Podcasts about Advance care planning

Northfield EMS Chief Brian Edwards and Advance Care Planning advocate and facilitator Mary Carlsen talk Advance Care Planning, calling 911, and more. The free event on Advance Care Planning will be held Thursday, May 21 fat 4pm at the Weitz Center at Carleton College.POLST link mentioned:https://www.mnmed.org/POLST

Today we're delighted to talk with Anne Walling, Neil Wenger, and Rebecca Sudore about a pragmatic implementation trial aimed at increasing advance care planning for primary care patients with serious illness in University of California clinics, published in Annals of Internal Medicine. Seriously ill primary care patients were identified using structured data fields (meaning routinely captured without needing to read the chart or use natural language processing). This study focused on patients without a completed advance directive or POLST form. This was a 3 arm trial that tested a nudge in the patient portal and a mailed advanced directive vs. the nudge plus a link to PrepareForYourCare vs. the nudge plus PrepareForYourCare plus a navigator reminding patients to talk with their doctor and bring any completed advance directives or POLST forms to the PCP visit. In brief, the study found that at 2 years there were higher rates of advance directive or POLST in the electronic health record (about 20%) in the arm with the nudge plus PrepareForYourCare plus the navigator compared to the other 2 arms (around 13%). Rates of advance care planning discussions with primary care providers were similarly higher in the 3rd arm. Health care utilization, however, did not differ between arms.  Please see links to articles describing the intervention in detail and incorporation of stakeholder perspectives. I'm going to cut to the pushback to this article right up front:  The study's primary outcomes were advanced directives or completion of POLST forms - haven't we moved beyond thinking completion of forms should be the primary outcome of advance care planning research? There was no control condition. Observed increases in advance directive or POLST in the electronic health record may have occurred without any intervention.  People with serious illness get sicker with time and the sicker they are the more likely they are to engage in advance care planning, without any intervention. This is particularly true as the study occurred during the hight of the Covid pandemic, when there was a global effort to increase advance care planning. How much did these interventions contribute on top of that rise that might have occurred without intervention?  Observed documentation - 13-20% - was low.  Is it worth the effort of getting buy-in to automate these EHR nudges and spend FTE to hire a navigator? Particularly as health systems, who pushed for focusing on seriously ill patients because they are the most expensive/highest utilizers, did not get what they wanted, i.e. no difference in utilization of acute healthcare services between arms? Our guests provide a strong defense and additional context, which you can and should listen to on the podcast. And I have to point out, setting aside the advance care planning aspect, the method of identifying upstream primary care patients with serious illness is a major contribution to the field in and of itself.  Pioneers in the field, led by Amy Kelley, have been working to identify the seriously ill population for over a decade. And a fun fact about All You Need is Love - the verses are in 7/4 time! -Alex Smith  

In this episode, Dr Bryony Alderman, palliative care consultant and RCP sustainability clinical education fellow, joins Dr Vasiliki Thanopoulou, rheumatology registrar and RCP clinical education fellow, for a wide‑ranging discussion demystifying modern palliative care.Together they explore how the specialty has evolved beyond end‑of‑life support, highlighting early integration, symptom management across disease groups, and the importance of compassionate, individualised care.The conversation dives deep into practical clinical considerations: appropriate timing of referrals, anticipatory prescribing, managing medications in renal/hepatic failure, handling chronic disease therapies at the end of life, and common misconceptions around syringe drivers. They also discuss communication challenges, including uncertainty in prognostication, hydration and nutrition decisions, and supporting families during difficult conversations.This is an essential episode for clinicians looking to enhance confidence and skill in end‑of‑life care, while keeping person‑centred care at the heart of practice.Resources https://www.spict.org.uk/Lee C, Tran TT, Ross J Anticipatory prescribing in community end-of-life care BMJ Supportive & Palliative Care 2024;14:353-357https://www.parkinsons.org.uk/professionals/resources/nil-mouth-medication-dose-calculators-and-guidelineshttps://www.diabetes.org.uk/for-professionals/improving-care/clinical-recommendations-for-professionals/diagnosis-ongoing-management-monitoring/end-of-life-carehttps://www.nacel.nhs.uk/about-nacelExplore our CPD portfolio by your career stageRCP | Education and professional developmentRCP LinksEducationRCP Social MediaInstagramLinkedInFacebookBlueskyMusic Episode 50 onward - Bensound.com  Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas Any adverts within this podcast may use computer generated voices

When someone you love is dealing with serious health issues or repeated hospital visits, it can feel like you’re constantly bracing for the next crisis. In those moments, it’s hard to step back and think about what your loved one truly wants, needs, and what would support their quality of life. Yet for many families, conversations about palliative care and advance care planning happen too late – or are misunderstood as “the end,” rather than tools that help people live as fully and comfortably as possible for as long as possible. We spoke with Anthony L. Back, MD, a national leader in patient-oncologist communication, about what palliative care really means versus hospice, common myths about palliative care, how culture and lived experiences shape these conversations, and how families can begin important discussions about advance care planning. Check out The John A. Hartford Foundation at https://www.johnahartford.org/.See omnystudio.com/listener for privacy information.

Ipswich City Council restructures key department, festival season kicks off with Australia's biggest country music event, Planes, Trains and Autos festival takes off again in May, advance care directives avoid heartache, lights out due to copper theft, creators summit brings out the weird, and Kinky Boots comes to Ipswich Civic Centre.Published: 14 March 2026.Image: Planes, Trains and Autos festival including retro picnic returns this year (supplied)Just in case you need help: https://www.ipswich.qld.gov.au/files/assets/public/v/1/live/our-community/domestic-and-family-violence/documents/just-in-case-card-november-2025.pdfCouncil planning changes: https://www.ipswich.qld.gov.au/files/assets/public/v/1/services/planning-and-property/planning-in-ipswich/documents/dsb-branch-structure.pdfAdvance care planning: https://www.qld.gov.au/health/support/advance-care-planningIpswich City Council: www.ipswich.qld.gov.au/Ipswich City Council meeting agendas and minutes: bit.ly/2JlrVKYCouncil meetings on YouTube: www.youtube.com/c/IpswichCityCouncilTVIpswich Planning Scheme: https://bit.ly/3g4Jwb7Shape Your Ipswich: www.shapeyouripswich.com.au/Ipswich Civic Centre: www.ipswichciviccentre.com.au/Ipswich Festivals: https://www.ipswichfestivals.com.au/Black Swan Art (David Pearce): https://www.blackswanart.com.au/Ipswich Art Gallery: www.ipswichartgallery.qld.gov.au/Ipswich Community Gallery: https://ipswichartgallery.qld.gov.au/community/ipswich-community-galleryDiscover Ipswich: www.discoveripswich.com.au/Discover Ipswich what's on: https://whatson.discoveripswich.com.au/Workshops Rail Museum: https://www.museum.qld.gov.au/rail-workshopsIpswich Showgrounds: https://ipswichshow.com.au/upcoming-eventsIpswich Libraries: www.ipswichlibraries.com.au/Picture Ipswich: www.pictureipswich.com.au/Studio 188: www.studio188.com.au/Nicholas Street Precinct: www.nicholasst.com.au/The Leads music: https://theleadsmusic.bandcamp.com/Damien J Johnson: https://damienjjohnson.com/Lost Ipswich Facebook: https://bit.ly/3pLLBwNc Stream audio recommended. If auto download enabled some apps require a re-download or refresh RSS content to hear most recent version should there be an episode updateIpswich Today is supported by listeners like you. Help keep it online with a small one-off or regular donation. Visit https://ipswichtoday.com.au/Advertise on Ipswich Today https://ipswichtoday.com.au/advertising/Ipswich Today recommended listening: Twenty Thousand Hertz - stories behind the world's most recognisable and interesting sounds https://www.20k.org/ 

What does it actually take to say yes in healthcare when the system is wired to say no? In this episode of The Disrupted Podcast, Scott takes you straight into the field — from a brand-new administrator in Marietta, Georgia who's already revolutionizing her building eight days in, to a 190-patient facility in Charleston where the real conversation isn't about hospice referrals, it's about whether you have the staff to back it up. Scott gets honest about the moments where healthcare organizations talk a big game but fold when it matters — refusing acute visits to non-panel patients, locking providers into rigid workflows, and hiring bodies instead of talent. He challenges all of it. And he does it with the kind of clarity that only comes from someone who's actually in the buildings, at the dinner tables, and on the phone doing the hard work every day. From a nurse who deserves a Tesla to a wristband that could change emergency response forever, this episode is packed with real stories, bold ideas, and a simple but radical belief: that getting to the yes isn't just good business — it's the whole point of healthcare. If you're a provider, administrator, nurse, or healthcare leader who's tired of the way things have always been done, this one's for you. www.YourHealth.Org

Optimistic bias by a family member charged with healthcare decisions can be a barrier for your wishes to be carried out. Learn how to avoid it in your advance care planning: https://bit.ly/499XQqaWhen Families Don't Hear the Truth: Why We Ignore Poor Prognoses  When someone we love is critically ill, we hang on every word from the medical team. But research shows something surprising and unsettling: when the prognosis is poor, many families simply don't hear it. Not because they aren't listening, and not because doctors aren't communicating clearly, but because human psychology steps in to protect us from unbearable news. Learn Important Facts to Guide You in Your Advance Care Planning Listen to learn more about this phenomenon and important considerations when you chose your healthcare decisionmaker. We also rebroadcast the S4E52 episode about preparing your paperwork for decisionmakers to speak for you when you are unable to.#AdvanceCarePlanning #EndofLife #ICU #HealthcareProxy #DurablePowerofAttorney #HealthcareDecisions #EveryoneDiesthePodcast #EveryDayisaGift #LivingWill #AdvanceDirective #PoorPrognosisIn this Episode:00:20 - How Appointed Decision Makers Interpret Information About Prognosis01:51 - Why Do Some Family Members Push for Every Possible Treatment When Further Interventions are Futile?03:35 - How Unrealistic Optimism Affects Decisions in the ICU07:36 - Intro - S4E52 - Durable Power of Attorney12:40 - Overlooked No More: Cordell Jackson20:36 - Are You Prepared to Die?  Get Ideas for Your Advance Care Planning 22:54 - The Importance of an Advance Directive39:47 - Advance Care Planning Example - How to Be Thorough and Precise 50:44 - OutroSupport the showGet show notes and resources at our website: every1dies.org. Facebook | Instagram | YouTube | mail@every1dies.org

Show Notes / SummaryWhy launch hospice now: continuity, fewer hospitalizations, value-based alignmentClarifying myths: CNA hours on hospice, attending provider still leads careRAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hoursNurse incentives: $150 per admission; double telehealth-assist credit on hospice patientsSoftware + workflow: Athena ↔ WellSky (care plans, documentation, pull-through)Facility model: converting buildings; estimating FTEs from hospice census + RAFChaplain/social work: leverage in-region LSWs; connect to patient's faith communityRespite options: Medicare respite/GIP + GUIDE program for dementia (up to $2,500yr)Therapy as palliative strength: weekly PTA/COTA; telehealth supportAfter-hours model: optional call, $300 RN death/critical visit; $150 for non-nurse critical checksGuardrails: clinical judgment first; financials inform—not dictate—care www.YourHealth.Org

Palliative care isn't “giving up”—it's teaming up. Nurse practitioner Minerva Sabine explains how comfort, clarity, and support can begin from day one of a serious diagnosis—not just at the end. In this conversation, she demystifies palliative care, outlines who can benefit, and shares how early involvement can ease stress for both patients and families.You'll learn how palliative teams coordinate with doctors, manage symptoms, and guide meaningful conversations about goals and values. Minerva also shares powerful real-world stories that highlight the difference this approach makes in quality of life and peace of mind.Timestamps0:00 - Intro3:25 - What palliative care really is—and how it differs from hospice7:10 - When to involve palliative care and what families can expect10:45 - The interdisciplinary team: medicine, emotion, and spirit14:20 - Common misconceptions and real patient stories18:30 - How palliative care supports families and improves quality of lifeWhat's NextIf palliative care might help you or a loved one, start by asking your doctor for a referral. Visit The Conversation Project to explore free guides that help families talk about wishes and values before a crisis.Stay connected with Seniority Authority on Facebook and Instagram for more practical, positive conversations about growing older with purpose.

Certified death midwife Barbara Krause discusses her role and experiences in end of life planning, and tomorrow's open house with End of Life Choices Collective at FiftyNorth.Advance Care Planning with EOLCC open house information, or email End of Life Choices Collective at eolchoices@gmail.com for more information. 

This episode features Professor Sheila Payne (International Observatory on End of Life Care, Health Innovation One, Lancaster University, Lancaster, UK).   What is already known about the topic? Advance care planning is considered good practice in palliative and end of life care and is promoted in health policy. There is no standardised approach to advance care planning in practice. There is recent debate about the utility and effectiveness of advance care planning in palliative care contexts.   What this paper adds Most patients did not recognise the concept of advance care planning and did not welcome conversations with health care providers about future planning despite many participants having done this prior to interview. Patients with treatable but not curable cancer live with uncertainty of prognosis in the context of ongoing and new treatment options, making advance care planning problematic. Most patients preferred to discuss future care, social and funeral arrangements within families, if at all.   Implications for practice, theory or policy The principles of future care planning can be introduced early in treatment without making them specifically about planning for the last days of life. Healthcare professionals in cancer and palliative care may need to ensure that future care planning discussions evolve over time, with decisions made being routinely revisited in light of changes in disease progression, treatment options and prognosis. Future policy guidance on advance care planning needs to take account of the changing treatment landscape for those with treatable but not curable cancer.     Full paper available from:     https://journals.sagepub.com/doi/full/10.1177/02692163251363752   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

A podcast on medical billing and coding??? Ok, hear us out as we were skeptical too. We've invited the Billing Boys, Chris Jones and Phil Rodgers, who convinced us of the following: Billing is complicated, but it isn't hard.  Effectively billing helps pay for the interprofessional team members who often can't bill We should know our worth and bill for it. Just because a visit didn't feel HARD to a well-trained provider doesn't mean it wasn't complex or valuable.  Many of us have long suffered from low professional self-esteem when it comes to money, and it's high time we stop that. While exclusively billing on time may have been right 20 years ago, we must now understand complexity and advance care planning (ACP). We can't cover everything in the 45 minutes we are together, so here are some of the resources we reference in the podcast: Chris's and Phil's consulting contact info via Lightning Bolt Partners CAPC resources: CAPC's Billing and Coding Toolkit CAPC's Monthly office hours in Inpatient and Community-Based PC Billing and Coding run by Andy Esch, Phil Santa Emma, and Chris Jones CAPC's 2025 Annual Billing and Coding Update done by Phil and Chris each year Advance Care Planning resource from the Medicare Learning Network Top Ten Tips for Using Advance Care Planning Codes  CPT 2025 Professional Edition. This is the book that has the Complexity Grid in it. The answers are all here! And your coders will likely share.                

Jason Lesandrini, PhD, FACHE, LPEC, HEC-C, Assistant Vice President of Ethics, Advance Care Planning, Spiritual Health, and Language Access Services at Wellstar Health System, and Kelsey B. White, PhD, BCC, Assistant Professor and Chaplaincy Faculty Researcher at Virginia Commonwealth University, and Editor-in-Chief of the Journal of Health Care Chaplaincy, discuss improving the patient experience through the integration of chaplaincy and ethics services. They highlight the vital role of chaplains, the importance of supporting workforce well-being, and strategies to relieve clinician burnout in a changing healthcare environment.

Advance care planning isn't just a legal process – it's a deeply human one. In this episode, we talk with an advance care planning expert about how emotions, relationships, and evolving life circumstances shape end-of-life decisions. Join host Karen Summey, MA, Project Manager, ACAPcommunity and guest Libby Dunahoo, Manager of the Advance Care Planning department for Northeast Georgia Health System as they explore what happens when someone changes their mind, how to update their plan, and how caregivers and healthcare agents can honor those wishes with clarity and compassion. This is a conversation about flexibility, trust, and putting people – not just paperwork – at the center of care.  For information on additional podcasts, FREE in-person programs for care partners (caregivers), and more, please visit the ACAPcommunity website here.   No chapter in your area? Stay tuned! ACAP is growing nationwide. Check our website often for a chapter near you. Meanwhile, we hope you'll take advantage of our audio podcast archive, our YouTube archive, and more.   This episode of The Caregiver Community is made possible by our podcast sponsor, PACE@Home in Newton, NC, and sustaining partner EveryAge   

In this powerful episode of the Dying Your Way podcast, Claire O’Berry tackles a topic many avoid until it’s too late: Advance Care Planning. With heartfelt stories, clear explanations, and practical advice, Claire breaks down the four essential documents every adult should have in place—regardless of age or health. From medical power of attorney to living wills, from do-not-resuscitate orders to digital access, Claire explores how a little preparation can prevent chaos, conflict, and confusion during life’s most vulnerable moments. Learn why planning ahead is not just a legal necessity—it’s an act of love, clarity, and personal empowerment.

Discover the step-by-step process behind advance care planning in this informative episode. From filling out advanced directive forms to discussing your wishes with loved ones, Carla and Jonathan guide you through the daunting but crucial decisions that can ease the burden on your family when it matters most.

 In this episode, we explore what advance care planning really means and how to approach these conversations in clinical practice. We talk about common pitfalls, how to navigate difficult or sensitive moments, and why these discussions are such a vital part of good medical care. Whether you're new to these conversations or looking to strengthen your approach, this episode offers insight, reflection, and practical advice 

The Shared Decision-Making-Renal Supportive Care intervention elicited dialysis patient preferences for end-of-life care. The HIGHWay project updated this intervention to scale it for broader implementation of advance care planning.

Shrug off the cloak of secrecy and awkwardness around death with palliative care nurse Pippa White. I've been wanting to bring a death convo to the airwaves for ages, because there's a huge imbalance between light/dark, above/below, waxing/waning, growth/decay, possessing/relinquishing energies in our culture (and I'm the first person to perpetuate it). Shout out to everyone who sent frank and thoughtful questions for Pippa to answer – you'll hear them towards the end of the ep.Pippa White is a palliative care nurse and death care advocate and educator in the Anthroposophical tradition. We discuss:

This episode features Jing-Da Pan (Department of Oncology, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong Province, China)   What is already known about the topic? Family members are crucial in advance care planning for patients with life-limiting illnesses, particularly in Asia, where cultural values stress family-centeredness and paternalism. No study so far has attempted to systematically synthesize this information within the Asian context and there is a lack of a model to describe Asian family members' involvement in advance care planning.   What this paper adds? Asian family members are willing to participate in advance care planning but face difficulties in translating this willingness into action. Barriers include inadequate legislation, insufficient public education, and influences from Confucianism or traditional beliefs. A culturally sensitive model with six dimensions was developed to illustrate Asian family members' participation in advance care planning.   Implications for practice, theory, or policy Asian governments should enact advance care planning legislation to ascertain its legal status and allocate more relevant resources to educate the public to overcome the barriers to Asian family members' participation in advance care planning. Future efforts in advance care planning in Asia should prioritize developing culturally sensitive models which align the willingness, beliefs, and actions of Asians and the proposed conceptual model should be verified by more advanced statistical tests, thus confirming its validity in different Asian regions. Due to the paradoxical impact of filial piety on advance care planning, a culturally specific intervention is needed to help family members understand that respecting dying patients' decisions is a filial act, ultimately improving their involvement in advance care planning.   Full paper available from:     https://journals.sagepub.com/doi/10.1177/02692163251317856   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

Check out our latest podcast on goals of care conversations and advance care planning for paediatric patients created by Sahaj Puri, a second year medical student at McMaster University, along with Dr. Humphreys, a palliative care pediatrician at McMaster University.  This podcast is based on the CPS position statement and its purpose is to review the importance of goals of care and advance care planning conversations within the pediatric populations. These conversations can be difficult and there can be a tendency to avoid having these difficult conversations. This podcast will explore effective strategies to facilitate effective advance care planning and goals of care conversations There are no conflicts of interest to disclose by the authors.

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      

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.

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/ 

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

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/

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!

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

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.        

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/