Podcasts about Advance care planning

Join the University of Washington Surgical Palliative Care Team for their final episode of this series — a dual journal review and clinical challenges discussion on assessing medical decision-making capacity. Using Dr. Paul Applebaum's foundational framework, the team outlines the four key criteria for evaluating capacity and brings the topic to life through two contrasting standardized patient scenarios. This episode highlights why capacity assessment is not only relevant but essential for surgeons navigating complex, high-stakes decisions.  Hosts:  Dr. Katie O'Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care at Parkland.  Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington with an interest in surgical oncology.   Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington. Learning Objectives: 1.        Decipher the distinction between the terms “capacity” and “competence”.   2.        Describe the four criteria for assessing medical decision-making capacity presented in Dr. Paul Applebaum's article “Assessment of Patients' Competence to Consent to Treatment.” 3.        Apply the capacity assessment framework to real-world clinical scenarios in surgical practice.  References: 1.        Applebaum, PS. Assessment of Patients' Competence to Consent to Treatment. New England Journal of Medicine 2007; 357(18):1834-1840. https://pubmed.ncbi.nlm.nih.gov/17978292/ 2.        Special thank you to Mr. Mark Fox for his acting contribution to this episode. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

May is Mental Health Awareness Month.  The topic of mental health is one that is near and dear to my heart.  Because of that, we host podcast episodes each year related to this topic.  To see a complete list of mental health-related episodes, click here. Today, we are thrilled to have Chelsey Byers with us to chat with us about dementia and agriculture.  Chelsey has a vast array of experiences with this issue and offers practical tips and pointers for families navigating this challenging diagnosis. Contact Info for Chelsey Byers (Email)  clbyers@illinois.edu  (Website) https://extension.illinois.edu/staff/chelsey-byers  Links to Topics Mentioned on the Show Farm Families Coping with Dementia (FFCD) Study link - https://gpcah.public-health.uiowa.edu/dementia-educational/ Dementia Stats - https://dementiadatahub.org/explore-data/map.html What is Dementia - https://www.youtube.com/watch?v=s10iPESAHmI&t=1s Local Area Agency on Aging (AAA):  In Texas, search by zip code here - https://resources.hhs.texas.gov/pages/find-services  National Institute on Aging https://www.nia.nih.gov/ Alzheimer's Association – https://www.alz.org/Alz.org 10 signs of dementia - https://www.alz.org/alzheimers-dementia/10_signs Seeking help - https://www.alz.org/alzheimers-dementia/memory-loss-concerns Getting a diagnosis - https://www.alz.org/alzheimers-dementia/diagnosis/medical_tests Current medications - https://www.alz.org/alzheimers-dementia/treatments Legal documents and Alz - https://www.alz.org/help-support/caregiving/financial-legal-planning/legal-documents Support groups - https://www.alz.org/help-support/community/support-groups Help line:  https://www.alz.org/help-support/resources/helpline Succession Planning: https://www.fbfs.com/learning-center/what-you-need-to-know-about-farm-succession-planning Having a conversation to stop driving - https://www.thehartford.com/resources/mature-market-excellence/family-conversations-with-older-drivers   Referral systems and Community Services 211 – a one stop shop that offers referral to services relating to basic human needs, health insurance programs and employment supports: https://uwm211.org/ Find local services for older adults:  https://eldercare.acl.gov/Public/Index.aspx Local Services: https://acl.gov/ltc/basic-needs/finding-local-services National Institute on Aging resources: Advance Care Planning: https://www.nia.nih.gov/health/advance-care-planning Long-term Care: https://www.nia.nih.gov/health/long-term-care   U.S Department of Veterans Affairs resources  Dementia caregiving resources and safety: https://www.va.gov/GERIATRICS/pages/Alzheimers_and_Dementia_Care.asp VA Caregiver Support Program: https://www.caregiver.va.gov/ U of I Extension program - Communication challenges and strategies for helping people with dementia -  When an individual has dementia, communication can be very difficult as the disease advances. Forgetfulness, agitation, repetition, and mood fluctuations can make interactions and caregiving stressful and frustrating, and many worry that they will say or do the wrong thing and make matters worse. Learn about common communication problems caused by Alzheimer's disease and other dementias, and strategies for better interactions and visits. Farm Hope is a program of Texas A&M AgriLife Extension & the Texas A&M Telehealth Institute offering free counseling services to any Texan involved in agriculture or their family members.  Contact Dr. Mikaela Spooner for more information at 979-436-0700.   Podcast Sponsors Capital Farm Credit,  AgTrust Farm Credit, Texas Corn Producers, Braun & Gresham, Plains Land Bank, Plateau Land & Wildlife Management, and AgTexas      

In this episode we speak to Justine Williams, a Clinical Educator in end-of-life care about how our palliative care team helps patients and their loved ones. Justine's role is to deliver education so that all staff are confident in delivering high quality end of life care - something that is so important in in Norfolk which is experiencing a significant increase in its older population. We also discuss the importance of having conversations with our relatives/carers about our future wishes and we look ahead of the second national Advance Care Planning conference taking place in Norwich this May.Find out more: https://www.nnuh.nhs.uk/news/advance-care-planning-conference-7-may/ Hosted on Acast. See acast.com/privacy for more information.

Samantha and Danielle joined Wake Up Tri-Counties to talk about Advance Care Planning with OSF HealthCare. OSF HealthCare offers a vital resource for individuals planning their future medical care. The OSF Care Decisions model provides specially trained facilitators to guide patients through critical conversations about end-of-life preferences. Facilitators assist in completing the Power of Attorney for Health Care form, allowing individuals to designate a trusted agent to make decisions if they can't. These sessions encourage individuals to reflect on their desired care, spiritual needs, and pain management, even considering who they'd want by their side in the final moments. Preparing in advance offers peace of mind and relieves family members of difficult decision-making burdens.

Justin Magnuson- Senior Program Manager, UofL Trager Institute, will host a virtual presentation today in conjunction with The Memory Care Clinic at SLU. He joins Megan Lynch with a preview.

This week, Dr Anirudh Kumar takes us through the practicalities of Advance Care Planning, referencing the Gold Standards Framework.You can read more about Gold Standards Frameworks here.Follow us on Instagram!Join our Discord server or follow our podcast via our Linktree!

Whether you're a healthcare professional, caregiver, or someone looking to take charge of your own care preferences, this conversation will provide valuable guidance on navigating end-of-life planning with clarity and compassion. In this insightful discussion, Dr. Heather Veeder from VITAS Healthcare breaks down what advance care planning is, why it matters, and how individuals and families can make informed decisions about their future healthcare.  Join hosts Ron Aaron and Dr. Rajay Seudath from Optum – University as they explore the importance of advance care planning.  Docs in a Pod focuses on health issues affecting adults. Clinicians and other health partners discuss stories, topics and tips to help you live healthier. Docs in a Pod airs on Saturdays in the following cities:  7:00 to 7:30 am CT:  San Antonio (930 AM The Answer)  DFW (660 AM, 92.9 FM [Dallas], 95.5 FM [Arlington], 99.9 FM [Fort Worth])  6:30 to 7:00 pm CT:  Houston (1070 AM/103.3 FM The Answer)  7:00 to 7:30 pm CT:  Austin (KLBJ 590 AM/99.7 FM)  Docs in a Pod also airs on Sundays in the following cities:  1:00-1:30 pm ET:  Tampa (860 AM/93.7FM) 

  This episode features  Dr Masanori Mori (Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan)   What is already known about the topic? As in Western countries' health-care systems, advance care planning is being increasingly implemented in Asian ones, but consensus on its definition and recommendations based on Asian culture are lacking. In high-context, Confucian-influenced Asian societies, explicit conversations about end-of-life care with patients are not always the norm. Family involvement is crucial in decision-making. Health-care providers in Asia uncommonly involve patients in advance care planning, partly due to their lack of knowledge and skills in advance care planning, personal uneasiness, fear of conflicts with families and their legal consequences, and the lack of a standard system for advance care planning.   What this paper adds? A key domain not previously highlighted in Western Delphi studies is “a person-centered and family-based approach” that facilitates families' involvement to support an individual's engagement in advance care planning and the attainment of the individual's best interest through shared decision-making. Treatment preferences in Asian contexts are often shaped by relationships and responsibilities toward others, with families and health-care providers supporting individuals to meaningfully participate, even in the presence of physical or cognitive impairments.   Implications for practice, theory, or policy Our definition and recommendations can guide clinical practice, education, research, and policy-making in advance care planning, not only in the Asian sectors included in our study, but also in regions with Asian residents and other areas where implicit communication and family-centered decision-making are valued. Our findings, combined with the existing evidence, will help future investigations to develop culturally sensitive advance care planning interventions, identify appropriate outcomes, and build an infrastructure where Asian individuals receive care consistent with their values, goals, and preferences.   Full paper available from:     https://journals.sagepub.com/doi/full/10.1177/02692163241284088   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu:  a.nwosu@lancaster.ac.uk  

What if you could ensure your healthcare wishes are honored, no matter what life throws your way?In this essential and practical episode, I chat to Claire Fuller, an expert in advanced care planning, to tackle a topic that’s crucial for all of us—not just for aging parents or relatives but for ourselves, too.We dive into the often-overlooked process of preparing for end-of-life care. While it may seem like a heavy subject (don’t worry, this episode isn’t!), it’s something we all need to think about—and the sooner, the better.Claire introduces a brilliant house analogy to help us understand the key elements of advanced care planning. She breaks it all down into clear, relatable, and actionable steps that anyone can take.From creating a lasting power of attorney to communicating your wishes with family, we cover how to ensure your voice is heard when it matters most. Plus, we’ll share tips for making these conversations more approachable and meaningful, so you can take control of your future with confidence.What you’ll learn:Why advanced care planning is essential for everyone—not just the elderlyThe “house” analogy: a straightforward way to understand the processHow to start meaningful conversations about end-of-life planningThe importance of lasting power of attorney (and busting common myths)How proactive planning empowers you and eases the burden on loved onesTune in to take the first step toward making life’s toughest moments just a little easier for you and your loved ones. 💬✨To access Clare’s website: www.speakformelpa.co.uk or websiteTo find out more about making your Lasting Power of Attorney or Advance Care Plan Contact Clare or https://speakforme.co.uk/contactTo find out more about Advance Care Planning go to Advance Care Planning Explained or https://speakforme.co.uk/advance-care-planning-explained You can access the infographic that Clare uses to explain the different strands of Advance Care Planning and also download a free Advance Care Planning Explained PDF (at the bottom of the page).To find out more about Lasting Power of Attorney go to: https://speakforme.co.uk/services or Lasting Power of Attorney There is a free FAQ page and guide at https://speakforme.co.uk/faqs or Frequently Asked QuestionsAccess podcasts at https://speakforme.co.uk/podcast-2 or podcast   Access blogs at https://speakforme.co.uk/blog or blogTo gift a Lasting Power of Attorney for a loved one  go to https://speakforme.co.uk/speak-for-me-shop or shop   To find out more about my membership The Inner Space go to: https://www.pollywarren.com/theinnerspaceEmail me at: info@pollywarren.comhttps://www.pollywarren.com/https://www.instagram.com/pollywarrencoaching/

Join University of Washington's surgical palliative care team for another engaging role play episode, where we tackle the challenging goals-of-care conversation. Using the VitalTalk REMAP framework, we explore effective communication strategies, highlight common pitfalls, and simulate two real-world scenarios: an on-call surgeon discussing goals of care with a complex patient facing an emergent surgical issue, and a team member facilitating a family meeting about goals of care in the surgical ICU. Hosts:  Dr. Katie O'Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care fellowship at Parkland.  Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington, with an interest in surgical oncology.  Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington. Learning Objectives: • Identify questions that elicit patients' goals and values, particularly during emotionally charged conversations.   • Name the three categories of patient values in the values triad. • Describe the importance of aligning with patients' and families' values and demonstrate techniques to achieve alignment.   • Develop a treatment plan that reflects patients' stated values.   References: “REMAP.” VitalTalk. Accessed December 2nd. https://www.vitaltalk.org/guides/transitionsgoals-of-care/ ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Send us a textDr. Josh Lowentritt of Aledade discusses their Comprehensive Advance Care Planning Program, reducing hospitalizations and transforming patient-centered care.

Living with a chronic illness teaches us to expect the unexpected. In this episode we discuss the topic of Advance Care Planning. It's not about giving up or focusing on the worst-case scenarios, it's about taking control, making your wishes known, and ensuring peace of mind for you and your loved ones. I's a very hard topic, but a necessary one. Feed Spot Links Top 100 Chronic Illness Podcasts on the web.https://podcast.feedspot.com/lupus_podcasts/https://podcast.feedspot.com/chronic_illness_podcasts/

Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. These individuals may become “unrepresented,” meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. In today's podcast, we talk with Joe Dixon, Timothy Farrell, and Yael Zweig, authors of the AGS position statement on making medical treatment decisions for unrepresented older adults. We define “unrepresented” and address the following questions: What is the scope of the unrepresented problem? Why not use the older term “unbefriended”? How should we care for unrepresented individuals in inpatient and outpatient settings? What can we do to prevent someone from becoming unrepresented? Find answers to these questions and more in this week's podcast. Listen in, and if you're interested, explore the topic further with the following resources: AGS Position statement on making medical treatment decisions for unrepresented older adults VA Policy on Advance Care Planning and on Informed Consent 

Advance Care Directives are great in theory, but often fail in practice. The result: patients' wishes aren't respected and their families end up fighting. Dr. Ferdinando Mirarchi has built a whole medical practice and business around Advance Directives. HIs company, MIDEO enables patients to create video-based plans either with or without a physician's help.I went through the process myself in preparation for this interview and learned a lot about the nuances of what to put in the directive to reflect my goals. The topics of resuscitation after cardiac arrest and mechanical ventilation were really insightful.We also talked about more mundane matters like insurance coverage and how to make sure the directive is accessed and respected when you need it.Host David E. Williams is president of healthcare strategy consulting firm Health Business Group. Produced by Dafna Williams.

What You're Dying to Know but Afraid to Ask | The Local Connection | Calgary Business In this episode of The Local Connection with the Givlin Gals, we're diving into the topics many are curious about but often hesitant to discuss: death and dying. Joined by Marilyn Moldowan, aka The Death Maven, we explore her half-century of experience in health care, her role as a death care navigator, and her mission to provide a safe space for informed, open conversations about life's final chapter. Don't miss this fascinating and enlightening conversation that reframes our perspective on dying—and living. #yycbusiness #TheLocalConnection #GivlinGals #Marketing #TheDeathMaven #HealthCare https://yyccalgarybusiness.ca/blog/the-local-connection-131/what-you-re-dying-to-know-but-afraid-to-ask-the-local-connection-1084 About the Guest: Marilyn is a Registered Nurse, and the CEO of Death Maven. Canadian Death Care Navigation and Fierce Advocacy for Informed Choice. She provides Advance Care Planning, Legacy Projects and Home Palliative Care information. You can connect with Marilyn on LinkedIn at: https://www.linkedin.com/in/marilynmoldowan About The Givlin Gals: Jenn and Victoria Givlin are a multigenerational team, coming from a very entrepreneurial family. If you ask, they'd describe themselves as storytellers and community builders. With a passion for supporting local, catch Jenn and Victoria solving business growth problems, developing iconic brands and hosting outrageously fun networking events: propelling business success. Their goal? To become the best version of themselves, supporting the best communities in the area and building the best businesses. Having launched a podcast in 2023, Victoria and Jenn met the YYC Business team, and their relationship went off to a great start. Celebrating local, focusing on innovation and supporting one another, the show "The Local Connection" was born. "The Local Connection" is all about supporting business owners, sharing stories with human interest, the purpose behind their "why", and how to get connected with them. Tune in today to learn how to grow your passions! You can connect with Jenn on LinkedIn at: https://www.linkedin.com/in/jenn-givlin-1336851 You can connect with Victoria on LinkedIn at: https://www.linkedin.com/in/victoriagivlin The Local Connection is also the ideal choice to showcase your local Calgary business. Let your customers get a peek at the story behind their favourite business on The Local Connection and: -Reach a global audience via the YYC Business website and the MegaPixxMedia YouTube channel. -Gain additional viewers of your The Local Connection episodes through free publication on YYC Calgary Business social media platforms. -Download your The Local Connection episode to your personal and company social media pages. Episodes are also available in podcast format, and you can listen to them on Spotify, Apple Podcast, and Google Podcasts. Filmed and edited by ENTA Solutions https://www.entasolutions.org

Andy Gulbis, MD, Owner at Dr. G Medical Solutions, says that one of people's top concerns is for the last week of their life “to be on my terms.” In this extended video conversation, Gulbis and Rishi Sarna, MD, Chief Clinical Officer at Backline, discuss the purpose and process of advance care planning (ACP). Advance care planning is one of the major focuses of Backline's planning and scheduling platform, which allows patients to answer the critical questions of ACP and prepare for a dialog with a clinician. Along with ACP, Backline can also help with other areas of workflow (or critical pathway) planning such diabetes, asthma, and congestive heart failure. Learn more about Dr. G Medical Solutions: https://drgmedicalsolutions.com/ Learn more about Backline from DrFirst: https://backlinehealth.com/ Health IT Community: https://www.healthcareittoday.com/

#BRN #Wellness #1897 | Tips for Successful, Compassionate Advance Care Planning Talks | Terry Wihlen, MBA, RPA-C, Optum   | #Tunein: broadcastretirementnetwork.com | #Independent. #GetTheFullStory. #JustTheFacts. #Everyday. #AllInOnePlace.

This episode features our conversation with Clare Fuller & Dani Ayre, Advance Care Planning Experts and advocates from the UK. We discuss how they organized a conference for Advance Care Planning in the UK earlier this year, public awareness and empowerment.   Learn more about Clare's work on her website:  https://speakforme.co.uk/ Our theme song is Maypole by Ketsa and is licensed under CC BY-NC-ND 4.0 Visit our website to learn more about our work, check out the Map Project, or to see our resources. https://www.waitingroomrevolution.com/ 

In this episode of the HSE Talking Health and Wellbeing Podcast, host Fergal Fox discusses the importance of planning ahead for healthcare decisions with Caoimhe Gleeson and Suzi Byrne. Caoimhe, the General Manager in the HSE National Office for Human Rights and Equality Policy, highlights the role of Advanced Healthcare Directives under the Assisted Decision-Making Act, enabling individuals to outline their medical treatment preferences. Suzi, a disability activist, stresses the necessity of making healthcare wishes known, especially for individuals with disabilities. The episode emphasises the need for open communication with family and healthcare providers to ensure that one's healthcare preferences are respected and understood. Discussion points include: Advanced healthcare directives, Assisted Decision-Making Act, Understanding capacity, Open communication, Individuals with disabilities, Practical steps, Facilitating discussions. For further information go to the website signposts given during the episode such as the Safeguarding Ireland website: https://safeguardingireland.org/ Check out the information and resources on the Decision Support Service website: https://decisionsupportservice.ie/ Read further about Advance Care Planning with the Irish Heart Foundation: https://hospicefoundation.ie/i-need-help/i-want-to-think-ahead/advance-care-planning/   Produced by GKMedia.ie

Dr Thaddeus Pope joins Health By Law to discuss updates to the Uniform Law Commission's Health-Care Decisions Act. Recorded May 20, 2024.

Although few of us like to think about getting older, advance care planning (ACP) is an essential but often neglected aspect of healthcare. Making sure we're prepared for the inevitable can be  tremendously helpful to both our health care providers and our families. Our guest is Dr. Fred Mirarchi, Chief Executive Officer and Chief Medical Officer of MIDEO Health, a video advance care planning platform. For more, mideohealth.com.

Have you ever been confused about the concept of brain death, or struggled to explain brain death to a patient's family or your fellow clinicians? Join the Behind the Knife Surgical Palliative Care team and our special guest, neurologist & neurointensivist Dr. Sarah Wahlster, as we explore the 2023 Pediatric & Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline and what this updated guideline means for our practice in surgical palliative care! Hosts: Dr. Katie O'Connell (@katmo15) is an Associate Professor of Surgery at the University of Washington in the division of Trauma, Burn, and Critical Care Surgery. She is a trauma surgeon, palliative care physician, Director of Surgical Palliative Care, and founder of the Advance Care Planning for Surgery Clinic at Harborview Medical Center in Seattle, WA. Dr. Virginia Wang is a PGY-3 General Surgery resident at the University of Washington. Guest: Dr. Sarah Wahlster (@SWahlster) is an Associate Professor of Neurology at the University of Washington. She is a neurologist, neurointensivist, and Program Director of the Neurocritical Care Fellowship at Harborview Medical Center in Seattle, WA. Learning Objectives: ·      Understand the concept of assent and how it can be helpful in communicating with families of patients who have sustained brain death ·      Explain the main steps required for diagnosis of brain death (prerequisites, clinical exam, apnea testing, ancillary testing) ·      Understand key differences between the 2023 guideline and previous (2010 & 2011) guidelines ·      Be able to name the 3 accepted modalities of ancillary testing for brain death ·      Know basic communication best practices with families of patients who have sustained brain death from the surgical palliative care perspective (consistency of language & messaging; avoidance of phrases such as “life-sustaining treatment”, “comfort-focused measures”) References: 1.     Greer, D. M., Kirschen, M. P., Lewis, A., Gronseth, G. S., Rae-Grant, A., Ashwal, S., Babu, M. A., Bauer, D. F., Billinghurst, L., Corey, A., Partap, S., Rubin, M. A., Shutter, L., Takahashi, C., Tasker, R. C., Varelas, P. N., Wijdicks, E., Bennett, A., Wessels, S. R., & Halperin, J. J. (2023). Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Guideline. Neurology, 101(24), 1112–1132. https://doi.org/10.1212/WNL.0000000000207740 2.     Lewis, A., Kirschen, M. P., & Greer, D. (2023). The 2023 AAN/AAP/CNS/SCCM Pediatric and Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline: A Comparison With the 2010 and 2011 Guidelines. Neurology. Clinical practice, 13(6), e200189. https://doi.org/10.1212/CPJ.0000000000200189 3.     AAN Interactive Brain Death/Death by Neurologic Criteria Evaluation Tool – https://www.aan.com/Guidelines/BDDNC 4.     AAN Brain Death/Death by Neurologic Criteria Checklist – https://www.aan.com/Guidelines/Home/GetGuidelineContent/1101 5.     Kirschen, M. P., Lewis, A., & Greer, D. M. (2024). The 2023 American Academy of Neurology, American Academy of Pediatrics, Child Neurology Society, and Society of Critical Care Medicine Pediatric and Adult Brain Death/Death by Neurologic Criteria Determination Consensus Guidelines: What the Critical Care Team Needs to Know. Critical care medicine, 52(3), 376–386. https://doi.org/10.1097/CCM.0000000000006099 6.     Greer, D. M., Shemie, S. D., Lewis, A., Torrance, S., Varelas, P., Goldenberg, F. D., Bernat, J. L., Souter, M., Topcuoglu, M. A., Alexandrov, A. W., Baldisseri, M., Bleck, T., Citerio, G., Dawson, R., Hoppe, A., Jacobe, S., Manara, A., Nakagawa, T. A., Pope, T. M., Silvester, W., … Sung, G. (2020). Determination of Brain Death/Death by Neurologic Criteria: The World Brain Death Project. JAMA, 324(11), 1078–1097. https://doi.org/10.1001/jama.2020.11586 7.     Lele, A. V., Brooks, A., Miyagawa, L. A., Tesfalem, A., Lundgren, K., Cano, R. E., Ferro-Gonzalez, N., Wongelemegist, Y., Abdullahi, A., Christianson, J. T., Huong, J. S., Nash, P. L., Wang, W. Y., Fong, C. T., Theard, M. A., Wahlster, S., Jannotta, G. E., & Vavilala, M. S. (2023). Caseworker Cultural Mediator Involvement in Neurocritical Care for Patients and Families With Non-English Language Preference: A Quality Improvement Project. Cureus, 15(4), e37687. https://doi.org/10.7759/cureus.37687 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Leave your heirs the gift of organization.  Estate planning is crucial but many people put it off because they aren't sure how to proceed.Adam Zuckerman is an attorney and entrepreneur who created a company, Buried in Work, after losing his father to cancer. Adam is passionate about making estate planning and end of life preparations as easy as possible for families facing serious illness.His site covers vast topics, from having tough conversations to green burials. He even has card "games" to help families communicate about goals, wishes, legacy, and life stories.You can find all of these resources at www.buriedinwork.comWellbeing for your patients and for you,Delia Chiaramonte, MDwww.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One's Illness Without Losing Yourself is available here: www.copingcourageously.com Free Guide: 5 Things Women With an Ill or Aging Loved One Should Stop Doing Today https://trainings.integrativepalliative.com/pl/2148301062 Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!Sign up to stay connected and learn about upcoming programs:https://trainings.integrativepalliative.com/IPI-stay-in-touchI'm thrilled to be listed in Feedspot's top 15 palliative podcasts!https://blog.feedspot.com/palliative_care_podcasts/

Topic: Advance Care Planning

Jason Lesandrini is the Assistant Vice President for Ethics, Advance Care Planning and Spiritual Health at Wellstar Health System in Georgia, where he leads the strategy and implementation of ethics initiatives. He holds faculty appointments at Mercer University and South College. Jason is a widely recognized expert in outcomes metrics for ethics programs and served as an ethics expert to numerous professional organizations.  In this fascinating conversation, we delve into the complex landscape of ethics in healthcare and organizational settings. We also unpack the importance of having ethical guides within organizations and the impact of culture on ethical decision-making, the ‘Ethical Buddy System', end-of-life care dilemmas, and much more.  Links Mentioned: Cultureandleadership.org Jason on LinkedIn

Your patient was in a terrible car crash and is currently intubated with multiple traumatic injuries that will need surgery. Family has just arrived and all they've heard is that he has a broken leg. How do you share this serious news with family? What do you do when they become angry, cry or bombard you with questions that you don't have answers to? Join the surgical palliative care team from the University of Washington as we role play a difficult conversation with a standardized patient. We will identify common challenges that arise and discuss key skills to navigate these situations. Hosts:  Dr. Katie O'Connell (@katmo15) is an assistant professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is a PGY7 current palliative care fellow at the University of Washington, formerly a UW general surgery resident and Parkland trauma/critical care fellow.  Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 general surgery resident and current surgical oncology research fellow at the University of Washington. Dr. Virginia Wang is a PGY2 general surgery resident at the University of Washington. Learning Objectives: ·      Identify common pitfalls encountered during difficult conversations ·      Learn how to synthesize complex medical information and construct a succinct headline statement to deliver a digestible take-home message ·      Develop skills to respond to emotional cues using empathetic statements References: ·      “Responding to Emotion.” Vitaltalk. Accessed March 4, 2024. https://www.vitaltalk.org/guides/responding-to-emotion-respecting/ ·      “Serious News.” Vitaltalk. Accessed March 4, 2024. https://www.vitaltalk.org/guides/serious-news/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Life is a storyboard, and every chapter counts, especially those we write in advance. Karine Diedrich, the Director of Advance Care Planning at the Canadian Hospice Palliative Care Association (CHPCA) unravels the threads of advanced care planning—a blueprint for future healthcare that aligns deeply with one's values and wishes. Karine explains the crucial distinctions between a living will and advanced care directives, spotlighting the importance of the Platinum Rule: treating others with the dignity they define. In the Wrap Up the fellas take a deep dive under the surface of the ocean to explore the possibilities of age reversal. In 2023, Dr Joseph Dituri challenged himself to spend 100 days in a habitat located 30 feet underwater. Scuba Steve would be proud, but Brian isn't impressed.Catch the full video version of this episode on YouTube. Follow Sickboy on Instagram, TikTok and Discord!

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.                                                  >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.                                                                                  Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to another episode of "Ditch the Labcoat," the podcast that explores the human side of healthcare beyond the sterile field. I'm your host, Dr. Mark Bonta, and today we delve into the profound and sensitive realm of palliative care with our esteemed guest, Dr. James Downar.In this episode, we'll be discussing the emotional weight and rewards of caring for patients at the end of life. Dr. Downar brings his expertise and experiences from the University of Ottawa, sharing insights on the complex interplay between life-saving interventions and the dignity of death.We'll hear heartwarming stories of gratitude, unexpected recoveries, and the deep personal reflections that stay with a doctor beyond the ICU doors. Dr. Downar will also shed light on the psychological distress that patients and their families face, the controversial topic of medical assistance in dying (MAID), and the evolving public and professional perspectives on this polarizing issue.Prepare to uncover the diverse trajectories of dying, the importance of early palliative integration, and why discussions about personal values and end-of-life preferences with loved ones are crucial. We'll also explore the intrigue of spooky ICU experiences and the potential of psychedelic therapies for treating psychological distress.With profound stories and insightful conversations, today's episode promises to enrich our understanding of the complex journey towards life's end. Remember, this podcast is for informational and entertainment purposes only and is not a substitute for professional medical advice. So, let's step out of the lab, set aside the white coat, and join the conversation with Dr. James Downar on "Ditch the Labcoat."

Life is a storyboard, and every chapter counts, especially those we write in advance. Karine Diedrich, the Director of Advance Care Planning at the Canadian Hospice Palliative Care Association (CHPCA) unravels the threads of advance care planning—a blueprint for future healthcare that aligns deeply with one's values and wishes. Karine explains the crucial distinctions between a living will and advance care directives, spotlighting the importance of the Platinum Rule: treating others with the dignity they define. In the Wrap Up the fellas take a deep dive under the surface of the ocean to explore the possibilities of age reversal. In 2023, Dr Joseph Dituri challenged himself to spend 100 days in a habitat located 30 feet underwater. Scuba Steve would be proud, but Brian isn't impressed.Catch the full video version of this episode on YouTube. Follow Sickboy on Instagram, TikTok and Discord!

Advance Care Planning Day is tomorrow. Kelly Bron Johnson considers the importance of planning your future health care needs. From the April 15, 2024, episode.

When we plan for our inevitable death, we can make our end of life easier for our loved ones.Life is hard, loss is hard, grief is hard. A final gift we can offer those who love us is to have our paperwork in order so they do not have to expend their energy on these details. Learn what kinds of things you can put in your advance care planning so healthcare decisions and your last wishes are honored.In this Episode:00:00 – Our Sponsor: Tree of Life Memorials and Digital & Stone00:20 – Intro05:23 – Overlooked No More: "Rockin' Granny" Cordell Jackson12:14 – Recipe of the Week – Lemon Cloud Cookies13:20 – Are You Prepared to Die32:30 – Advance Care Planning – An Example from a FriendFollow us on Facebook | Instagram | Email us at mail@every1dies.orgClick on this link to Rate and Review our podcast!

Nick Hughes is joined by Shivi Singh founder and CEO of Legacy from San Diego. Legacy automates advance care planning for better patient outcomes. They help doctors deliver patient-centric care.The episode starts with Nick and Shivi talking about her background and journey into entrepreneurship and startups. Why did she decide entrepreneurship was her path? They then talk about her experience pitching at Founders Live San Diego, winner and her tips on pitching at the event. Then, we hear about why she started her company - what is Legacy, and why is it so important to improve the current patient experience? We hear about the future of patient-centric care, what and how is patient care changing today, as well as how does AI and other technologies impact it? Lastly, Shivi shares her vision of 5 or 10 years and her advice for founders and early stage startups. This is an amazing interview with an inspiring startup leader from San Diego, we hope it helps you today.https://www.legacytheapp.com/

MY NEW NORM Podcast- S4 E11 Guest: JOHN VERTEFEUILLEEpisode: BEHIND EVERY FACEA BEAR- NOOGA PRODUCTION.My guest today is JOHN VERTEFEUILLE- Chaplain, Advance Care Planning, Bioethics @ Sharp HealthCare.John Vertefeuille, based in San Diego, California, United States, is currently a Chaplain, Advance Care Planning, Bioethics at Sharp Healthcare. John holds a DMin. in Pastoal care @ Fuller Theological Seminary. With a robust skill set that includes Palliative Care, Pastoral Care, Behavioral Health, Pastoral Counseling, Leadership Development and more, John contributes valuable insights to the industry.-----------------MY NEW NORM- it's all about REAL PEOPLE and REAL STORIES!You can listen to all the episodes by using the link below:mynewnorm.buzzsprout.comNow you can help support this podcast with as little as the price of a cup of coffee.  Help support MY NEW NORM Podcast, go to the link below:https://ko-fi.com/mynewnormmynewnorm.buzzsprout.com/ / Find us on all major podcast platforms!

In this Complex Care Journal Club podcast episode, Dr. Julie Hauer and Ms. Jennifer Siedman discuss the development of an anticipatory guidance tool for children with severe neurologic impairment called NeuroJourney, an initiative of the Courageous Parents Network. They describe its grounding in palliative care principles and literature, opportunities to support collaborative relationships between clinicians and families, and next steps from this work. SPEAKERS Julie Hauer, MD Pediatrician, Division of General Pediatrics Boston Children's Hospital Medical Director Seven Hills Pediatrics Center Jennifer Siedman, MEd Director of Community Engagement Courageous Parents Network HOST Emily Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children's Mercy Kansas City DATES Initial publication: February 5, 2024. JOURNAL ARTICLE Hauer J, Siedman J, Trager C, Thienprayoon R. NeuroJourney. Courageous Parents Network. Accessed Jan 25th, 2024. https://neurojourney.courageousparentsnetwork.org/ OTHER REFERENCES Thienprayoon, R; Lord, BT; Siedman, J; Hauer, J. Creating a “Journey Map” for Children with Severe Neurologic Impairment: A Collaboration Between Private and Academic Pediatric Palliative Care, Nonprofit Organizations, and Parents. Journal of Pain and Symptom Management. 2023; 65:e270-e271. Orkin J, Beaune L, Moore C, Weiser N, Arje D, Rapoport A, Netten K, Adams S, Cohen E, Amin R. Toward an Understanding of Advance Care Planning in Children With Medical Complexity. Pediatrics. 2020 Mar;145(3):e20192241. doi: 10.1542/peds.2019-2241. TRANSCRIPT https://op-docebo-images.s3.amazonaws.com/Transcripts/Shared+Journeys_+Evidence-Based+Anticipatory+Guidance_020524.pdf Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hauer J, Siedman J, Goodwin EJ. Shared Journeys: Evidence-Based Anticipatory Guidance for Children with Severe Neurologic Impairment. 2/2024. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/shared-journeys-evidence-based-anticipatory-guidance-for-children-with-severe-neurologic-impairment

2023 was an exciting year for Surgical Palliative Care research! Join Drs. Katie O'Connell, Ali Haruta, Lindsay Dickerson, and Virginia Wang from the University of Washington to discuss two seminal randomized controlled trials in the Surgical Palliative Care space. Hosts: ·    Dr. Katie O'Connell (@katmo15) is an Assistant Professor of Surgery at the University of Washington. She is a trauma surgeon, palliative care physician, Director of Surgical Palliative Care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. ·    Dr. Ali Haruta is a PGY7 Hospice & Palliative Care fellow at the University of Washington, formerly a UW General Surgery resident and Parkland Trauma/Critical Care fellow.  ·    Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 General Surgery resident and current Surgical Oncology fellow at the University of Washington. ·    Dr. Virginia Wang is a PGY2 General Surgery resident at the University of Washington. Learning Objectives: ·    Discuss the current state of the RCT literature in Palliative Care & Surgical Palliative Care ·    Understand the primary outcomes of the Shinall and Aslakson trials as related to perioperative specialty palliative care intervention ·    Identify limitations in existing surgical palliative care RCTs & further opportunities for study ·    Identify underlying differences between medical oncology and surgical oncology patient populations References: 1.  Shinall MC, Martin SF, Karlekar M, et al. Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer: A Randomized Clinical Trial. JAMA Surg. 2023;158(7):747–755. doi:10.1001/jamasurg.2023.1396 https://pubmed.ncbi.nlm.nih.gov/37163249/ 2.  Aslakson RA, Rickerson E, Fahy B, et al. Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(5):e2314660. doi:10.1001/jamanetworkopen.2023.14660 https://pubmed.ncbi.nlm.nih.gov/37256623/ 3.  Ingersoll LT, Alexander SC, Priest J, et al. Racial/ethnic differences in prognosis communication during initial inpatient palliative care consultations among people with advanced cancer. Patient Educ Couns. 2019;102(6):1098-1103. doi:10.1016/j.pec.2019.01.002 https://pubmed.ncbi.nlm.nih.gov/30642715/ 4.  Bakitas M, Lyons KD, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA. 2009;302(7):741-749. doi:10.1001/jama.2009.1198 https://pubmed.ncbi.nlm.nih.gov/19690306/ 5.  Corn BW, Feldman DB, Hull JG, O'Rourke MA, Bakitas MA. Dispositional hope as a potential outcome parameter among patients with advanced malignancy: An analysis of the ENABLE database. Cancer. 2022;128(2):401-409. doi:10.1002/cncr.33907 https://pubmed.ncbi.nlm.nih.gov/34613617/ 6.  El-Jawahri A, LeBlanc TW, Kavanaugh A, et al. Effectiveness of Integrated Palliative and Oncology Care for Patients With Acute Myeloid Leukemia: A Randomized Clinical Trial. JAMA Oncol. 2021;7(2):238-245. doi:10.1001/jamaoncol.2020.6343 https://pubmed.ncbi.nlm.nih.gov/33331857/ 7.  More about the metrics from both the Shinall and Aslakson studies: a.     FACT-G – https://www.facit.org/measures/fact-g b.     FACIT-Pal – https://www.facit.org/measures/facit-pal c.     PROMIS-29 – https://heartbeat-med.com/resources/promis-29/ d.     PROPr (PROMIS-Preference) score – https://www.proprscore.com/ ***Fellowship Application - https://forms.gle/5fbYJ1JXv3ijpgCq9*** Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other surgical palliative care episodes here: https://app.behindtheknife.org/podcast-category/palliative-care

Room 64 is joined by Jill Mann from Barwon Health's Advance Care Planning team, who shares her experience and the role of the Advance Care Planning program in supporting people to plan for future health, care and medical treatments. The program identifies goals, values and medical preferences where individual needs and priorities are documented for the future. Who would make medical treatment decisions for you if you were too sick to do this for yourself? For more information about Advance Care Planning through Barwon Health, visit www.barwonhealth.org.au/services-departments/advance-care-planning or phone 4215 7723.

Dr. Kaishauna Guidry is keeping it real when it comes to difficult conversations about hospice, dying, and death.  As the host of the Dr. G at the Heart of Healthcare podcast, she's teaching her listeners about challenging healthcare issues.  She's a fierce advocate for quality care, and empowers others to get the best from their care.  She's comfortable with the hard topics, discussing what people and caregivers need at end of life.  Her mobile medical service provides care for patients who may have been discharged from hospice but still need a medical provider wherever they call home.  Dr. G also provides consulting and mentoring for other physicians and organizations who need to improvise their physician documentation.  Her book Dr. G's H.O.S.P.I.C.E. Guide:  7 things Hospice Physicians Need to Know to Be Ready for Work provides support for doctors working in end of life care.  She's also the author of The Real Deal about Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families.   Storyteller, advocate, mentor, and physician - Dr. G's voice is strong and so necessary for today's healthcare system.  Find out more about Mourning Dove Medical at mourningdovemedical.com.   Listen to the Dr. G at the Heart of Healthcare podcast here. Connect with Dr. G on social media. Facebook IG Twitter   LinkedIn Get your copy of Dr. Guidry's books here.     If you have questions about hospice care or need to troubleshoot the care you're already receiving, book a session with an expert Hospice Navigator at theheartofhospice.com.   Need a dynamic speaker for your event or conference?  Book podcast host Helen Bauer to speak by sending an email to helen@theheartofhospice.com. Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)  Follow The Heart of Hospice on Facebook,  Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network, along with a host of other caregiving podcasts by clicking here.        

November is National Hospice and Palliative Care Month, a time dedicated to help the public understand the benefit of this type of serious-illness care and the importance of advance care planning. Our guest for this episode is Kelly Klein, M.D., Texas Tech Physicians Department of Family Medicine and associate professor in the TTUHSC School of Medicine. Dr. Klein explains the difference between hospice and palliative care, explains the process, and gives us suggestions on how we can approach this subject of advance care planning with family members.

Death Doula Jill McClennen helps clients transform their fear of death and dying while they work to live life fully, eventually dying with a feeling of closure. Whether it's advance care plan conversations or supporting family members when a loved one is actively dying, death doulas provide expert guidance.   Jill McClennen is a certified death doula, a non-medical professional specially trained to provide holistic care for individuals in their final stages of life. She offers comprehensive support, preparation, and deep soul healing to her clients and their families, whether in person or through virtual sessions, as she works as a death doula and end-of-life coach. Jill's journey into the world of death doula work began when she moved back to New Jersey from California to care for her 90-year-old grandmother during her final days. Faced with the challenges of her grandmother's impending passing, she felt confused and overwhelmed. She didn't know what to expect, and the process was unfamiliar to her. Today, Jill assists families in similar situations, helping them navigate the end-of-life journey with compassion and understanding. In her virtual practice, Jill helps people prepare themselves and their loved ones for the end of life, offering guidance and emotional support, regardless of physical distance. In addition to her role as a death doula, Jill is a trauma-sensitive yoga instructor. She also incorporates reiki and shamanic healing techniques to help clients address their fears surrounding death, cope with the dying process, and navigate their grief. Jill is also the host of the "Seeing Death Clearly" podcast, available on all major podcast platforms. Through her podcast, she talks with guests and they share valuable insights and stories related to end-of-life matters, further extending her mission to promote understanding and compassion about this important stage of life. Check out the Seeing Death Clearly podcast on your favorite podcast platform or at endoflifeclarity.com.  Find all of Jill's services at endoflifeclarity.com. Connect with Jill on social media:    Facebook Instagram Get your set of Death Deck cards here! Purchase the End of Life Deck for use with people with serious or terminal illness here.  Find The Death Deck on social media:     Facebook   Twitter (X)   Instagram Visit internationaldoulalifemovement.com to learn more about doulas, or connect with others who are doing death doula work.   Register for IDLM's FREE 2024 Birthday Bash Jan. 8 - 12, 2024 here.  If you're interested in becoming a certified death doula through IDLM, click here. Access all the courses that IDLM provides here. See all the events that IDLM is offering by clicking here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)  Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook,  Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network, along with a host of other caregiving podcasts by clicking here.

This episode was recorded on August 3rd, 2023. Della is a woman, daughter, sister, wife, mother and grandmother. A Registered Nurse and Clinical Nurse Specialist in palliative care, Della's had the privilege of caring for people with serious illness, those dying and their families for the past 30 years. She has contributed to systems of palliative care as an expert clinician, educator, and researcher. Della continues to work and teach in palliative care and is a family caregiver for her sister living with dementia and a caregiving support for her 92-year-old father and his wife. Living fully each day and being in service forms the rhythm of Della's life. Advance Care Planning: https://www.advancecareplanning.ca/resources-and-tools/ Waiting Room Revolution: https://www.waitingroomrevolution.com/ Canadian Virtual Hospice: https://www.virtualhospice.ca/en_US/Main+Site+Navigation/Home.aspx   Connect with me: Instagram: https://www.instagram.com/tammy.m.peterson/ Faceboook: https://www.facebook.com/MrsTammyMPeterson Twitter: https://twitter.com/Tammy1Peterson TikTok: https://www.tiktok.com/@tammy.m.peterson  

As part of our community health partnership with Valley Health, we talked with Dr. Jim VanKirk, a board-certified palliative care specialist and Medical Director of Valley Health's palliative care program. Dr. VanKirk explained the role of palliative medicine, which is to work with patients with serious (possibly life-threatening) illnesses and help alleviate burdensome symptoms, while the patient is still pursuing aggressive treatments. He clarified that hospice care is a later stage of palliative medicine, often when the patient stops further life-prolonging therapies and focuses on comfort. Dr. Jeff Harris joined Dr. VanKirk to talk about advance care planning. Dr. Harris is part of a volunteer group of retired physicians who offer their (free) consultative services to help families work through the details of setting up medical directives. Dr. Harris discussed the importance of discussing end-of-life plans with patients through the use of an Advance Directive, such as '5 Wishes'. He explained the benefits of walking through this document with individuals, including the opportunity to discuss other practical and emotional considerations. He also noted that the hospital provides support for these discussions through volunteers and meeting space, with no charge to patients. Dr. Harris emphasized the value of having conversations about end-of-life wishes ahead of time, which can help prevent disagreements among family members and make the process easier for everyone involved. He also highlighted the importance of having these wishes legally documented, such as through the 5 Wishes form recognized by Valley Health. He explained that 5 Wishes was chosen for its wide recognition across multiple states, making it more likely for an individual's wishes to be honored regardless of where they are. People interested in discussing healthcare decisions can call 540-536-5437 to book a one-hour meeting with one of the four specialists.    

End of Life Doulas are experts in managing advance care planning conversations. EOL Doula Pam Carter of International Doula Life Movement knows how to get those discussions going. As an EOL Doula, Pam works with people with serious illness and their families to determine their end of life wishes. Choices are often made by weighing benefit vs burden. That means considering questions like “What will I get out of this? Is this what I want to do?”, “Is this something that contributes to my quality of life?”, or “If I spend my time like this, what will it take from me?”, and “What will I have to give up for this (energy, time with family, peace, comfort, respiratory comfort, even money)?” Pam believes advance care planning should consider all aspects of how we live. Further treatment for an existing illness should definitely be included. Other things to talk about for your ACP is where you want to be cared for towards the end of your life, and who you'd like to take care of you. Here are some other things that could be included in your Advance Care Plan: Having visits from a spiritual counselor (chaplain) Including visitors or having privacy Returning to the hospital for accidents or injuries Treatment for infections How much information you want about your health status Who will be your healthcare decision maker (Medical Power of Attorney/Healthcare Proxy) Funeral/memorial service planning Tradition funeral care, embalming, green burial, or human composting Using medications that will cause drowsiness or avoiding sedation Body/organ donation (whole body donation, forensic anthropology donation) Back-up plan if body donation is disqualified Rituals or ceremonies That's only the beginning of the many things that can be part of an advance care plan. Those ACP conversations should happen early and often. It's hard to imagine all the “what ifs”, but it's valuable to talk about different scenarios that seem possible for your life or situation. Having an end of life or death doula to facilitate those ACP discussions can help! Want to know more about doulas, or connect with others who are doing death doula work? Visit internationaldoulalifemovement.com. If you're interested in becoming a certified death doula through IDLM, click here. Access all the courses that IDLM provides here. See all the events that IDLM is offering by clicking here. Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com) Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com. Follow The Heart of Hospice on Facebook, Instagram, and LinkedIn. Connect with The Heart of Hospice podcast on The Whole Care Network and other caregiving podcasts by clicking here.

End of Life Doulas are experts in managing advance care planning conversations.  EOL Doula Pam Carter of International Doula Life Movement knows how to get those discussions going.  As an EOL Doula, Pam works with people with serious illness and their families to determine their end of life wishes.  Choices are often made by weighing benefit vs burden.  That means considering questions like “What will I get out of this?  Is this what I want to do?”, “Is this something that contributes to my quality of life?”, or  “If I spend my time like this, what will it take from me?”, and “What will I have to give up for this (energy, time with family, peace, comfort, respiratory comfort, even money)?” Pam believes advance care planning should consider all aspects of how we live.  Further treatment for an existing illness should definitely be included.  Other things to talk about for your ACP is where you want to be cared for towards the end of your life, and who you'd like to take care of you.   Here are some other things that could be included in your Advance Care Plan: Having visits from a spiritual counselor (chaplain)  Including visitors or having privacy Returning to the hospital for accidents or injuries Treatment for infections How much information you want about your health status Who will be your healthcare decision maker (Medical Power of Attorney/Healthcare Proxy) Funeral/memorial service planning Tradition funeral care, embalming, green burial, or human composting Using medications that will cause drowsiness or avoiding sedation Body/organ donation (whole body donation, forensic anthropology donation) Back-up plan if body donation is disqualified Rituals or ceremonies  That's only the beginning of the many things that can be part of an advance care plan.  Those ACP conversations should happen early and often.  It's hard to imagine all the “what ifs”, but it's valuable to talk about different scenarios that seem possible for your life or situation.   Having an end of life or death doula to facilitate those ACP discussions can help!  Want to know more about doulas, or connect with others who are doing death doula work?  Visit internationaldoulalifemovement.com.  If you're interested in becoming a certified death doula through IDLM, click here. Access all the courses that IDLM provides here. See all the events that IDLM is offering by clicking here.    Looking for a copy of the Odonata Care Plan?  Click here to purchase it for yourself or your care agency.   NEW** - the Odonata Care Plan is now available in SPANISH - purchase it here!!  Check out the free Care Video tutorials from Odonata founders and hospice nurses Nancy Heyerman and Brenda Kizzire here.  Partner with National HME to provide medical equipment for your patients at nationalhme.com. Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)  Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook,  Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network and other caregiving podcasts by clicking here.    

Surgeons are trained to, well…do surgery, but is that always the right treatment for the patient? Not offering surgery can be a challenge, especially when you're consulted about a sick patient in the middle of the night and the clinical momentum is moving toward the OR. Join Drs. Katie O'Connell, Ali Haruta, Lindsay Dickerson, and Virginia Wang from the University of Washington as we discuss how to recognize when a surgery is potentially not beneficial and communicate serious news with the patient and consulting team. Hosts: Dr. Katie O'Connell (@katmo15) is an assistant professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA. Dr. Ali Haruta is a PGY7 current palliative care fellow at the University of Washington, formerly a UW general surgery resident and Parkland trauma/critical care fellow.  Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 general surgery resident and current surgical oncology fellow at the University of Washington. Dr. Virginia Wang is a PGY2 general surgery resident at the University of Washington. Learning Objectives: Identify when a patient's disease course is unlikely reversible by surgery  Learn to avoid defaulting to offering potentially non-beneficial surgical treatment for patients at the end-of-life Learn to recommend comfort-focused treatments for patients at the end-of-life Develop the communication skill of delivering serious news References: 1. Cooper Z, Courtwright A, Karlage A, Gawande A, Block S. Pitfalls in communication that lead to nonbeneficial emergency surgery in elderly patients with serious illness: description of the problem and elements of a solution. Ann Surg. Dec 2014;260(6):949-57. doi:10.1097/SLA.0000000000000721 2. VitalTalk. One page Guides. https://www.vitaltalk.org/guides/  3. VitalTalk. Using Ask-Tell-Ask to Make a Recommendation.  https://www.vitaltalk.org/using-ask-tell-ask-to-make-a-recommendation/ 4. VitalTalk. What's a Headline? https://www.vitaltalk.org/whats-a-headline/ 5. Zaza SI, Zimmermann CJ, Taylor LJ, Kalbfell EL, Stalter L, Brasel K, Arnold RM, Cooper Z, Schwarze ML. Factors Associated With Provision of Nonbeneficial Surgery: A National Survey of Surgeons. Ann Surg. 2023 Mar 1;277(3):405-411. doi: 10.1097/SLA.0000000000005765. Epub 2022 Nov 24. PMID: 36538626; PMCID: PMC9905263. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other surgical palliative care episodes here: https://behindtheknife.org/podcast-category/palliative-care/

Today on the NKY Spotlight Podcast, presented by CVG, we're talking about healthcare!  We are joined by Wendi Harris & Marietta Justice of Ellie Mental Health- Crestview Hills who highlight how they're destigmatizing mental health. On NKY @ Work, Jennifer White & Lacey Lykins of St. Elizabeth Healthcare Palliative Care share the importance of Advance Care Planning as more members of the workforce become caregivers. Thank you to our sponsors Cincinnati/Northern Kentucky International Airport, CKREU Consulting  CKREU Consulting, and HORAN.

The death of Leilani Maxera's grandmother changed her, propelling her into a career path she hadn't predicted. Now she's a social worker, a home funeral advocate, and a grief worker supporting families who experienced Medical Aid in Dying.  Hospice was never offered to her grandmother, and this made Leilani an outspoken advocate for advance care planning and end of life care.  She's also a spokesperson for home funerals, and sits on the board of the National Home Funeral Alliance.  Leilani provides capacity evaluations for people who are considering Medical Aid in Dying.  Those evaluations are required by the state of Hawaii as part of the MAID process.  She's working to correct the misinformation out there about MAID and to reduce the stigma attached to a MAID death.   As the owner of Kaipuokaualoku in Hawaii, Leilani provides individual counseling, grief counseling, and grief support for individuals who have experienced Medical Aid in Dying with a loved one.  A safe, nonjudgmental space to talk is important for someone who's had a MAID loss.   Read more about Leilani and the services that she offers at Kaipuokaualoku at leilanimaxera.com. Find information about Leilani's Medical Aid in Dying Bereavement group here. Connect with the National Home Funeral Alliance at homefuneralalliance.org. Get your copy of the NHFA Home Funeral Guidebook (available on a pay-what-you-can basis) by clicking here.   Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.  Follow The Heart of Hospice on Facebook,  Instagram, and LinkedIn.  Connect with The Heart of Hospice podcast on The Whole Care Network, along with a host of other caregiving podcasts by clicking here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com)         

More and more, healthcare organizations are focusing on Advance Care Planning as a best practice for treating patients with multiple chronic conditions. This approach can be particularly beneficial in working with patients who have exhausted treatment options and approach end of life. On this episode, two clinical leaders from The Hospital of the University of Pennsylvania discuss their approach to Advance Care Planning. Guest speakers: Rachel Mea, MSN, RN, OCN Clinical Practice Lead The Hospital of the University of Pennsylvania   Erin Lightheart, MBA Master Improvement Advisor The Hospital of the University of Pennsylvania   Host: Shannon Hale, MHA, RN, CPHQ PI Program Director Vizient Show Notes: [00:23] Advance Care Planning defined; rationale for this approach [01:09] Origins of initiative at Penn Medicine [02:03] Starting point [02:49] Avoiding moral distress among clinicians [04:00] Improved communications [05:10] Challenges [06:07] Outcomes [06:47] What's next [07:29] Feedback; relevance to families Links | Resources: Contacting Knowledge on the Go: picollaboratives@vizientinc.com Shannon's email: shannon.hale@vizientinc.com Erin's email: erin.lightheart@pennmedicine.upenn.edu Rachel's email: rachel.mea@pennmedicine.upenn.edu Subscribe Today! Apple Podcasts Amazon Podcasts Spotify Google Podcasts Android Stitcher RSS Feed

Advance care planning (ACP) is a voluntary, face-to-face service between a physician or other Qualified Healthcare Professional (QHP) and a patient, family member, caregiver, or surrogate to discuss the patient's healthcare wishes if they become unable to make their own medical decisions. In this week's CodeCast Podcast, Terry discusses why the OIG has been getting […] The post Advance Care Planning OIG Watch List appeared first on Terry Fletcher Consulting, Inc..

Advance care planning (ACP) is a voluntary, face-to-face service between a physician or other Qualified Healthcare Professional (QHP) and a patient, family member, caregiver, or surrogate to discuss the patient's healthcare wishes if they become unable to make their own medical decisions. In this week's CodeCast Podcast, Terry discusses why the OIG has been getting […] The post Advance Care Planning OIG Watch List appeared first on Terry Fletcher Consulting, Inc..

Welcome to the second Surgical Palliative Care Journal Club, number four of a six-part series focused on the integration of palliative care into the practice of surgery.  Join us as we discuss the value of utilizing an advance care planning video during surgical oncologic care and define the similarities and differences between advance care planning and serious illness communication.  We then explore how a multidisciplinary committee may improve perioperative decision making and discuss the importance of the interdisciplinary palliative care team.    Please use the links below to learn more about advance care planning and serious illness conversation. Integrating Advance Care Planning Videos into Surgical Oncologic Care:  A Randomized Clinical Trial https://pubmed.ncbi.nlm.nih.gov/30964385/ A Multidisciplinary High-Risk Surgery Committee May Improve Perioperative Decision Making for Patients and Physicians https://pubmed.ncbi.nlm.nih.gov/34851187/ What's Wrong with Advance Care Planning? https://pubmed.ncbi.nlm.nih.gov/34623373/ Shifting to Serious Illness Conversation https://pubmed.ncbi.nlm.nih.gov/34994773/ Serious Illness Care Program/ Serious Illness Communication Guide https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ Vital Talk https://www.vitaltalk.org/ Dr. Red Hoffman (@redmdnd) is an acute care surgeon and associate hospice medical director in Asheville, North Carolina, host of the Surgical Palliative Care Podcast (@surgpallcare) and co-founder of the recently launched Surgical Palliative Care Society (www.spcsociety.org).  Dr. Zara Cooper (@zaracMD) is an acute care surgeon at Brigham and Women's Hospital where she serves as Kessler Director for the Center of Surgery and Public Health (@csph_bwh).  She is a Professor of Surgery at Harvard Medical School, associate faculty at Adriane Labs, and adjunct faculty at the Marcus Institute for Aging Research.   Dr. Amanda Stastny (@manda_plez) is a PGY-3 in the General Surgery program at Mountain Area Health Education Center (MAHEC) in Asheville, NC. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other Palliative Care episodes here: https://behindtheknife.org/podcast-category/palliative-care/