNP-C, a supportive care provider based in California.  In this episode, Sari speaks on her experience as a supportive care provider delving into the intricacies of her profession, including what fertility planning looks like for a palliative patient. Sari describes what she finds to be most impactful about her occupation, as well as what keeps her motivated to continue in this important field.    About Sari: Sari Williams, RN, FNP-C started nursing in 2009 on a telemetry floor in a hospital in downtown Los Angeles. After a few years, she transferred to the ICU/trauma unit at that same hospital. Sari was accepted to the MSN program at Cal State Long Beach. At the same time, she was pregnant with her first daughter! Because of the Master's course curriculum, Sari started working at a different hospital, now part-time in their ICU. During her Master's program for Family Nurse Practitioner, Sari had two daughters and went back to work as a bedside RN once school was done. In the ICU, Sari saw a lot of patient cases play out in different ways, but what stuck with her the most was the suffering at the end of life that could have been prevented with more attention on goals of care and end-of-life planning. Pursuing the palliative care field felt like the next right step in her nursing career. While Sari was looking for continuity with her patients initially with a focus on disease prevention, she realized through bedside practice that continuity can still exist while not focusing on prevention. What Sari loves about her job is helping patients find a new normal, to help them meet their goal of maintaining a level of function and engagement with life that they find meaningful.  

In this episode, we welcome Sarah Potter, Health Policy Specialist for the Hospice and Palliative Nurses Association. Sarah shares with us her experience working in public policy and how it translates into her current role. She explains how members can engage in federal public policy activities and why it is so important to share your stories and help advocate for hospice and palliative care. About Sarah: Sarah Potter serves as Health Policy Specialist at the Hospice and Palliative Nurses Association (HPNA). In this role, she works with HPNA's advocacy and lobbying team to engage members on federal public policy issues that affect nursing and hospice and palliative care. Prior to joining HPNA, Sarah worked on Capitol Hill as press secretary and legislative assistant for Representative Karen McCarthy and as deputy press secretary on the Senate Homeland Security Committee under Senator Joe Lieberman. She also developed advocacy campaigns for several national organizations based in Washington, D.C., including the Premier Healthcare Alliance, The Pew Charitable Trusts, and Independent Sector. Her policy expertise includes Medicare, Medicaid, children's health, and the health care workforce. Sarah is a graduate of the University of Missouri, where she earned dual degrees in political science and journalism.

This episode of HPNA Podcast Corner welcomes guest Shelly Thomas to share with us A Day in the Life of a Certified Hospice and Palliative Care Licensed Practical Nurse. In this episode, Shelly speaks to the importance of certification and the role hospice LPN's play in the care of person and their families living with serious illness. The podcast describes the certified hospice LPNs role, the part they play on the interprofessional hospice team and Shelly's personal reason for becoming certified. Join us as we hear about a day in the life of a certified hospice LPN, and the integral role they play.   About Shelly Shelly has dedicated career to hospice /pall care, starting as a nursing assistant, then obtained her LPN, and worked for Hospice of the Westerns reserve in Cleveland, Ohio for 28 years and currently works for Westlake homecare team in the role of partners in practice, working with RN. In addition, in 2016, Shelly was awarded the 2016 HPNA LPN of the year and became a certificated LPN in 2012.  

This episode of HPNA Podcast Corner welcomes guest Mary Kenney to share with us insight into a day in the life of a certified hospice aid.     Mary is a certified hospice and palliative care nurse aid who has cared for those with life-limiting illnesses for over 20 years.     In this episode, Mary speaks to the importance of certification and the role hospice aides play in the care of person and their families living with serious illness. The podcast describes the certified hospice aide's role, the part they play on the interprofessional hospice team and Mary's personal reason for becoming certified. Join us as we hear about a day in the life of a certified hospice aide, and the integral role they play.    About Mary  Mary has been deeply moved and challenged in supporting her patients and their families to get the best possible care. In her pursuit to deepen her intention of service and mastery of skills at bedside she received training and certification as an end-of-life care practitioner with the Metta Institute. Her practice also includes the offering of therapeutic touch as a Reiki master. Mary served on the Exam Development Committee for the National Board for Certification of Hospice and Palliative Nurses (NBCHPN®) and was an advisor for the Role Delineation Study (RDS). She most recently collaborated as a subject matter expert for HPNA's Nursing Assistant Core Curriculum. She currently resides in Denver, CO. 

  Palliative Nursing Acute to Post Acute Transitions in Care: Challenges and Opportunities This episode of HPNA Podcast Corner welcomes guest Jennifer Gentry, DNP, ANP-BC, ACHPN, FPCN. Dr. Gentry is a nurse practitioner with the Duke University Palliative Care Consult Service, faculty at the Duke University School of Nursing, and a member of the Duke Hospital Ethics Committee. Prior to her current role, she provided medical care for older adults in acute, community, and skilled nursing settings. Dr. Gentry is a recipient of the HPNA Distinguished Nursing Practice Award, the Oncology Nursing Foundation End of Life Career Development Award, she was named one of North Carolina's Great 100 Nurses, named 2012 Advanced Certified Hospice and Palliative Nurse of the Year, and she received the Friends of Nursing Award for Nursing Mentorship. Dr. Gentry is an active member of HPNA. She served as president of the Board of Directors in 2014 and has served on multiple chapters and committees. Through her work with HPNA, the National Coalition for Hospice and Palliative Care, the Hospice and Palliative Nurses Foundation, and the Alliance for Excellence in Hospice and Palliative Nursing, Dr. Gentry has been a tireless advocate for hospice and palliative nursing and advance nursing practice.   This episode addresses the importance of transitions in care for patients with serious illnesses and their families, challenges encountered during transitions in care, at-risk patient populations, and how to best address the challenges encountered during care transitions.

  Palliative Nursing Leadership: Advocacy in Action This episode of HPNA Podcast Corner welcomes guests Clare Chmiel, Senior Government Affairs Analysts and Jessica Goggin, PhD, MAS, RN. Together, they shed light on the role of the nurse in palliative care advocacy, including leading the way in addressing support for advancing the care of patients and families with serious illness.   This episode addresses current legislation and advocacy at the national level and explores how palliative nurse leaders can impact efforts in D.C. In addition, our guests share the meaning of advocacy across institutional, local, and state levels as will as the importance of the role bioethics plays in advocating for our patients, families, colleagues, and ourselves. 

On this episode of HPNA Podcast Corner, we welcome Keisha Davidson, MBA, Credentialing Programs Associate with the Hospice and Palliative Credentialing Center. Keisha reflects on the value of certification and the importance of inspiring nurses in the field of hospice and palliative care through mentorship and supportive leadership.   If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/Donate By accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimer For more information about NINR and our guests today, please visit the resources found at: https://hpna.box.com/v/Ep16-NINR-Resources

This episode of HPNA Podcast Corner welcomes guests Shannon N. Zenk, PhD, MS, MPH, RN, FAAN, director of the National Institute of Nursing Research and Jeri L. Miller, PhD, MS, MSc, CCC-SLP (ret), chief of End-of-Life and Palliative Care Research for the National Institute of Nursing Research Division of Extramural Science Programs. Dr. Zenk and Dr. Miller share with us insight into the NINR-supported end-of-life and palliative care research that is leading the way ​to address some of our most critical ​healthcare challenges of today. Our guests speak to the importance of ​nursing science and the role nurses have to address health inequities. The podcast describes how social determinants of health impact palliative and end-of-life care as well as the need for research that identifies effective, multi-level approaches to improve health and eliminate racial/ethnic and socioeconomic health disparities. Join us as we discover how NINR research is helping us move forward in end-of-life and palliative nursing to advance expert care in serious illness.    If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/Donate By accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimer For more information about NINR and our guests today, please visit the resources found at: https://hpna.box.com/v/Ep16-NINR-Resources

This episode of HPNA’s Podcast Corner welcomes our guest, Patrick J. Coyne, MSN, ACHPN®, ACNS-BC, FAAN, FPCN, director of palliative care at the Medical University of South Carolina in Charleston, SC. In this episode, Patrick shares with us an “abbreviated” version of his journey spanning three decades in palliative care. He began his clinical work focused on cancer pain and moved into leading and directing one of the first palliative care programs in the nation. Patrick emphasizes the importance of finding your individual leadership voice to advance your palliative care contributions in caring for those with serious illness, as well as cultivating mentors and collaborators who share your vision of interdisciplinary team care management. If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/Donate By accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimer For more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner  

This episode of HPNA’s Podcast Corner welcomes HPNA’s Research Advisory Council members Dr. Heather Coats, PhD, APRN-BC, HPNA Director of Research, Dr. Jiayun Xu, PhD, RN and Dr. Suzanne S. Sullivan, PhD, MBA, RN, CHPN as they discuss how the use of research is a necessary contribution for moving forward in palliative and hospice nursing as we advance expert care in serious illness. Come hear about how their journey into research has informed their lives, their careers and the contributions their research has provided in building the scholarship of palliative and hospice nursing.  Through translational research approaches, we understand at a deeper level the overwhelming need to improve palliative and hospice care and know that the science is the evidence base to advance that expert care for persons and their families living with serious illness.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

This episode of HPNA’s Podcast Corner welcomes our guest Alexander Kemery, PhD, RN, Hospice and Palliative Care Nurse and assistant professor of Nursing at the University of Indianapolis. Alex talks about the importance of education, advance care planning, and humility when discussing end-of-life care with members of the LGBTQ+ community. If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

 This episode of HPNA’s Podcast Corner welcomes our guest Vanessa Battista, MS, RN, CPNP-BC, CHPPN. In this episode, Vanessa emphasizes the importance of advocacy for our patients. She discusses how her path in pediatric palliative care led her to the bedside of a very important pediatric patient who taught her an important lesson about caring for those journeying through life’s end.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

 Please join us for a special edition of HPNA Podcast Corner featuring Dr. Carla Cheatham, ​PhD, MA, M.Div., TRT.​ Dr. Cheatham, a specialist in the areas of burnout, moral distress, trauma, and grief, shares with us what she is seeing and hearing from healthcare workers across the country during this time of crisis. She offers tips on how to best take care of ourselves during times of uncertainty using techniques that can easily be incorporated into our practice to develop a more resilient and emotionally intelligent mindset. Dr. Cheatham inspires us with messages of hope, meaning-making, and seeing things as an opportunity rather than a threat, as we find the resilience to heal through COVID-19 and beyond.  Dr. Cheatham began her career in social services with an MA in psychology, a certification in trauma counseling, a PhD in health and kinesiology, and a M.Div., followed by a decade of working as a hospice chaplain and bereavement coordinator.For more COVID-19 related resources visit: https://advancingexpertcare.org/COVID-19-Resources________________________________________By accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCornerIf you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/Donate  

In this special edition of HPNA's Podcast Corner, we address moral distress and complicated grief during the COVID-19 crisis. Our guest is Kathie Supiano, PhD, LCSW, F-GSA, FT, APHSW-C, a clinical social worker and an Associate Professor in the College of Nursing. She is also the director of Caring Connections: A Hope and Comfort in Grief Program at the University of Utah College of Nursing. Kathie shares with us lessons of moral distress and its impact on frontline nurses during this unprecedented time.  For more COVID-19 related resources visit: https://advancingexpertcare.org/COVID-19-Resources________________________________________By accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCornerIf you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/Donate  

 Our guest for Episode 9 HPNA’s Podcast Corner is Dr. Betty Ferrell, Professor and Director for the Department of Nursing Research and Education for the City of Hope Comprehensive Cancer Center in Los Angeles, California. Betty is an RN and PhD and has a Master of the Arts in Theology, Ethics, and Culture. In addition, Dr. Ferrell holds the designation of Fellow of the American Academy of Nursing and Fellow in Palliative Care Nursing.Betty shares with us milestones from over four decades of nursing in pain management, quality of life, and palliative care. Betty talks about the challenges and rewards encountered while working in palliative care and shares experiences that have impacted her journey. She tells her story of “this scared work, this important work, and how we do it that really matters.” Join us as Betty reflects on her remarkable journey and shares insights into her vision for the future of hospice and palliative nursing.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

 HPNA welcomes Cindy Stafford MSN, GNP-BC, ACHPN, FPCN, as our guest in Episode 8 of HPNA’s Podcast Corner. Cindy is an expert-level advanced palliative nurse practitioner and shares with our listeners her decades-long career journey in hospice and palliative nursing. Cindy began her nursing career at the staff level in acute high-level patient care and then transitioned into a clinical hospice nursing role. She proceeded to advance her education to become a palliative nurse practitioner, holding national board certifications in three specialties. Cindy talks about the challenges and rewards experienced in working in palliative care and shares stories of patient and family experiences that have impacted her journey. Join us as Cindy reflects on her remarkable journey and shares insights into her vision for the future of hospice and palliative nursing.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

In this edition of HPNA’s Podcast Corner, we invite Ginger Marshall, HPNA/HPNF/HPCC Enterprise’s chief executive officer, to share with our listeners her journey in caring for patients and families with serious illness. Beginning with her early career as a certified nursing assistant to a senior advanced practice nurse executive leader, Ginger reflects on the importance of mentors throughout her nursing career. She shares the aspects she finds most enjoyable and most difficult in working in palliative care, her vision for the future of palliative nursing, and the importance of volunteering with membership organizations. Ginger’s message is for nurses within and outside of the palliative specialty to continue to strive to learn as much as they can about the care of patients with serious or terminal illnesses. She envisions that consumers will grow to expect that the treatments and care being offered to them is concordant with their own goals, and we, as nurses, have a voice in improving care delivery for all. Join us in Ginger’s journey to advancing expert care in serious illness.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner 

 In our 6th episode of HPNA’s Podcast Corner, we offer listeners a framework to explore nursing advances in LGBTQ-inclusive palliative care. Nina Barrett, palliative care nurse practitioner, frames the unique health needs of the LGBTQ palliative care patient, including challenges regarding disclosure and advance care planning. Nina calls to light the health disparities affecting the LGBTQ population, their historical roots, and the extra challenges facing transgender patients. This episode delivers concise, actionable approaches to facilitate practice change by incorporating evidence-based strategies to provide palliative nursing care consistent with the LQBTQ patient’s values, preferences, views, and beliefs.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner

 In this episode of HPNA Podcast Corner’s Stories from the Field, we welcome Dr. Kris Halsey to share with us his 20-year vocation as a clinical chaplain providing spiritual and psychosocial support to patients and families nearing life’s end. Kris talks about the spiritual, religious, and external aspects of hospice and palliative care as he shares stories about his most rewarding spiritual care moments along with challenges he has faced along the way.  His passion to see lives change is inspiring in its message of compassion: compassion for our patients, our families, each other as professionals, and ourselves.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner

In our 4thepisode of HPNA’s Podcast Corner, we offer listeners a framework to explore the impact of compassion fatigue and its relationship to the individual’s self-care and resilience. This recording supports additional resources to accompany HPNA’s Podcast Episode 3 Stories from the Field with Barb Schmal. This 60-minute, free on-demand recording delivers concise, actionable strategies that you can incorporate immediately into your professional and personal practices, enabling listeners to acknowledge the meaningful nature of our work and strengthen coping skills to keep doing what we do.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner

 In this episode of Stories from the Field, we welcome Barb Schmal, Certified Hospice and Palliative Registered Nurse, as she reflects on the impact of compassion fatigue throughout her career-long journey. She shares with us the importance of reflecting on the individual strengths that allow us to continue to do this meaningful work of caring for patients and families with serious illness. Her message of being intentional in caring for yourself will speak to us as we share Barb’s journey of reflection in finding meaning and resilience in our chosen field of hospice and palliative nursing.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner

 This educational offering is presented by Vanessa Battista, Amy Haskamp, and Ellyn Schreiner. Opioid Pain Management in Serious Illness: Assessing the Educational Needs of Patients and Families Across the Lifespan was developed by HPNA's Palliative Nursing Summit Pain and Symptom Management Project Team. The current opioid crisis is creating challenges to patients' and families' comfort with taking opioid medications for serious illnesses. If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about this topic and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner

In our first episode of Podcast Corner, the Hospice and Palliative Nurse's Association's Director of Professional Practice, Connie Dahlin, reflects on her career-long journey as a hospice and palliative nurse. She takes us back to the mid-eighties when she began her journey through our work today and conceptualizes a future for those wishing to care for patients and families facing serious illness. Connie shares stories about her greatest challenges, most rewarding patient care moments, offers insight to new nurses, and provides a vision of our work and its future impact.If you enjoyed this podcast, please donate to the foundation: https://advancingexpertcare.org/DonateBy accessing this podcast, you are acknowledging the following disclaimer: https://advancingexpertcare.org/PodcastCornerDisclaimerFor more information about Connie and advancing expert care, please visit the resources found at: https://advancingexpertcare.org/PodcastCorner