Podcasts about advance palliative care

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

Did you know that the Treat and Reduce Obesity Act aims to expand Medicare coverage to include critical obesity treatments and medications, recognizing obesity as a chronic disease? In this episode, Dr. Sherika Newman, a board-certified family medicine physician and palliative care physician, shares her expertise on patient advocacy. She discusses its importance and how patients can advocate for themselves and their loved ones in medical settings. She also covers practical tips for self-advocacy, the role of family members as advocates, and the benefits of having a professional advocate, especially for complex medical situations. Dr. Sherika highlights the psychological aspects of obesity and the need for effective communication with healthcare providers. Finally, she explores how individuals can push for better obesity care coverage at their workplaces and through legislative efforts. Listen now and learn how to be a powerful advocate for yourself or your loved ones!   Episode Highlights: About Dr. Sherika Newman Importance of self-advocacy and having an external advocate Ways to find advocates Advocacy in weight loss management Effective advocacy strategies   Connect with Dr. Sherika Newman: Linked In | www.linkedin.com/in/sherika-newman-do Instagram | @drsherika Youtube | @myDITF   About Dr. Sherika Newman Dr. Sherika Newman is a distinguished graduate of Florida A&M University and a Board-Certified Family Medicine physician with added qualifications in Hospice and Palliative Medicine through fellowship training. She earned her Doctor of Osteopathic Medicine from Nova Southeastern University in Florida. With over a decade of experience in Palliative Medicine, Dr. Newman has achieved national recognition and serves as a faculty member with the Center to Advance Palliative Care. She founded **Doctor in the Family** to partner with patients and their families, ensuring they receive the care they desire and avoid the care they don't. Her mission is to provide everyone with access to a trusted doctor in the family, ready to assist with medical questions and guidance.   Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)

Constance Dahlin, MSN, ANP-BC, ACHPN®, FPCN, FAAN is a consultant to the Center to Advance Palliative Care, a palliative nurse practitioner at North Shore Medical Center and co-director of the Palliative APP Externship. Vincent Jay Vanston, MD FAAHPM HMDCB has been working in the field of Hospice and Palliative Medicine for over 25 years. His work now involves hospice care, hospital-based Palliative Medicine consultation, and medical education. Mary Lynn McPherson, PharmD, MA, MDE, BCPS is a Professor at the University of Maryland, Baltimore (UMB) and Executive Director of Advanced Post-Graduate Education. She developed the online Master of Science, Graduate Certificate and PhD Programs in Palliative Care at UMB, and teaches in several courses. She has practiced in hospice and palliative care her entire career, and is a prolific speaker and author in palliative care.

There remains confusion about palliative care, which differs from hospice care in that recipients do not have to give up curative care. It focuses on providing relief from the symptoms and stresses of the illness for the patient and the family, and it is appropriate at any age and any stage of illness. Also, an interprofessional team delivers it. While Medicare Part B pays for it, the fee-for-service payment remains inadequate, many argue, because it fails to adequately cover the comprehensive team approach. There actually is a strong value proposition under value-based payment, Bowman noted, and many Medicare Advantage plans are contracting with palliative care providers based on this value proposition. There are other bright spots surrounding palliative care, Bowman and Silvers said. One of these is the Centers for Medicare & Medicaid Services' request for comment in the hospice proposed rule for fiscal year 2025 about higher-cost palliative care treatments. This opens the door to a new payment system that covers the services of an interdisciplinary specialty care team, Silvers noted. Another positive development is Hawaii recently became the first state to cover palliative care through Medicaid.Follow us on social media:X (formerly Twitter): @McKHomeCareFacebook: McKnight's Home CareLinkedIn: McKnight's Home CareInstagram: mcknights_homecareFollow Center to Advance Palliative Care on social media:X (formerly Twitter): @CAPCpalliativeFacebook: Center to Advance Palliative Care (CAPC)LinkedIn: Center to Advance Palliative Care (CAPC)Show contributors:McKnight's Home Care Editor Liza Berger; and Brynn Bowman, CEO, and Allison Silvers, Chief Health Care Transformation Officer, of the Center to Advance Palliative Care

On this episode of the Psychedelic Therapy Frontiers podcast, Dr. Joe Flanders interviews Dr. Anthony Back, M.D. Dr. Back is a co-founder of VitalTalk, a national nonprofit that provides innovative, interactive clinician and faculty development courses to improve communication skills on an individual and institutional level. Dr. Back is a professor of medicine at the University of Washington in Seattle, and the Fred Hutchinson Cancer Research Center. Dr. Back earned his MD at Harvard University. He is triple-board certified in hospice and palliative medicine, medical oncology, and general internal medicine. In his role as a medical communication educator and a VitalTalk co-founder, Dr. Back was the principal investigator for Oncotalk, co-wrote Mastering Communication with Seriously Ill Patients, released the first iPhone app for clinician communication skills, and authored the online communication skills curriculum offered by the Center to Advance Palliative Care.(3:00) Dr. Back introduces himself(6:55) What is palliative care?(9:06) Improving quality of life and having a good death(15:30) The applications of psychedelics for end-of-life care(17:35) Dr. Back's article, "What psilocybin taught me about dying"(21:00) Materialist vs spiritualist views of life and death(29:14) Roland Griffiths' cancer diagnosis (34:07) Gratitude for cancer(38:22) How psychedelics might help people at end-of-life(55:23) Randomized trial of psilocybin for health care practitioners with depression(01:01:07) How do you train a health care practitioner in good palliative care?(01:07:51) How do we scale psychedelic-assisted therapy?Learn more about our podcast at https://numinus.com/podcast/Learn more about Numinus at https://numinus.com/Follow us on Instagram: https://www.instagram.com/drstevethayer/https://www.instagram.com/innerspacedoctor/https://www.instagram.com/joeflanders/https://www.instagram.com/numinushealth/Disclaimer: The content of this podcast does not constitute medical advice or mental health treatment. Consult with a medical/mental health professional if you believe you are in need of mental health treatment.

By the end of this two-part series, listeners will be able to:Verbalize a more progressive definition of palliative care, and distinguish it from "end-of-life" care or hospice care.Define appropriate patient populations for referral to palliative care.Sensitively and clearly introduce palliative care referral with patients and families. Recognize the value of communication training, and verbalize a simple framework for difficult conversations. Define the challenges of learning/practicing difficult communication as a resident/fellow, and elaborate some strategies to help mitigate these challenges. About our guests: Stockton Beveridge, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics, serving as the director of Pediatric Palliative Care. Dr. Beveridge's research interests have focused on the challenges faced by caregivers of children with medical complexity, particularly in the Latino population. He is additionally interested in the intersection of religion and medicine, particularly in medical crisis. He sits on the hospital's Ethics Committee and is also the medical director for Schwartz Rounds.Katie Maddox, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics at UT Southwestern. She is a board-certified pediatric palliative care physician at Children's Health Dallas. Her clinical and research interests relate to caring for children with special healthcare needs and communication skills training in medical education. Dr. Maddox has received the Educational Innovation Award for developing communication skills training and the Pediatric Society of Greater Dallas White Hat Award.References:Center to Advance Palliative Care--https://www.capc.org/ Childers JW, Back AL, Tulsky JA, Arnold RM. REMAP: A Framework for Goals of Care Conversations. J Oncol Pract. 2017 Oct;13(10):e844-e850. doi: 10.1200/JOP.2016.018796. Epub 2017 Apr 26. PMID: 28445100.Gillis J. "We want everything done". Arch Dis Child. 2008 Mar;93(3):192-3. doi: 10.1136/adc.2007.120568. PMID: 18319382.How to support PedsCrit:Please rate and review on Spotify or Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show

By the end of this two-part series, listeners will be able to:Verbalize a more progressive definition of palliative care, and distinguish it from "end-of-life" care or hospice care.Define appropriate patient populations for referral to palliative care.Sensitively and clearly introduce palliative care referral with patients and families. Recognize the value of communication training, and verbalize a simple framework for difficult conversations. Define the challenges of learning/practicing difficult communication as a resident/fellow, and elaborate some strategies to help mitigate these challenges. About our guests: Stockton Beveridge, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics, serving as the director of Pediatric Palliative Care. Dr. Beveridge's research interests have focused on the challenges faced by caregivers of children with medical complexity, particularly in the Latino population. He is additionally interested in the intersection of religion and medicine, particularly in medical crisis. He sits on the hospital's Ethics Committee and is also the medical director for Schwartz Rounds. Katie Maddox, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics at UT Southwestern. She is a board-certified pediatric palliative care physician at Children's Health Dallas. Her clinical and research interests relate to caring for children with special healthcare needs and communication skills training in medical education. Dr. Maddox has received the Educational Innovation Award for developing communication skills training and the Pediatric Society of Greater Dallas White Hat Award.References: Center to Advance Palliative Care--https://www.capc.org/  Childers JW, Back AL, Tulsky JA, Arnold RM. REMAP: A Framework for Goals of Care Conversations. J Oncol Pract. 2017 Oct;13(10):e844-e850. doi: 10.1200/JOP.2016.018796. Epub 2017 Apr 26. PMID: 28445100.Gillis J. "We want everything done". Arch Dis Child. 2008 Mar;93(3):192-3. doi: 10.1136/adc.2007.120568. PMID: 18319382.How to support PedsCrit:Please rate and review on Spotify or Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Support the show

HFMA President and CEO Joe Fifer interviews Brynn Bowman, CEO of the Center to Advance Palliative Care.

In this Newsmakers Podcast, McKnight's Long-Term Care News staff writer Danielle Brown sits down with Allison Silvers, chief healthcare transformation officer at the Center to the Advance Palliative Care, to discuss the underutilization of palliative care in long-term care and how providers can better incorporate those services into their offerings. We also talk about a recent push by Congressional lawmakers calling for more support for palliative care in LTC and how industry stakeholders can help the cause. 

Meet RN Keisha Jones and Dr. Michelle Owens of Hospice Austin and hear how they take extraordinary care of their hospice team with a debriefing program. .  After seeing signs of accelerated compassion and moral fatigue in their hospice clinical team in 2021, Keisha and Michelle realized there was more needed beyond pizza parties.  They put their heads together to create a debriefing program.  As director of the clinical team, Keisha saw that nurses and other clinicians were deeply involved with patients, and the grief of not having families with dying patients was severely  affecting the team.  A safe space to discuss what was happening was first priority.  Using a debriefing facilitator trainer manual from CAPC (Center to Advance Palliative Care) website, they started the program.  Using Zoom video conferencing and including all disciplines, the women make the debriefings accessible to all disciplines and all shifts.  The team felt heard and safe.  The responses were positive and encouraging.    If you're interested in creating a debriefing program in your agency, you can access the debriefing facilitator trainer manual from CAPC here.    Find more information about hospice philosophy, end of life care, and self care for both personal and professional caregivers here.  Find more podcast episodes from The Heart of Hospice here: https://theheartofhospice.libsyn.com/ The hosts of The Heart of Hospice podcast would be honored to speak at your event or conference.  Send an email to helen@theheartofhospice.com or to jerry@theheartofhospice.com.  We'd love to partner with you! Connect with podcast host Jerry Fenter at jerry@theheartofhospice.com. Connect with podcast host Helen Bauer at helen@theheartofhospice.com.  

Paul Price shares what he has learned about how to make the most of the time we have left. Then Max talks with Dr. Diane Meier, a geriatrician and founder of Mount Sinai's Center to Advance Palliative Care, about what she has learned from helping so many people make meaning of the end of their lives, how to have hard end-of-life conversations with people we care about, and why 70 feels exciting and unknown. Special thanks to Agnes Firth and The Golden Wattle Cafe, “a regular cafe event for people living with dementia, their carers, and others who would like to join us.” Learn more about your ad choices. Visit podcastchoices.com/adchoices

There is a conversation that we are not having in medicine – and that is related to our dying.  Oftentimes when this conversation does happen, it is often too late for palliative care to do some good, to relieve suffering, to improve quality of life, during the time that we have left.  And because this conversation doesn’t happen, or doesn’t occur early enough, death has become painful.  Death is inevitable, it is a universal process that we all will go through one day, as we are living organisms.  I believe that we have lost our way in the practice of medicine.  We have forgotten the very foundation of medical practice, which is to relieve human suffering.  We sacrifice our human connections in the practice of medicine because health care is first and foremost a business.  We continue to treat patients even if the effort is futile, and sometimes we even offer harmful treatment, in the name of prolonging life- when it can be physically, emotionally, and spiritually damaging to our patients.  Join us in this eye-opening conversation about palliative care, as it is a field that still represents ‘the good and humane’ in medical practice.  Dr. Diane Meier, MD  is the founder and was the longtime director of the Center to Advance Palliative Care, a national organization devoted to increasing access to quality health care in the U.S. for people living with a serious illness.  She has received numerous awards and was the 2008 recipient of the MacArthur Foundation Fellowship (aka the MacArthur Genius Award).

Rae Anne, a cancer survivor and former palliative care patient, interviews Dr. Diane E. Meier, a palliative care doctor and director emerita of the Center to Advance Palliative Care. During their conversation, Rae Anne shares how palliative care helped her and her family. Together they discuss the benefits of palliative care, how the team takes care of the patient and caregivers, and more.

Age-Friendly Ecosystems "It's a blessing to be an older adult." -Melissa Batchelor, PhD, RN, FNP-BC, FGSA, FAAN For decades, advocates have called for communities, neighborhoods, and organizations like hospitals to become more "age-friendly." Although the idea of an age-friendly society has been promoted both locally and internationally, adoption remains more aspirational than an organized practice.  In this week's episode of This Is Getting Old, Dr. Terry Fulmer and Amy Berman walk us through an overview of what it means to have created an Age-Friendly Ecosystem.  Part One of 'The Age-friendly Ecosystems'. The John A. Hartford Foundation has been working with the Age-Friendly Foundation to convene leaders of these age-friendly movements. The goal is to help make the "age-friendly" moniker clear to all stakeholders in terms of what it means.  At the George Washington University’s Center for Aging, Health and Humanities, we have adapted the Age-Friendly Ecosystem to include Arts & Creativity.’ What Exactly Is an Age-friendly Ecosystem?  An Age-Friendly Ecosystem refers to the collective of all efforts to adapt society to meet older adults' needs. In simpler terms, Age-Friendly Ecosystems are the comprehensive, collectively built, and ever-expanding platform whose goal is to improve older adults' quality of life through enhanced, collective impact.  Moreover, understanding the Age-Friendly Ecosystem draws on the social-ecological model that acknowledges the connections and interplay between older adults and their environments or contexts. Proponents of the Age-friendly Ecosystem Movement The Age-Friendly Ecosystem is a movement to create age-friendly cities and communities started by the World Health Organization and carried forward by AARP (American Association of Retired Persons).  The John A. Hartford Foundation (JAHF) launched the Age-Friendly Health Systems movement with the Institute for Healthcare Improvement in 2017 to ensure the specific needs of older adults are met in health care. JAHF in 2018 then collaborated with the Trust for America's Health (TFAH) to involve public health agencies to expand the implementation of the age-friendly guidelines to the public health domain, acknowledging that these programs, notwithstanding their goals, have remained constrained and siloed. Many other organizations are advancing initiatives to make universities and businesses age-friendly.  The Goals and Objectives of Age-Friendly Ecosystems The goal of Age-Friendly Ecosystems has been to help make the "age-friendly" moniker clear to all stakeholders regarding what it means and how it should be adapted.   The work is leading to developing a common language and shared metrics so that anyone can recognize it and know what should be expected when we say "age-friendly." By working together across silos, different age-friendly initiatives can maximize their collective impact.  "An Age-Friendly Ecosystem refers to the collective efforts to adapt society to meet older adults' needs worldwide." -Terry Fulmer, PhD, RN, FAAN Guiding Principles and Frameworks of Age-friendly Ecosystems Each of the age-friendly initiatives has its guiding principles and frameworks. A big part of our effort is to help us understand those frameworks and what the shared characteristics are across them. The 4Ms Framework  An Age-Friendly Health System reliably delivers evidence-based care that reduces harm and focuses on What Matters most to older adults and their families. It is based on what we call the 4Ms Framework – essential elements of care that need to be addressed for all older adults – What Matters, Medication, Mentation, and Mobility. The 5Cs Framework The Age-Friendly Public Health Systems movement uses the 5Cs Framework:  Connecting and convening sectors and professions  Coordinating existing supports and services  Collecting data to assess community health status  Conducting, communicating, and disseminating research findings and best practices  Complementing and supplementing existing supports and services,  These frameworks are specific to the sector, clinical or public health in these examples but undergirding all of these frameworks are commonalities that lead us to the characteristics of an Age-Friendly Ecosystem. Part Two of 'The Age-friendly Ecosystems'. Characteristics of Age-friendly Ecosystems The convenings of leaders in the Age-Friendly Ecosystem, in addition to surveys of older adults, literature reviews, and expert interviews, have led to an understanding that several characteristics represent an age-friendly ecosystem. Understanding these characteristics helps us get to common language and metrics.  A forthcoming journal article will explain these characteristics and their definitions.  Age-Friendly Ecosystems: Current Standing in Terms of the Needed Common Language and Metrics  Since the fall of 2020, the Age-Friendly Foundation has been drafting a measurement taxonomy. They did that by identifying six outcome measurement domains that represent dimensions of age-friendliness. The domains are groups of similar outcomes, while the outcomes are explanatory concepts that can be inferred from measured or observed data. The Foundation is also looking at indicators or ways of measuring desired outcomes. They've looked at all the different frameworks outcomes and indicators – the Age-Friendly Health Systems, the Age-Friendly Public Health, WHO Age-Friendly Cities, AARP Livable Communities, Age-Friendly CAFÉ (Employers), and Age-Friendly Universities Principles— to supplement work in the health and public health frameworks.  Furthermore, the Foundation reviewed CDCs Healthy People 2030 indicators for Healthy Aging and Access to Care and the Association of State and Territorial Health Officials Policy Statement on Aging to expand and quantify outcomes related to health well-being. They've started with specific outcomes, such as Mobility, Walkability, Access to Jobs, and Labor Force Engagement. For each outcome, they identified indicators (or measures) recommended by IHI, CDC, WHO, and so on.  In some cases, they've added indicators where there were gaps based on a review of the literature. All of these are still in draft stages, and there is more to come. "Everyone has a role to play in eradicating ageism." -Terry Fulmer, PhD, RN, FAAN. How To Do Your Part In Building The Age-friendly Ecosystem? Everyone is encouraged to implement age-friendly programs, which will also  help us counter ageism and help all of us age with dignity and respect. In whatever sector you are in, reach out across to other partners. Start by checking out the blog on MelissaBPhD.com. You can find linked additional resources for age-friendly initiatives such as the Age-friendly Health Systems, Age-friendly Universities, and many more.   You can also join in the existing age-friendly initiatives, for example, the Age-Friendly Health Systems movement, by going to ihi.org/agefriendly. Or visit Trust for America's Health or our johnahartford.org website for more information on how to join the Age-Friendly Public Health Systems initiative, which has a new website: https://afphs.org/. "We've seen great success in this with public health working with aging services, working with health systems. This all connects to a crucial issue and call to action - everyone has a role in eradicating ageism, which is discrimination based on age. This means calling it out when you see and hear it. It requires you to make sure you aren't contributing to ageist perceptions of older adults." says Dr. Terry Fulmer, a nationally and internationally recognized leading expert in geriatrics.  “Older adults rightfully want and deserve dignity and respect.” Amy Berman, RN, LHD, FAAN About Terry Fulmer, PhD, RN, FAAN: Terry Fulmer, PhD, RN, FAAN, is the President of The John A. Hartford Foundation in New York City, a foundation dedicated to improving older adults' care. She serves as the chief strategist for the Foundation, and her vision for better care of older adults is catalyzing the Age-Friendly Health Systems social movement. Dr. Fulmer is an elected member of the National Academy of Medicine and recently served on the independent Coronavirus Commission for Safety and Quality in Nursing Homes to advise the Centers for Medicare and Medicaid Services. She completed a Brookdale National Fellowship, and she is the first nurse to have served on the American Geriatrics Society board. The first nurse to have served as President of the Gerontological Society of America, which awarded her the 2019 Donald P. Kent Award for exemplifying the highest standards for professional leadership in the field of aging. About Amy Berman, RN, LHD, FAAN: Amy Berman is a Senior Program Officer with The John A. Hartford Foundation. She works on the Foundation's development and dissemination of innovative, cost-effective care models that improve health outcomes for older adults. Among these efforts, Dr. Berman is responsible for the Foundation's work to advance Age-Friendly Health Systems, led by the Institute for Healthcare Improvement, in partnership with the American Hospital Association and the Catholic Health Association.  She also leads many of the Foundation's efforts focused on Serious Illness and End of Life, including efforts to support Diane Meier's palliative care and the Center to Advance Palliative Care.    

Mental health during Covid 19 is a thing. And it's going to be an issue for a while. We're all struggling with ongoing Covid-19 trauma. No matter how well we're doing, we're all feeling it. In this episode, Melanie shares research data and coping suggestions from Dr. Diane E. Meier, the longtime director of the Center to Advance Palliative Care at New York City's Mount Sinai Hospital. Dr. Meier is also a 2008 recipient of a MacArthur Foundation “genius” fellowship. About the Covid pandemic, Dr. Meier says, “The fear and anxiety is completely different. It's not that getting a diagnosis of dementia or cancer or kidney failure is not frightening. It is, but it's somewhat normalized. You know people it's happened to. Whereas the Covid pandemic — there was so much interesting coverage marking the 500,000th death about how invisible all the grieving is and how the whole country is in a state of numbness and denial because it is all too much to take in. It is too much to process." https://www.nytimes.com/interactive/2021/03/22/magazine/diane-e-meier-interview.html As a result, Dr. Meier says, "people are trying desperately to make room for one's inner life." We've got two feet in the Before Times. And one foot in the not-yet-here world. We're betwixt and between. It's a liminal time. And that can make us feel unmoored, ungrounded. The good news is that there is an almost infinite number of ways to make room for our inner lives. Natalie Goldberg, the writer, recently did two shows with Melanie in which she talks of haiku as a way, a path, a spiritual discipline. Techniques for exploring beyond the bounds of performative “work” are as varied as there are people. The reasons for doing exploring our inner lives are compelling, indeed. For the truth is that we aren't gonna take whatever money we've earned or jewelry we love or cars or houses with us when we die. But we're here now, breathing. Feeling. In community with others, whether we're in person or not. We're still here. Might that be enough meaning and purpose? Here's a poem from the Spanish poet Antonio Machado, titled Caminante, No Hay Camino, Traveler, There is no Road/There is no Way. Traveler, your footprints are the only road, nothing else. Traveler, there is no road; you make your own path as you walk. As you walk, you make your own road, and when you look back you see the path you will never travel again. Traveler, there is no road; only a ship's wake on the sea. Finally, this, from e.e. cummings, entitled 53 may my heart always be open to little birds who are the secrets of living whatever they sing is better than to know … Dr. Melanie Harth's website here

Danielle Doberman, MD, MPH, HMDC, is the Clinical Medical Director for Palliative Medicine at Johns Hopkins Hospital. Dr. Amy Schiffman and Dr. Alex Mohseni dive deep into the world of Palliative Care to understand what this commonly misunderstood specialty is all about. We cover the following: What is palliative care / palliative medicine? What symptoms does palliative focus on? How does palliative operate as a team? Hospital-based vs outpatient palliative care Palliative care vs hospice https://www.PrepareForYourCare.org Who should be a palliative care patient? Where do most referrals to palliative care come from? https://getpalliativecare.org Center to Advance Palliative Care www.capc.org Interaction and relationship between PCPs and palliative care Contracting for safety and consent in palliative care Palliative care pain management Palliative Sedation (aka Proportional Sedation) Article: "Best Case Worst Case" (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4747100/) Youtube video "Best Case Worst Case" (https://www.youtube.com/watch?v=FnS3K44sbu0) Palliative care is not giving up Palliative care services lose money but they help the hospital because they reduce inpatient length of stay $3,000 of Part A savings per palliative care patient Typical patient volumes for palliative care Youtube version of this interview: https://youtu.be/poYoZ807SWU

Dr. Chin-Lin Ching, medical director of palliative care at Highland Hospital, joins her mentor, Dr. Diane E. Meier, director of the Center to Advance Palliative Care for an interview. In this episode, Dr. Ching shares how she turned around her program, which was considered successful on paper (based on high and rising volume), but unsustainable due to strains on staffing — causing her team to feel overwhelmed and burnt out. Instead of walking away, Dr. Ching took steps to overcome her feelings of despair, which included research, planning, and implementing change. For more information, click here. 

I'm sure you've heard of essential oils. A lot of people think they're witchy or woo woo-ey. But the reason they can be so effective is they are made up of chemical compounds and work at a cellular level. As in science! Denise Joswiak is not only a certified aromatherapist, she is also a registered nurse. And she uses evidenced based research to guide her aromatherapy practice. But she also says that most people who share essential oils have a personal story to share. Denise shares her personal experience and her professional expertise with us, discussing the use of oils as palliative care options. Remember, that palliative care is defined by the Center to Advance Palliative Care as specialized medical care for people living with a serious illness. It focuses on providing relief from symptoms and the stress of illness. The goal is to improve quality of life for both the patient and the family. Something essential oils can, and do offer. Listen to today's episode to learn: How essential oils can be used in the palliative care space What oils can help Things to consider when choosing essential oils What the difference is between essential oils and hydrosols (science!) What her research showed regarding the use of essential oils for nausea, anxiety, and pain How to find a certified aromatherapist How to earn CEU's and become certified yourself How to get aromatherapy in your healthcare workplace some great suggestions for home made gifts! You can find Denise here: Essential Health MN, Instagram, and Facebook, or email her at info@essentialhealthmn.com Other resources: National Association of Holistic Aromatherapy Alliance of International Aromatherapists Essential Oil Nurses; EORN Right click here to download and save this episode to your computer

In this recap, Marla and Mary discuss the 30th episode of Elevate Eldercare with Diane Meier, MD, director of the Center to Advance Palliative Care, a national organization devoted to increasing access to quality health care in the US for people living with serious illness. While every podcast is a learning experience, both Marla and Mary were quick to admit that they both learned quite a bit about the difference between hospice and palliative care. According to Dr. Meier, it is a common issue and concern for her and the national organization. Find out more about Robert Butler, who established the field of geriatric medicine and how he coined the term “ageism” back in the late 1960s. Mary and Marla also discuss Dr. Meier’s comments about the fragmented healthcare system and why palliative care has not been widely adopted by long-term care, yet 76% of the hospitals in this country offer it.   Learn more about Robert Butler here: https://www.aarp.org/politics-society/history/champions-of-aging-photos/robert-butler-gerontologist-longevity/  Find out where palliative care is located near you: https://getpalliativecare.org/ 

#015 - Join host Dr. Red Hoffman as she interviews Dr. Anne Mosenthal, a trauma surgeon and one of the founding members of the American College of Surgeon's Surgical Palliative Care Task Force (now the Committee on Surgical Palliative Care, which she currently chairs).  Her name is synonymous with surgical palliative care in this country.  Anne, along with nurse Pat Murphy, wrote some of the earliest papers about how to incorporate  palliative care into the surgical and trauma intensive care units.   She championed the integrative model of palliative care, which relies upon the surgical team to utilize their primary palliative care skills.   She is the co-editor (along with Dr. Geoffrey Dunn) of the recently released textbook entitled Surgical Palliative.  Anne served as the Chair of Surgery at Rutgers New Jersey Medical Center for nine years (one of the first women in the country to chair a department of surgery) and recently transitioned into a new role as the Chief Academic Officer of Lahey Hospital and Medical Center.  In this episode, she shares her experience as a woman pursuing a career in surgery and notes the lack of female role models during her training.  She has been a champion for women in surgery, serving as a mentor to many and eventually winning the Association of Women Surgeon's Olga Jonasson Distinguished Member Award in 2018.   She also shares some tips about how to break bad news and how to discuss code status.  Lastly, she very graciously accepts all of my fan-girling!  As I tell her, many of us would not have the careers that we do if it were not for her leading the way.  Listen and learn from one of the very best!Articles mentioned:Trauma Care and Palliative Care: Time to Integrate the Two? (2003)Interdisciplinary model for palliative care in the trauma and surgical intensive care unit: Robert Wood Johnson Foundation Demonstration Project for Improving Palliative Care in the Intensive Care Unit (2006)Integrating palliative care in the surgical and trauma intensive care unit: a report from the Improving Palliative Care in the Intensive Care Unit (IPAL-ICU) Project Advisory Board and the Center to Advance Palliative Care (2012)To read more about or purchase the recently released Surgical Palliative Care (a must have!), click here.To learn more about the surgical palliative care community, visit us on twitter @surgpallcare

Dr. Diane Meier is the director of the Center to Advance Palliative Care in New York City. As a palliative care specialist, she has an intimate view of how the coronavirus pandemic is affecting patients and their loved ones. Meier shares her Brief But Spectacular take on showing compassion during COVID-19. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders

In this episode, Marie Cleary-Fishman, vice president of clinical quality at AHA is joined by Diane Meier, director of the Center to Advance Palliative Care and faculty at Mt. Sinai Health Systems in NYC and MacArthur genius awardee to discuss COVID-19’s impact on caring for seriously ill patients.

TAFP's Jonathan Nelson talks with Paul Tatum, MD, director of the Hospice and Palliative Medicine Fellowship at the University of Texas at Austin Dell Medical School. As the COVID-19 pandemic continues to spread through our communities, frontline physicians like family doctors find themselves having many difficult conversations with patients and their families. That would be tough on its own, but in this situation, all the relevant information seems to be constantly changing. The ability to have those conversations with compassion and comfort is a challenge in such stressful times. Dr. Tatum offers several resources for physicians and their staff members. Resources mentioned in the showVitalTalk: COVID Ready Communication Playbook VitalTalk is a group of communication specialists who collaborate to offer a communication guide for complex issues that can be shared with office staff, especially phone staff and nursing teams.CAPC COVID-19 Symptom Management Protocols The Center to Advance Palliative Care provides a wide COVID-19 resources. The one Dr. Tatum discusses most is the Symptom Management Protocols.NHPCO COVID-19 Shared Decision-Making Tool The National Hospice and Palliative Care Organization offers this tool to help physicians, patients, and their families discuss risk for seriously ill patients including conversations about advance directives.CPPCD ICU Shared Decision-Making Guide for Life Support The Colorado Program for Patient-Centered Decisions offers a decision aid for patients considering life support in the setting of critical resource shortages.PREPARE for Your Care Medical Planning Guide Among other resources, PREPARE for Your Care provides a COVID-19 advance care planning guide your office team can share with patients who can then complete the guide on their own.Advance Care Planning Conversation Guide The San Francisco VA health Care System Hospice and Palliative Care Service offers this guide for use with outpatients at high risk of developing COVID-19 complications.

#007 - Join host Dr. Red Hoffman and cohost Dr. Mackenzie Cook as they interview Dr. Karen Brasel, Professor of Surgery in the division of Trauma, Critical Care and Acute Care Surgery, as well as the Program Director of the general surgery residency, the Vice-Chair for Education and the Assistant Dean of Graduate Medical Education, all at OHSU School of Medicine in Portland, Oregon.   Karen is a national leader in both surgical education and surgical palliative care and has authored or co-authored over 250 papers.  Under her leadership, the general surgery residency at OHSU is the only surgical residency in the country which requires all trainees to spend one month on a palliative care service.  Join us as we discuss the benefits of being a "spork" (neither a spoon nor a fork), family presence during resuscitation and the ethics surrounding the idea of futility.  CAPC (Center to Advance Palliative Care) features the IPAL (Integrating Palliative Care into the ICU) toolkit on their website.  Many organizations maintain CAPC memberships; to find if your organization is a member, go online and type in your email here. Papers discussed:Palliative care in the trauma ICU by Drs. Katie O'Connell and Ron MaierRead about the Geriatric Trauma Outcome Score here and here.TQIP Best Practices for Palliative Care can be found here. To learn more about the surgical palliative care community, visit us on twitter @surgpallcare

Join Drs. Matt Martin, Carrie Valdez and Red Hoffman as they speak with EAST President Dr. A. Britton Christmas about the management of surgical patients during the COVID-19 pandemic.  They discuss the latest American College of Surgeons guidelines for Emergency General Surgery, safety in the operating room regarding airway management and laparoscopic procedures as well as thoughts on tracheostomies, chest tubes and ED thoracotomies.  Links below for more information!  -EM physician Dr. Yale Tung Chen chronicles his COVID diagnosis and provides daily ultrasound updates on his Twitter account @yaletung -Minimally invasive surgery and the novel coronavirus outbreak: lessons learned in China and Italy.  Epub ahead of print available. https://bit.ly/2UozPX4  -EAST COVID-19 Resources and Information. This is meant to be a clearinghouse of information and protocols from various societies and institutions throughout the world.  https://bit.ly/2QSV5Cj  -Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (published March 2020) is available https://bit.ly/3dB9H2Z  -Department of Defense COVID-19 Practice Management Guidelines -COVID-19 App - Developed by Dr. Kari Jerge - Download the App - http://covid19medapp.com/View webpage - http://apps.appshed.com/1517747/ -Visit the Vital Talk website to help guide you in difficult conversations with your patients regarding COVID-19 https://bit.ly/2JnnNqQ  -CAPC (Center to Advance Palliative Care) is offering a free COVID toolkit, including symptom management tips that will help you with your primary palliative care skills https://bit.ly/2Uqu9w4  -Dr. Nick Mark's OnePager guide to the care of critically ill patients with COVID. Join us early next week for Part 2 of the COVID series- Nick will be one of our guests! https://www.onepagericu.com/

Many of us with clinical roles are waiting for the other shoe to drop. Today we hear from Dr. Darrell Owens, DNP, MSN, head of palliative care for the University of Washington's Northwest campus, a community hospital in Seattle. The UW Northwest hospital has born the brunt of the COVID epidemic in one of our nation's hardest hit areas. Darrell has stepped up the the plate in remarkable, aspirational ways. First, he is on call 24/7 to have goals of care conversations with elderly patients in the emergency department under investigation for COVID who do not have an established a code status. On the podcast Darrell walks us through the language he uses to speak with these patients about the poor outcomes of CPR and ventilation among older adults with COVID. We note on the podcast that the Center to Advance Palliative Care recently put together Toolkit for COVID including a thoughtful communication guide spearheaded by Tony Back and our friends at VitalTalk. Second, Darrell has established an inpatient palliative care service at his hospital for patients on exclusively comfort measures. Darrell and his team admit and are first call for these patients. This service off-loads the hospitalists so they can care for other patients. Darrell talks with us about the challenges of titrating medications for symptomatic patients when you're trying to minimize using protective equipment going in and out of the room, and the challenges of returning home from work to his family after treating patients with COVID all day. By closing let me repeat two things from the podcast. First, we too can and should step up to the plate. By engaging patients in goals of care discussion at the time of admission we are likely to help patients reach different decisions than they otherwise might have made had discussions occurred with rushed and less skilled clinicians (i.e. the usual code status discussion). Before we get to rationing, we can and should engage patients in the highest quality informed goals of care discussions. The results of these informed discussions are likely to decrease the need for scarce ICU beds and ventilators. That is why Darrell is specifically on call for these conversations. Simply put, we do it better. We have the best skill. Further, like Darrell, we too can create or expand inpatient palliative care services to provide the best possible care for these patients and free up hospitalists and others to meet the growing clinical needs due to the pandemic. Second, Eric and I have never been prouder of our fields. Every day we hear stories of geriatricians, palliative care clinicians, and bioethicists rising to the occasion to meet needs of this moment. As Eric notes, we will found out a great deal about ourselves and what we stand for these next few weeks and months. Thank you for all that you do. -@AlexSmithMD

#005 - Join host Dr. Red Hoffman as she interviews Dr. Diane Meier, a professor of Geriatrics and Palliative Medicine, as well as well as a professor of Medical Ethics, at Mount Sinai School of Medicine in New York City (listen for NYC ambulances in the background!)   Diane is the founder of the Center to Advance Palliative Care (CAPC) as well as a recipient of the MacArthur Foundation Fellowship (also known as a "genius grant.")  She shares about the early days of CAPC and describes some of the educational offerings available through a CAPC membership (go online and type in your email to see if your organization is a member!).   Diane also discusses the importance of tailoring your message for your audience and reminds us to be thoughtful about our language, particularly when we are attempting to define palliative care.  I learned so much about communication from speaking with her!  Enjoy!Learn more about CAPC here.To learn more about the surgical palliative care community, visit us on twitter @surgpallcare.

Palliative care does not mean hospice: it is illness treatment and it improves function. Join Shirley Otis-Green, an expert in this subject as she shares her wealth of knowledge and a plethora​ of resources.This is so important for people to understand. Quality of life is affected greatly for the better when patients and their families understand palliative care and its true purpose. A national expert, Dr. Otis-Green is quite frankly an incredible resource.Great organization to check out: The Center to Advance Palliative Care, a national organization dedicated to increasing the availability of quality health care for people living with a serious illness.Several Books Shirley Otis-Green references:Being Mortal: Medicine and What Matters in the End,- Atul GawandeA Beginner's Guide to the End: Practical Advice for Living Life and Facing Death, - BJ Miller and Shoshana BergerWhen the Focus is On Care: Palliative Care and Cancer - Kathleen Foley with the American Cancer SocietyThe Human Side of Cancer: Living with Hope, Coping with Uncertainty - Jimmie C. Holland and Sheldon LewisThe Best Care Possible: A Physician's Quest to Transform Care Through the End of Life - Ira ByockFor additional resources from the National Bone Marrow Transplant Link, visit us online at nbmtlink.org or call us at 800-546-5268.This season of Marrow Masters is sponsored by the nbmtLINK, Seattle Genetics, and our esteemed link partners.

After listening to this podcast, you will leave feeling energized by the prospect of palliative care and the benefits a comprehensive team approach brings to patients, families, communities, and healthcare organizations. Everybody wins. Dr. Frank D. Ferris is the executive director of the Palliative Medicine, Research, and Education for Ohio Health. He is a global expert in palliative care and provides compelling evidence in support of palliative care. Dr. Ferris is particularly interested in strategies for integrating palliative care into existing healthcare systems worldwide. He has published and spoken widely on multiple palliative care subjects and effective approaches to education and program implementation. Listen to this podcast to learn more about palliative care and then share your knowledge with your community. People do not need to be dying to receive palliative care. This perspective is a frequent misconception. Hospice is palliative care, but not all palliative care is hospice. Let’s work together to find ways to better support people and families facing healthcare challenges. Learning about palliative care, then implementing a comprehensive team strategy benefits everyone. Further resources about palliative care: Explore these excellent videos from the Palliative Care Interdisciplinary Curriculum. Get Palliative Care Center to Advance Palliative Care

Music and Memory: Improving Alzheimer's and Dementia Care by Center to Advance Palliative Care

Palliative Care in the ICU All too often, we see critical care and palliative care as opposites, but they really go together nicely. Today on the podcast, we talk with Dr. Jessica McFarlin (@JessMcFarlinMD) about palliative care and how we can integrate it into the care of our ICU patients. Center to Advance Palliative Care […]

Palliative Care in the ICU All too often, we see critical care and palliative care as opposites, but they really go together nicely. Today on the podcast, we talk with Dr. Jessica McFarlin (@JessMcFarlinMD) about palliative care and how we can integrate it into the care of our ICU patients. Center to Advance Palliative Care […] The post CCP Podcast 101: Palliative Care appeared first on Critical Care Practitioner.

In this special-edition podcast, Diane E. Meier, MD, of the Center to Advance Palliative Care, and Mary Mittleman, DrPH, of NYU Langone Health, discuss why making a dementia diagnosis is important for successfully managing other health conditions, and the many care elements that can make a difference for patients and caregivers. Meier and Mittleman acknowledge the difficulty for making the diagnosis, given treatment options, and offer ideas for integrating better dementia care, from physicians doing memory scans to look for memory loss that is impacting daily function, to being supported with access to the right staff for counseling family members and patients, and other psychosocial interventions. For background on Dr. Mittleman, she and her team provide support for family caregivers through NYU’s New York State-backed Alzheimer’s Disease & Related Dementias Family Support Program. Focusing on the psychosocial, the team provides interventions via support, education, and referrals which make a difference, and improves quality of life for the family, and those with dementia. A popular result of the program is the chorus, ‘The Unforgettables‘, composed of those living with dementia, and their family members; its members have been performing concerts in New York since 2011.

How to Better Care for Dementia Patients by Center to Advance Palliative Care

In this episode, Dr. Bob Bergamini of Mercy Palliative Care Services in St. Louis steps into the program spotlight to discuss how his program has fought to reduce readmission rates for his institution. This engaging chat is brought to you by the Center to Advance Palliative Care.

Today's GeriPal podcast features Sean Morrison, Geriatrician and Palliative Medicine physician, director of the National Palliative Care Research Center and the Hertzberg Palliative Care Institute at Mount Sinai in New York. We talk with Sean about a new report titled, "How We Work: Trends and Insights in Hospital Palliative Care." This report was co-produced by the National Palliative Care Research Center and the Center to Advance Palliative Care. The report summarizes the current state of palliative care practice in the US.

As Senior Vice President in the Office of Population Health Management, Dr. Smith provides clinical leadership for all of Northwell's population health activities. He is also the Medical Director for Health Solutions, Northwell's care management organization and is the Chief Medical Officer for CareConnect, Northwell's insurance company. Prior to these responsibilities he led system-wide care continuum initiatives in the post-acute setting as medical director for Post-Acute Care Services. Dr. Smith is board certified in Internal Medicine as well as Hospice and Palliative care. He maintains an active clinical practice as a house call physician in Northwell's nationally recognized home-based primary care program. Dr. Smith, an associate professor at Hofstra Northwell School of Medicine, has published a number of papers on advanced care models for the frail elderly and has been a co-investigator on a number of grants investigating the outcomes of high-intensity primary care programs. He has been invited to give regional and national talks on health policy, the frail elderly and the intersection of payment reform and clinical redesign. Dr. Smith has worked with regional and national associations such as the Greater New York Hospital Association, the American College of Physicians, Center to Advance Palliative Care, the Coalition to Transform Advanced Care and the American Association of Home Care Medicine on health care reform. He is the executive sponsor for a number of governmental demonstration projects including Medicare's Independence at Home, Bundled Payment for Care Improvement and the New York State Health Home. Dr. Smith graduated with a degree in sociology from Princeton University and received a Master of Public Policy in health policy from Harvard University, JFK School of Government. He received his Medical Degree from Boston University School of Medicine and completed a residency and chief residency in Internal Medicine at the Mount Sinai Medical Center. Prior to joining Northwell he was an assistant professor at the Mount Sinai School of Medicine and an assistant program director for the Internal Medicine Residency Program. 00:00 How CareConnect came into being. 04:50 Who CareConnect is aimed at. 05:10 The ultimate goal of CareConnect. 05:30 How becoming a Payer/Provider benefits the Consumer. 07:40 The efficiencies of being part of a Payer/Provider organization. 09:15 The classic Payer difficulties that go away by becoming a Payer/Provider. 12:30 “The work of a partnership between a Payer and a Provider is never done.” 13:00 “How do you have a process to make sure your standards allow for the unexpected?” 15:00 Folding in Precision Medicine into Standard of Care. 15:30 “You have to think of Population Health as a tool for getting a more precise plan for individual patients.” 17:40 “We need to be vigilant that exceptions should be exceptional.” 21:30 “Patients really trust their Providers.” 21:45 “When it comes to Medical Care and Clinical Decision Making, it's best if that's spearheaded by the Provider side.” 22:30 What working with Providers looks like. 25:25 How CareConnect is aligning with Physicians.

David E. Weissman, MD, founded the Palliative Care Center at the Medical College of Wisconsin, serves as Director of the Medical School Palliative Care Education Project, and is also Co-Director of the Center to Advance Palliative Care’s initiative to help oncs meet revised standards of care (Improving Palliative Care—Outpatients [OPAL-OP]). Listen to what he told OT are the trends in palliative care he sees in practice.

Guest: Diane Meier, MD Host: Susan Dolan, RN, JD hear Dr. Diane Meier from Mount Sinai School of Medicine and the Center to Advance Palliative Care, as she discusses the inner life of physicians who care for the seriously ill.

Guest: Diane Meier, MD Host: Susan Dolan, RN, JD Hear Dr. Diane Meier, from Mount Sinai School of Medicine and the Center to Advance Palliative Care, discuss how to run a successful family meeting.

Guest: Diane Meier, MD Host: Susan Dolan, RN, JD Hear Dr. Diane Meier, Director of the Center to Advance Palliative Care, as she offers her best advice for starting a hospital based palliative care program.

Guest: Diane Meier, MD Host: Susan Dolan, RN, JD Hear Dr. Diane Meier, the Director of the Center to Advance Palliative Care, as she discusses recent advances in palliative care medicine.