Podcasts about end of life care

Send us a textThis episode of Think Like a Dog with Andreia and Millie focuses on senior dogs and the unique care they require. The discussion highlights why training remains valuable for them at any age, the medical considerations that come with growing older, and the ways their behavior may change over time.It also covers how senior dogs adjust when new pets are introduced into the household and explores the emotional aspects of caring for them, including the difficult but necessary decisions surrounding end-of-life care.The conversation emphasizes the importance of awareness, compassion, and proactive steps to ensure senior dogs experience comfort, stability, and love in their golden years.Attend the MIK9 Masterclass:  https://www.mirrorimagek9.com/mik9masterclassSign up for Mirror Image K9 Extended: http://mirrorimagek9.com/extendedSupport the showFollow Us On Instagram: @thinklikeadogpodcast @Mirrorimagek9 @OzzieAlbiesFoundation Work with Mirror Image K9 here: https://www.mirrorimagek9.com/contactusBe Our Guest: https://www.thinklikeadogpodcast.com Learn More About The Best Chance Program: https://www.ozziealbiesfoundation.org/

America Out Loud PULSE with Dr. Randall Bock – The role of the doctor — in psychiatry or end-of-life care — is not to erase the “why.” It is to explore it, hold it up to the light, and help the patient endure until the story reaches its natural close. Psychiatry once meant thinking deeply about a patient's life. Dr. Keith Ablow says it has shifted to ten- or fifteen-minute prescription visits...

Nancy M. Gordon, LCSW, is a grief expert, licensed therapist, consultant, #1 international best-selling author, speaker, and engaging podcast guest. Her new book, I Miss You Already: Preparing for the Unbearable Loss of Your Pet©, is a teaching memoir on anticipatory pet grief. Her private practice includes direct client coaching, speaking/podcasting, and a loss and grief training/consulting business with other animal care practitioners, especially veterinarians. Her mission is to make a difference in how loss and grief, especially pet loss, are perceived, understood, navigated, and supported through her unique methodologies. Topics covered in this episode:  Nancy's journey through anticipatory pet loss and grief Honoring the pet loss journey Understanding anticipatory grief Disenfranchised grief in veterinary medicine Navigating emotional support for clients The role of Spirituality in grief Transforming grief into growth Links & Resources:  Visit the Grow Beyond Grief website to learn more Pledge to the I Miss You Already Kickstarter project  Find Nancy Gordon on Instagram or through Linktree Find Nancy Gordon on LinkedIn  Watch the documentary, The Weight They Carry The House Call Vet Academy Resources:  Download Dr. Eve's FREE House Call & Mobile Vet Biz Plan Find out about the House Call Vet Academy online CE course Learn more about Dr. Eve Harrison Learn more about the Concierge Vet Mastermind Get your FREE Concierge Vet Starter Kit mini course Learn more about SoulShine Space For Vets. Use discount code SHINE15 for 15% OFF SoulShine Space For Vets! (Available for a limited time only! Rules and restrictions apply.) Learn more about 1-to-1 coaching for current & prospective house call & mobile vets Get House Call Vet swag Learn more about the House Call & Mobile Vet Virtual Conference Register TODAY for the House Call & Mobile Vet Virtual Conference, February 7th-8th, 2026!!!!!! Here's a special gift from me as a huge thank you for being a part of our wonderful House Call Vet Cafe podcast community! ☕️ GET 20% OFF your Four Sigmatic Mushroom Coffee when you order through this link! 4Sig truly is my favorite!!! Enjoy it in good health, my friends! Music:  In loving memory of Dr. Steve Weinberg.  Intro and outro guitar music was written, performed, and recorded by house call veterinarian Dr. Steve Weinberg.  Thank you to our sponsors!  Chronos  O3 Vets  This podcast is also available in video on our House Call Vet Cafe YouTube channel   

A new free digital tool called "myACP" is making end-of-life planning more accessible in Singapore by letting individuals document their end-of-life care preferences without the need for a doctor's appointment or paperwork. But how does this tech make conversations behind end-of-life planning more convenient and comfortable? On Good Tech, Lynlee Foo speaks to Wong Wai Min, Deputy Director, Primary and Community Care Development Division from Agency for Integrated Care (AIC) to find out more.See omnystudio.com/listener for privacy information.

What does the Church teach about how we should think about end-of-life care and chronic illness? What should we think about issues such as euthanasia, assisted suicide, hospice, and living wills? Tune in to hear from Dr. Kim Kuebler DNP, APRN, ANP-BC, FAAN, and Fr. James M Deshotels, SJ, MSN, MPH, as they discuss palliative care and the spiritual perspective that Catholicism brings to the topic of dying (and living) well. https://multiplechronicconditions.org #endoflife #endoflifecare #catholicteachingondying

How should nursing staff be expected to meet the growing need for palliative and end of life care now and in the future?The latest episode of the Nursing Standard podcast hears the views of leading nurses on how to equip the profession with the skills and confidence to talk to and support those at the end of life, both in general and specialist areas.RCNi senior nurse editor Richard Hatchett chairs a discussion of these issues with NHS England chief nursing officer Duncan Barton, University of Glasgow clinical professor of nursing and palliative care Bridget Johnston, Marie Curie chief nursing officer Annette Weatherley and RCN UK chief nursing officer Lynn Woolsey.This episode was recorded at a Marie Curie and Royal College of Nursing conference on the future of palliative and end of life care in London in June 2025.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.

How should nursing staff be expected to meet the growing need for palliative and end of life care now and in the future?The latest episode of the Nursing Standard podcast hears the views of leading nurses on how to equip the profession with the skills and confidence to talk to and support those at the end of life, both in general and specialist areas.RCNi senior nurse editor Richard Hatchett chairs a discussion of these issues with NHS England chief nursing officer Duncan Barton, University of Glasgow clinical professor of nursing and palliative care Bridget Johnston, Marie Curie chief nursing officer Annette Weatherley and RCN UK chief nursing officer Lynn Woolsey.This episode was recorded at a Marie Curie and Royal College of Nursing conference on the future of palliative and end of life care in London in June 2025.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.

In this moving episode of Healthy Mind, Healthy Life, host Avik Chakraborty sits down with Dr. Steve Drabek, known as "The Comfortologist," to discuss how we can shift the conversation around chronic illness, pain, and end-of-life care. Drawing from over four decades as a family physician and hospice specialist—and his own cancer survival journey—Dr. Drabek shares the powerful lessons he's learned about dignity, compassion, and truly listening to patients' needs. This episode will help you see why avoiding conversations about mortality does more harm than good and how quality of life should be at the center of all care. About the Guest:Dr. Steve Drabek is a board-certified family physician, hospice and palliative care expert, cancer survivor, and author of The Comfortologist. With a career spanning more than 40 years, he brings unique insight into how compassion and conversation can transform patient care during life's most challenging moments. Key Takeaways: Why end-of-life planning matters for patients and families. How chronic pain and suffering are often misunderstood and mistreated in the medical system. The importance of shifting from a "curing at all costs" mindset to one centered on dignity and quality of life. How Dr. Drabek's personal journey with cancer shaped his medical career and perspective. Practical advice on advocating for yourself or loved ones in medical settings.   Connect with Dr. Steve Drabek: Book: The Comfortologist (available at Barnes & Noble and Whitestone) Want to be a guest on Healthy Mind, Healthy Life? DM on PodMatch DM Me Here: https://www.podmatch.com/hostdetailpreview/avik CHECK PODCAST SHOWS & BE A GUEST: Tune to all our 19 podcasts: https://www.podbean.com/podcast-network/healthymindbyavik Subscribe To Newsletter: https://healthymindbyavik.substack.com/ Join Community: https://nas.io/healthymind OUR SERVICES Business Podcast Management - https://ourofferings.healthymindbyavik.com/corporatepodcasting/ Individual Podcast Management - https://ourofferings.healthymindbyavik.com/Podcasting/ Share Your Story With World - https://ourofferings.healthymindbyavik.com/shareyourstory STAY TUNED AND FOLLOW US! Medium - https://medium.com/@contentbyavik YouTube - https://www.youtube.com/@healthymindbyavik Instagram - https://www.instagram.com/healthyminds.pod/ Facebook - https://www.facebook.com/podcast.healthymind Linkedin Page - https://www.linkedin.com/company/healthymindbyavik LinkedIn - https://www.linkedin.com/in/avikchakrabortypodcaster/ Twitter - https://twitter.com/podhealthclub Pinterest - https://www.pinterest.com/Avikpodhealth/ SHARE YOUR REVIEW Google Review: https://www.podpage.com/bizblend/reviews/new/ Video Testimonial: https://famewall.healthymindbyavik.com/ #podmatch #healthymind #healthymindbyavik #wellness #HealthyMindByAvik #MentalHealthAwareness #StorytellingAsMedicine #PodcastLife #PersonalDevelopment #ConsciousLiving #GrowthMindset #MindfulnessMatters #VoicesOfUnity #InspirationDaily #podcast #podcasting #podcaster #podcastlife #podcastlove #podcastshow #podcastcommunity #newpodcast #podcastaddict #podcasthost #podcastepisode #podcastinglife #podrecommendation #wellnesspodcast #healthpodcast #mentalhealthpodcast #wellbeing #selfcare #mentalhealth #mindfulness #healthandwellness #wellnessjourney #mentalhealthmatters #mentalhealthawareness #healthandwellnesspodcast #fyp #foryou #foryoupage #viral #trending #tiktok #tiktokviral #explore #trendingvideo #youtube #motivation #inspiration #positivity #mindset #selflove #success

160 Transforming End-of-Life Care: The International Doula Life Movement with Anna Adams In episode 160 of Hospice Explained, host Marie Betcher RN, interviews Anna Adams, a seasoned professional with over 25 years in hospice and elder care. Anna, a certified end-of-life doula and founder of the International Doula Life Movement (IDLM), shares her journey of establishing IDLM, a global initiative aimed at training and supporting end-of-life doulas. The episode delves into the comprehensive educational programs IDLM offers, emphasizing the importance of community, support, and continuous learning. Anna explains how the organization integrates compassionate, ethical, and culturally sensitive care into the doula role, ensuring every individual receives dignity and respect in their final days. The discussion also highlights IDLM's approach to building relationships with hospices, the unique support system for doulas, and the profound impact of end-of-life education. Anna's insights offer listeners a deeper understanding of the vital role of doulas in hospice care. 00:00 Introduction and Disclaimer 00:28 Meet Your Host: Marie Betcher RN 00:46 Partnership with Cloud 9 Care 01:28 Interview with Anna Adams: Experience and Mission 03:16 Founding the International Doula Life Movement (IDLM) 05:49 IDLM's Training and Support Programs 10:59 The Role of a Doula in Hospice Care 17:43 Global Impact and Community Building 30:13 How to Connect with IDLM 31:41 Final Thoughts and Farewell https://www.internationaldoulalifemovement.com/   Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You)  If you would, you can donate to help support Hospice Explained at the Buy me a Coffee link  https://www.buymeacoffee.com/Hospice Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.

Dr. Joseph McCollom and Dr. Ramy Sedhom discuss precision palliative care, a new strategy that aims to align palliative care delivery with patient and caregiver needs instead of diagnosis alone. TRANSCRIPT ADN Podcast Episode 8-22 Transcript: What Is Precision Palliative Care? Rethinking a Care Delivery Problem Dr. Joseph McCollom: Hello and welcome to the ASCO Daily News Podcast. I'm your guest host, Dr. Joseph McCollom. I'm a GI medical oncologist and palliative oncologist at the Parkview Packnett Family Cancer Institute here in Fort Wayne, Indiana. So, the early benefits of palliative care for patients with cancer have been well documented, but there are challenges in terms of bandwidth to how do we provide this care, given the workforce shortages in the oncology field. So today, we'll be exploring a new opportunity known as precision palliative care, a strategy that aims to align care delivery with patient and caregiver needs and not just diagnosis alone. Joining me for this discussion is Dr. Ramy Sedhom. He is the medical director of oncology and palliative care at Penn Medicine Princeton Health and a clinical assistant professor of medicine at the University of Pennsylvania Perelman School of Medicine. Our full disclosures are available in the transcript of this episode.  Dr. Sedhom, it's great to have you on the podcast today. Thank you so much for being here. Dr. Ramy Sedhom: Thank you, Joe. It's a pleasure to be here and lucky me to be in conversation with a colleague and friend. Yes, many of us have heard about the benefits of early palliative care. Trials have shown better quality of life, reduced symptoms, and potentially even improved survival. But as we know, the reality is translating that evidence into practice, which is really, really challenging. So Joe, both you and I know that not every patient can see palliative care, or I'd even argue should see palliative care, but that also means there are still many people with real needs who still fall through the cracks. That's why I'm really excited about today's topic, which we'll be discussing, which is precision palliative care. It's a growing shift in mindset from what's this patient's diagnosis or what's this patient's prognosis, to what matters most for this person in front of me right now and what are their individual care needs. I think, Joe, it's very exciting because the field is moving from a blanket approach to one tailored to meet people where they actually are. Dr. Joseph McCollom: Absolutely, Ramy. And I think from the early days when palliative care was kind of being introduced and trying to distinguish itself, I think one of the first models that came to clinicians' eyes was Jennifer Temel's paper in The New England Journal of Medicine in 2010. And her colleagues had really looked at early palliative care integration for patients with advanced non–small cell lung cancer. And in that era – this is a pre-immunotherapy era, very early targeted therapy era – the overall prognosis for those patients are similar to the population I serve as a GI medical oncologist, pancreatic cancer today. Typically, median overall survival of a year or less. And so, a lot of her colleagues really wanted her to track overall survival alongside quality of life and depression scores as a result of that. And it really was a landmark publication because not only did it show an improvement of quality of life, but it actually showed an improvement of overall survival. And that was really, I think, revolutionary at the time. You know, a lot of folks had talked about if this was a drug, the FDA would approve it. We all in GI oncology laugh about erlotinib, which got an FDA approval for a 2-week overall survival advantage. And so, it really kind of set the stage for a lot of us in early career who had a passion in the integration of palliative care and oncology. And I think a lot of the subsequent ASCO, NCCN, COC, Commission on Cancer, guidelines followed through with that. But I think what we realized is now we're kind of sitting center stage, there's still a lot of resource issues that if we sent a referral to palliative care for every single patient diagnosed with even an advanced cancer, we would have a significant workforce shortage issue. And so, Ramy, I was wondering if you could talk a little bit about how do we help center in on who are the right patients that are going to have the greatest benefit from a palliative care specialist intervention? Dr. Ramy Sedhom: Thanks, Joe. Great question. So you mentioned Dr. Temel's landmark 2010 trial published in the New England Journal of Medicine. And it is still a game changer in our field. The results of her work showed not only improved quality of life and mood, but I think very surprisingly at the time, a survival benefit for patients with lung cancer who had received early palliative care. That work, of course, has helped shape national guidelines, as you've shared, and it also helped define early, as within 8 weeks of diagnosis. But unfortunately, there remains a disconnect. So in clinical practice, using diagnosis or stage as the only referral trigger doesn't really match the needs that we see show up. And I think unfortunately, the other part is that approach creates a supply demand mismatch. We end up either referring more patients than palliative care teams can handle, or at the opposite extreme, we end up referring no one at all. So, I actually just wanted to quickly give, for example, two real world contrasts. So one center that I actually have friends who work in, tried as a very good quality improvement incentive, auto-refer all patients with stage IV pancreas cancer to palliative care teams. And while very well intentioned, they saw very quickly that in a two-month period, they had 30 new referrals. And on the palliative care side, there were only 15 available new patient slots. On the other hand, something that I often see in practice, is a situation where, for example, consider the case of a 90-year-old with a low-grade B-cell lymphoma. On paper, low-risk disease, but unfortunately, when you look under the microscope, this gentleman is isolated, has symptoms from his bulky adenopathy, and feels very overwhelmed by many competing illnesses. This is someone who, of course, may benefit from palliative care, but probably doesn't check the box. And I think this is where the model of precision palliative care steps in. It's not really about when was someone diagnosed or what is the prognosis or time-based criteria of their cancer, but it's really fundamentally asking the question of who needs help, what kind of help do they need, and how urgently do we need to provide this help? And I think precision palliative care really mirrors the logic and the philosophy of precision oncology. So just like we've made strides trying to match therapies to tumor biology, we also need to have the same attention and the same precision to match support to symptoms, to context of a patient situation and their caregiver, and also to their personal goals. So I think instead of a blanket referral, we really need to tailor care, the right support at the right moment for the right person to the right care teams. And I think to be more precise, there's really four core elements to allow us to do this well. So first, we really need to implement systematic screening. Let's use what we already have. Many of our centers have patient reported outcomes. The Commission on Cancer motivates us to use distress screening tools. And the EHR is there, but we do very little to flag and to surface unmet care needs. We have seen amazing work from people like Dr. Ethan Bash, who is the pioneer on patient-reported outcomes, and Dr. Ravi Parikh, who used to be my colleague at Penn, now at Emory, who show that you could use structured data and machine learning to identify some of these patient needs in real time. The second piece is after a systematic screening, we really need to build very clear referral pathways. One very good example is what the supportive care team at MD Anderson has done, of course, led by Dr. Eduardo Brera and Dr. David Huey, where they have, for example, designed condition-specific triggers. Urgent referrals, for example, to palliative care for severe symptoms, where they talk about it like a rapid response team. They will see them within 72 hours of the flag. But at the same time, if the unmet need is a caregiver distress, perhaps the social work referral is the first part of the palliative care intervention that needs to be placed. And I think this helps create both clarity and consistency but also it pays attention to that provider and availability demand mismatch. Third, I really think we need to triage smartly. As mentioned in the prior example, not every patient needs every team member of the palliative care team. Some benefit most from the behavioral health intervention. Others might benefit from chaplaincy or the clinician for symptom management. And I think aligning intensity with complexity helps us use our teams wisely. Unfortunately, the greatest barrier in all of our health care systems is time and time availability. And I think this is one strategic approach that I have not yet seen used very wisely. And fourth, I really think we need to embrace interdisciplinary care and change our healthcare systems to focus more on value. So this isn't about more consults or RVUs. I think it's really about leveraging our team strengths. Palliative care teams or supportive care teams usually are multidisciplinary in their core. They often have psychologists, social workers, sometimes they have nurse navigators. And I think all of these are really part of that engine of whole person care. But unfortunately, we still are not set up in care delivery systems that unfortunately to this day still model fee for service where the clinician or the physician visit is the only quote unquote real value add. Hopefully as our healthcare systems focus more on delivery and on value, this might help really embrace the structure to bring through the precision palliative care approach. Dr. Joseph McCollom: No, I love those points. You know, we talk frequently in the interdisciplinary team about how a social worker can spend 5 minutes doing something that I could not as a physician spend an hour doing. But does every patient need every member every time? And how do we work as a unified body to deliver that dose of palliative care, specialized palliative care to those right patients and match them? And I think that perfect analogy is in oncology as a medical oncologist, frequently I'm running complex next-generation sequencing paneling on patients' tumors, trying to find out is there a genetic weakness? Is there a susceptibility to a targeted therapy or an immunotherapy so that I can match and do that precision oncology, right patient to the right drug? Similarly, we need to continue to analyze and find these innovative ways like you've talked about, PROs, EHR flags, machine learning tools, to find those right patients and match them to the right palliative care interdisciplinary team members for them. I know we both get to work in oncology spaces and palliative and supportive spaces in our clinical practice. Share a little bit, if you could, Ramy, about what that looks like for your practice. How do you find those right patients? And how do you then intervene with that right palliative oncology dose? Dr. Ramy Sedhom: So Joe, when I first started in this space as a junior faculty, one thing became immediately clear. I think if we rely solely on physicians to identify the patients for palliative care, we're unfortunately going to be very limited by what we individually, personally observe. And I think that's what reflects the reality that many patients have real needs that go unseen. So over the past few years, I've really worked with a lot of my colleagues to really work the health system to change that. The greatest partnership I've personally had has been working with our informatics team to build a real time EHR integrated dashboard that I think helps us give us a broader view of patient needs. What we really think of as the population health perspective. Our dashboard at Penn, for example, pulls in structured data like geriatric assessment results, PHQ-4 screens, patient reported outcomes, whether or not they've been hospitalized, whether or not these hospitalizations are frequent and recurrent. And I think it's allowed us to really move from a reactive approach to one that's more proactive. So let me give you a practical example. So we have embedded in our cancer care team, psycho-oncologists. They share the same clinic space, they're right down the hall. And we actually use this shared dashboard to review weekly trends in distress scores and patient reported outcomes. And oftentimes, if they see a spike in anxiety or worsening symptoms like depression, they'll reach out to me and say, “Hey, I noticed Mrs. Smith reported feeling very anxious today. Do you think it'd be helpful if I joined you for her visit?” And I think that's how we could really use data and teamwork to offer and maximize the right support at the right time. Like many of our other healthcare systems, we also have real-time alerts for hospitalizations. And I think like Dr. Temel's most recent trial, which we'll discuss at some point, I'm sure, it's another key trigger for vulnerability. I think whenever someone's admitted or discharged, we try to coordinate with our palliative care colleagues to assess do they need follow-up and in what timeline. And we know that these are common triggers, progression of disease, hospitalizations, drops in quality-of-life. And it's actually surprisingly simple to implement once you set up the right care structures. And I think these systems don't just help patients, which is what I quickly learned. They also help us as clinicians too. Before we expanded our team, I often felt this weight, especially as someone dual trained in oncology and palliative medicine, as trying to be everything to everyone. I remember one patient in particular, a young woman with metastatic breast cancer who was scheduled for a routine pre-chemo visit with me. Unfortunately, on that day, she had a very dramatic change in function. We whisked her down to x-ray and it revealed a pretty large pathologic fracture in her femur. And suddenly what was scheduled as a 30-minute visit became a very complex conversation around prognosis, urgent need for surgery and many, many life changes. And when I looked at my Epic list, I had a full waiting room. And thankfully, because we have embedded palliative care in our team, I was able to bring in Dr. Collins, the physician who I work with closely, immediately. She spent the full hour with the patient while I was able to continue seeing other patients that morning. And I think that's what team-based care makes possible. It's not just more hands on deck but really optimizing the support the patient needs on each individual day. And I think last, we're also learning a lot from behavioral science. So many institutions like Penn, Stanford, Massachusetts General, they've experimented with a lot of really interesting prompts in the EHR. One of them, for example, is the concept of nodes or the concept of prompt questions. Like, do you think this patient would benefit from a supportive care referral? And I think these low-level nudges, in a sense, can actually really dramatically increase the uptake of palliative care because it makes what's relevant immediately salient and visible to the practicing physician. So I think the key, if I had to maybe finish off with a simple message: It's not flashy tech, it's not massive change against staffing, but it's having a local champion and it's working smarter. It's asking the questions of how can we do this better and setting up the systems to make them more sustainable. Dr. Joseph McCollom: I appreciate you talking about this because I think a lot of folks want to put the wheels on in some way and they don't know where to get started. And so I think some of the models that you've been able to create, being able to track patients, screen your population, find the right individuals, and then work within that team to be able to extend, I think when you have an embedded palliative care specialist in your clinic, they expand your practice as a medical oncologist. And so you can make that warm handoff. And that patient and that caregiver, when they view the experience, they don't view you as a medical oncologist, someone else as a palliative care specialist, they view that team approach. And they said, "The team, my cancer team took care of me." And I think we can really harness a lot of the innovative technological advancements in our EHR to be able to prompt us in this work. I know that Dr. Temel had kind of set the stage for early palliative care intervention, and you did mention her stepped palliative care trial. Where do you see some of the future opportunities as we continue to push the needle forward as oncologists and palliative care specialists? What do you see as being the next step? Dr. Ramy Sedhom: So for those who are not familiar with the stepped palliative care trial, again, work by Dr. Temel, I think it's really important to explain not just the study itself, but I think more importantly, what it's representing for the future of our field. First, I really want to acknowledge Dr. Temel, who is a trailblazer in palliative oncology. Her work has not only shaped how we think about timing and delivery, but really about the value of supportive care. And more importantly, I think for all the young trainees listening, she had shown that rigorous randomized trials in palliative care are possible and meaningful. And I think for me, one quick learning point is that you could be an oncologist and lead this impactful research. And she's inspired many and many of us. Now let's quickly transition to her study. So in this trial, the stepped palliative care trial, patients with advanced lung cancer were randomized into two groups. One group followed the model from her landmark 2010 New England Journal of Medicine paper, which was structured monthly palliative care visits, again, within eight weeks of diagnosis. The second group, which is in this study, the intervention or the stepped palliative care group, received a single early palliative care visit. Think of this as a meet and greet. And then care was actually stepped up. If one of three clinical triggers happened. One, a decline in patient reported quality of life as measured by PROs. Two, disease progression, or three, hospitalization. And the findings which were presented at ASCO 2024 were striking. Clinical outcomes, very similar between the two groups. And this included quality-of-life, end-of-life communication, and resource use. But I think the take-home point is that the number of palliative care visits in the stepped group was significantly lower. So in other words, same impact and fewer visits. This was a very elegant example of how we can model precision palliative care, right sizing patient care based on patient need. So where do we go from here? I think if we want this model to take root nationally, we really need to pull on three key levers: healthcare systems, healthcare payment, and healthcare culture. So from a system alignment, unfortunately, as mentioned too often, the solution to gaps in palliative care is we need more clinicians. And while yes, that's partly true, it's actually not the full picture. I think what we first need to do and what's more likely to be achieved is to develop systems that focus on building the infrastructure that maximizes the reach of our existing care teams. So this means investing in nurse navigation, real-time dashboards with patient-reported outcomes and EHR flags, and again, matching triage protocols where intensity matches complexity. And the goal, as mentioned, isn't to maximize consults, but to really maximize deployment of expertise based on need. The second piece is, of course, we need payment reform. So the stepped palliative care model only works when it allows continuous patient engagement. But unfortunately, current pay models don't reward or incentivize that. In fact, electronic PROs require a very high upfront financial investment and ongoing clinician time with little to no reimbursement. Imagine if we offered bundled payments or value-based incentives for teams that integrated PROs. Or imagine if we reimbursed palliative care based on impact or infrastructure instead of just fee-for-service volume. There is a lot of clear evidence that tele-palliative care is effective. In fact, it was the Plenary at ASCO 2024. Yet we're still battling these conversations around inconsistent reimbursement, and we're always waiting on whether or not telehealth waivers are gonna continue. So I think most importantly is we really need to recognize the broader scope of what palliative care offers, which is caregiver support, improving navigation, coordinating very complex transitions. To me, and what I've always prioritized as a champion at Penn, is that palliative care is not a nice to have, and neither are all of these infrastructures, but they're really essential to whole person care, and they need to be financially supported. And last, we really need a culture shift. We need to change from how palliative care is perceived, and it can't be something other. It can't be something outside of oncology, but it really needs to be embraced as this is part of cancer care itself. I often see hesitancy from many oncologists about introducing palliative care early. But it doesn't need to be a dramatic shift. I think small changes in language, how we introduce the palliative care team, and co-management models can really go a very long way in normalizing this part of patient care. And I'm particularly encouraged, Joe, by one particular innovation in this space, which is really the growth of many startups. And one startup, for example, is Thyme Care, where I've seen them working with many, many private practices across the country, alongside partnerships with payers to really build tech-enabled navigation that tries to basically maximize triage support with electronic PROs. And to me, I really think these models can help scale access without overwhelming current care teams. So precision palliative care, Joe, in summary, I think should be flexible, scalable, and really needs to align based on what patients need. Dr. Joseph McCollom: No, I really appreciate, Ramy, you talking about that it really takes a village to get oncology care in both a competent and a compassionate way. And we need buy-in champions at all levels: the system level, the administrative level, the policy level, the tech level. And we need to change culture. I kind of want to just get your final impressions and also make sure that we make our listeners aware of our article. We should be able to have this in the show notes here as well to find additional tools and resources, all the studies that were discussed in today's episode. But, Ramy, what are some of your kind of final takeaways and conclusions? Dr. Ramy Sedhom: Before we wrap up, I just want to make sure we highlight a very exciting opportunity for residents considering a future in oncology and palliative medicine. Thanks to the leadership of Dr. Jamie Von Roen, who truly championed this cause, ASCO and the ABIM (American Board of Internal Medicine) have partnered to create the first truly integrated palliative care oncology fellowship. Trainees can now double board in just two years or triple board in three with palliative care, oncology, and hematology. And I think, Joe, as you and I both know, it's incredibly rewarding and meaningful to work at this intersection. To close our message, if there's one message I think listeners should carry with them, it's that palliative care is about helping people live as well as possible for as long as possible. And precision palliative care simply helps us do that better. We need to really develop systems that tailor support to individual need, value, and individual goals. Just like our colleagues in precision oncology mentioned, getting the right care to the right patient at the right time, and I would add in the right way. For those who want to learn more, I encourage you to read our full article in JCO, which is “Precision Palliative Care As a Pragmatic Solution for a Care Delivery Problem.” Joe, thank you so, so much for this thoughtful conversation and for your leadership in our field. And thank you to everyone for listening. Thank you all for being champions of this essential part of cancer care. If you haven't yet joined the ASCO Palliative Care Communities of Practice, membership is free, and we'd love to have you. Dr. Joseph McCollom: Thank you, Ramy, not only for sharing your insights today, but the pioneering work that you have done in our field. You are truly an inspiration to me in clinical practice, and it is an honor to call you both a colleague and friend.  And thank you for our listeners for joining us today. If you value the insights that you've heard on the ASCO Daily News Podcast, please subscribe, rate, and review wherever you get your podcasts. Thanks again. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:   Dr. Joseph McCollom @realbowtiedoc Dr. Ramy Sedhom @ramsedhom Follow ASCO on social media:   @ASCO on X (formerly Twitter) ASCO on Bluesky  ASCO on Facebook   ASCO on LinkedIn   Disclaimer: Dr. Joseph McCollom: No relationships to disclose Dr. Ramy Sedhom: No relationships to disclose

Former nurse and certified death doula Kacie Gikonyo shares the story of how caregiving from a young age led her to a career focused on end-of-life care and support. After years working in long-term care and witnessing the challenges and heartbreak of death on the front lines — especially during the COVID-19 pandemic — Kacie chose to become a death doula. She now trains others worldwide through her online Death Doula School. Kacie opens up about the emotional toll of witnessing lonely, unplanned deaths, the gaps in the healthcare system's approach to dying, and the ways in which death doulas restore humanity and dignity to this final chapter. She also discusses the importance of grief education, advance directives, and compassionate presence for patients and their families.This conversation invites listeners into a vital, often overlooked part of the grief journey and offers hope that through intentional care and presence, death can be transformed into a more meaningful and peaceful experience for all.GIVE THE SHOW A 5-STAR RATING ON APPLE PODCASTS! FOLLOW US ON APPLE OR YOUR FAVORITE PODCAST PLATFORM! BOOKMARK OUR WEBSITE: www.ourdeaddads.com FOLLOW OUR DEAD DADS ON SOCIAL MEDIA: Facebook: https://www.facebook.com/ourdeaddadspod/ Instagram: https://www.instagram.com/ourdeaddadspod TikTok: https://www.tiktok.com/@ourdeaddadspod Twitter / X: https://x.com/ourdeaddadspod YouTube: https://www.youtube.com/channel/UCmmv6sdmMIys3GDBjiui3kw LinkedIn: https://www.linkedin.com/in/ourdeaddadspod/

Send us a textI sit down with Dr. Dirk Huyer, Ontario's Chief Coroner, to explore the evolving complexities behind Medical Assistance in Dying (MAiD) in Canada. As the chair of the province's MAiD Death Review Committee (MDRC), Dr. Huyer offers a rare and in-depth perspective on what the data really shows, how legislation is being interpreted in practice, and whether concerns over coercion or systemic failure hold weight.MAiD Death Review Committee Reportshttps://arpacanada.ca/ontario-maid-death-review-committee-reports-2024/Support the showVisit my NEW Website! https://www.christopherbalkaran.comCheck out my Instagram/Tik Tok for daily posts: Instagram @openmindspodTiktok @openmindspodcast

The conversation delves into the complexities of end of life care in combat settings, emphasizing the need for palliative care discussions among military medical personnel. It highlights the challenges faced in recognizing non-survivable injuries, the decision-making process in resuscitation efforts, and the importance of compassionate care for both patients and their loved ones. The discussion also touches on the role of opioids in managing pain and anxiety during end of life care, advocating for a shift in focus from aggressive treatment to comfort and dignity for the patient.TakeawaysEnd of life care is a critical conversation in military medicine.Palliative care is often overlooked in combat settings.Recognizing non-survivable injuries is essential for effective care.Decision-making in resuscitation requires courage and leadership.Compassionate care benefits both the patient and their loved ones.Opioids play a significant role in managing pain in palliative care.Transitioning to palliative care is a necessary step in certain cases.Medical providers must educate themselves on end of life care.Patient autonomy should be respected in decision-making.Compassionate care can alleviate the emotional burden on medical providers.Chapters00:00 Introduction to End of Life Care in Combat02:34 The Challenges of Palliative Care in Military Settings09:57 Recognizing Non-Survivable Injuries19:08 Decision-Making in Resuscitation Efforts35:49 Transitioning to Palliative Care43:03 The Role of Opioids in Palliative Care53:18 Compassionate Care and Patient AutonomyThank you to Delta Development Team for in part, sponsoring this podcast.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠For more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care

In Part 3 of The Dying Patient: Palliative and End of Life Care, we delve into the complexities ambulance clinicians face when supporting patients in their final days and hours. Often the first to recognise when someone is dying, paramedics work within a system where community engagement may be limited, making their role crucial in identifying signs such as terminal agitation, unconsciousness, and other common symptoms. The episode discusses the importance of anticipatory medications and proactive advance care planning , especially in situations involving carer breakdown or when patients change their minds about where they wish to die.We explore why ambulance services are frequently called during end-of-life stages, whether due to uncontrolled symptoms, sudden deterioration, or emotional distress within families. Paramedics not only offer symptom relief, both pharmacological and non-pharmacological, but also provide vital emotional support to those navigating grief, denial, or fear. Challenges include differentiating between reversible conditions and active dying, managing care when anticipatory medications are unavailable, and coordinating with wider healthcare teams.Breaking bad news is another critical area discussed, with a focus on using frameworks such as Ask-Tell-Ask and adapting communication to the emotional needs of the moment. Lastly, the episode reflects on cultural considerations in a city as diverse as London. From language barriers and different expressions of grief to religious rituals and care after death, ambulance clinicians must remain adaptable and compassionate, ensuring that care is respectful, inclusive, and sensitive to the needs of every individual and their family. Some of the links to information mentioned in the episode can be found here: These are some of the resources mentioned in the episode:Breaking Bad News: ⁠⁠https://www.sth.nhs.uk/clientfiles/File/Breaking%20bad%20news%20Reflection%20on%20the%20process.pdf⁠⁠Good Grief - understanding the grief journey in more detail: ⁠⁠https://good-grief.org/resources/⁠⁠Hospice UK, an excellent place for further resources: ⁠⁠https://www.hospiceuk.org/our-campaigns/dying-matters/dying-matters-awareness-weekUK National Guidelines on Diabetes and End of Life Care: https://www.diabetes.org.uk/sites/default/files/2025-03/EoL_TREND_2024_v11-1.pdfThis episode is sponsored by PAX: The gold standard in emergency response bags.When you're working under pressure, your kit needs to be dependable, tough, and intuitive. That's exactly what you get with PAX. Every bag is handcrafted by expert tailors who understand the demands of pre-hospital care. From the high-tech, skin-friendly, and environmentally responsible materials to the cutting-edge welding process that reduces seams and makes cleaning easier, PAX puts performance first. They've partnered with 3M to perfect reflective surfaces for better visibility, and the bright grey interior makes finding gear fast and effortless, even in low light. With over 200 designs, PAX bags are made to suit your role, needs, and environment. And thanks to their modular system, many bags work seamlessly together, no matter the setup.PAX doesn't chase trends. Their designs stay consistent, so once you know one, you know them all. And if your bag ever takes a beating? Their in-house repair team will bring it back to life.PAX – built to perform, made to last.Learn more at pax-bags.com

Colton's getting real with Hospice Nurse Julie—ICU nurse turned hospice educator and unexpected TikTok trailblazer. She shares how working so closely with death has completely reshaped the way she lives: slower, more present, and with a deep sense of purpose.They talk about the beauty in end-of-life moments, the wild reality of visioning (yes, people really see loved ones before they pass), and how grief, sobriety, and stepping outside traditional nursing norms led Julie to a fuller, more authentic life. If you're craving perspective, permission to slow down, or just a little reminder of what actually matters—this one's for you.>>How Hospice Nurse Julie Made Death Go Viral—and Life More MeaningfulJump Ahead to Listen:[00:02:07] Starting hospice education online.[00:05:09] Living versus dying perspectives.[00:09:39] Reflection on life and death.[00:10:20] The importance of discussing death.[00:16:20] Love and connection at death.[00:19:12] Survival against all odds.[00:22:03] Hospice visions of deceased loved ones.[00:26:01] Connection through mediumship experience.[00:29:00] Near-death experiences and validation.[00:30:43] Importance of discussing dying process.Connect with Colton on social media:Instagram: @coltonlord17, @nursedaddiesTikTok: @nursedaddiesCheck out Julie's website and connect with her on social media:Instagram: @hospicenursejulieTikTok: @hospicenursejulieYouTube: @hospicenursejulieFor more information, full transcript and videos visit Nurse.org/podcastJoin our newsletter at nurse.org/joinInstagram: @nurse_orgTikTok: @nurse.orgFacebook: @nurse.orgYouTube: Nurse.org

(Lander, WY) - Sarah Wilzbacher and Rachael Price from Lander's Anam Cara Caregiving return for an in-depth interview about their services and information for those dealing with end-of-life caregiving. They're joined by Kelly Dehnert, who used Anam Cara's services when his parents were in need of care. To listen to the full conversation, click the player below or search for the County 10 Podcast on any major podcast player. The Lander non-profit strives to bring relationship, meaning and dignity to the forefront for those dealing with progressive illnesses and end-of-life. Anam Cara Caregiving will be participating in "WyoGives Day" on July 16th. To make a donation to Anam Cara Caregiving during the 24-hour matching period, click here. For more information about Anam Cara's services you can visit their website here. They're also available via phone at: 307-335-4330 *Paid for by Anam Cara Caregiving*

In the heart of the Valley, a community is rallying together to build a sanctuary where families can say their goodbyes in a peaceful, home-like setting. Katie's Comfort House is a tribute to Katie Teets, a vibrant neurotrauma intensive care nurse whose life was tragically cut short by breast cancer at the age of 26. Her family's mission is to create a place that bridges the gap between hospital care and the comfort of home, allowing families to be with their loved ones in their final days. In this episode of The Valley Today, host Janet Michael welcomes Julie Teets, Katie's mother, and Brandon Teets, Katie's brother. Also joining them is Micah Howard & the Southern Ghost. The conversation revolves around an upcoming country music festival designed to benefit Katie's Comfort House. Julie opens up about Katie's life—a soccer player, neurotrauma intensive care nurse, and fighter who was diagnosed with triple-negative BRCA breast cancer. Katie's journey through treatments, relapses, and her eventual passing in the comfort care room of Winchester Medical Center paints a vivid picture of resilience and family unity. "Katie was treated very well at the hospital, but there were limitations. We want to help others walk away from this tragic time with more comfort," Julie explains. Thus, Katie's Comfort House was born—a place with all the amenities of a medical facility but the feel of home. The facility aims to offer a nurturing environment complete with individual rooms that open to the outdoors, communal spaces for families, and the necessary medical equipment to support end-of-life care. The goal is to make saying goodbye a little easier for everyone involved. Fundraising efforts have been robust, with the community responding warmly. Brandon recounts how Katie's house idea came to life less than a month after her passing. Their board, composed of close friends and family, got quickly to work. Concerts, car shows, and other community events are integral to their fundraising efforts. The upcoming country music festival on July 25th at The Monument in North Loudoun Street is a significant milestone in their journey. Micah Howard, an integral part of the concert, shares his admiration for the Teets family. He never knew Katie but feels a strong connection through her family and their cause. "Katie's spirit has made something remarkable; it's built this really tight community," Micah says. His blend of southern rock and grunge adds a unique flavor to the event, promising an entertaining night for all attendees. Julie shares an unforgettable story showing Katie's lively personality. "Katie couldn't dance; it was so awkward and uncomfortable to watch her," she laughs, recounting a night where Katie took out a ceiling fan at Piccadilly Brew Pub. Serendipitously, the contractor they hired for home renovations turned out to be the bouncer who helped Katie back up. Such coincidences have strengthened the family's belief that Katie is still with them, guiding their efforts. While the community fundraises to bring Katie's Comfort House to life, Julie and Brandon continue their professional lives. Julie is a real estate agent, and Brandon is a home inspector. "Our foot's on the gas pedal, and we're not letting off," Julie asserts, sharing hopes for significant announcements in the coming months. The journey hasn't been easy, but the Teets family is driven by Katie's spirit and the community's overwhelming support. Katie's Comfort House is not just about providing a facility; it's about creating a lasting legacy for a woman who touched many lives. You can support Katie's Comfort House by attending their events, spreading the word, or visiting their Facebook page and website. As Brandon says, "We're setting ourselves up for the future. Katie's Comfort House will last a lifetime and be for everyone."

Dr Michelle Meiring spoke to Mike Wills about her open letter opposing the legalisation of assisted dying in South Africa, the ethical concerns raised by palliative care specialists, and why she believes better pain management-not assisted suicide-is the answer. The Money Show is a podcast hosted by well-known journalist and radio presenter, Stephen Grootes. He explores the latest economic trends, business developments, investment opportunities, and personal finance strategies. Each episode features engaging conversations with top newsmakers, industry experts, financial advisors, entrepreneurs, and politicians, offering you thought-provoking insights to navigate the ever-changing financial landscape. Thank you for listening to a podcast from The Money Show Listen live Primedia+ weekdays from 18:00 and 20:00 (SA Time) to The Money Show with Stephen Grootes broadcast on 702 https://buff.ly/gk3y0Kj and CapeTalk https://buff.ly/NnFM3Nk For more from the show, go to https://buff.ly/7QpH0jY or find all the catch-up podcasts here https://buff.ly/PlhvUVe Subscribe to The Money Show Daily Newsletter and the Weekly Business Wrap here https://buff.ly/v5mfetc The Money Show is brought to you by Absa Follow us on social media 702 on Facebook: https://www.facebook.com/TalkRadio702702 on TikTok: https://www.tiktok.com/@talkradio702702 on Instagram: https://www.instagram.com/talkradio702/702 on X: https://x.com/CapeTalk702 on YouTube: https://www.youtube.com/@radio702 CapeTalk on Facebook: https://www.facebook.com/CapeTalkCapeTalk on TikTok: https://www.tiktok.com/@capetalkCapeTalk on Instagram: https://www.instagram.com/CapeTalk on X: https://x.com/Radio702CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567See omnystudio.com/listener for privacy information.

Hello friends! Few life stories are as captivating and courageous as that of Gina Economopoulos. From surviving childhood surgeries and personal loss to battling alcoholism and navigating tumultuous relationships, her journey took an unexpected turn- spending 12 yrs as a nun in a convent. Now, as an end of life doula, she has found her true calling: bringing peace, dignity, and compassion to those in their final moments.To contact Gina: www.ginaecon.comTo reach your host: www.lifecoachmaureen.com #applepodcasts #goodpods #listennotes #ineverknewbutmydogdidpodcast #lifecoachmaureen #inspirational #selfhelp #resilienceBecome a supporter of this podcast: https://www.spreaker.com/podcast/i-never-knew-ink-but-my-dog-did-by-lifecoach-maureen--5602763/support.

At just 9 years old, Lori Lynne had a profound Near Death Experience (NDE) that would shape the path of her life. Today, she works to help others raise their energetic frequency - a process she sees as essential to healing, awakening, and living in alignment with the soul's purpose. Today, Lori Lynne is a Registered Nurse, Respiratory Therapist, energy worker, and childhood Near Death Experiencer. With over 20 years in critical care, medical research, and end-of-life support, Lori Lynne brings a powerful blend of clinical expertise and spiritual insight to our conversation  For more about Lori Lynne, visit: Website: https://www.frequencynurse.com

In our previous episode, we explored the meaning and importance of end-of-life care, particularly during the final 12 months of life. We discovered how difficult it is to predict this timeline, especially for ambulance clinicians who often see patients at critical points without a full picture of their medical history.In this episode, we take a closer look at what that final year can involve, focusing on the pre-hospital setting. We'll explore the unique challenges ambulance clinicians face in making rapid, high-stakes decisions, and how existing documentation—such as care plans or advance directives—can provide valuable guidance in those moments.We'll also discuss the role of shared decision-making and how ambulance services can help balance specialist and generalist palliative care needs. Alongside this, we'll highlight how the NHS Long Term Plan and other key initiatives aim to improve care coordination and ensure more consistent, compassionate care.Lastly, we'll examine the barriers to effective advance care planning. These range from cultural sensitivities to systemic and logistical obstacles. Throughout, we'll consider how we can better support ambulance clinicians to deliver thoughtful, person-centred care during some of life's most vulnerable and uncertain moments. Please find links to the SPICT Tool that is mentioned in the episode: https://www.spict.org.uk/#:~:text=Supportive%20%26%20Palliative%20Care%20Indicators%20Tool,is%20a%20plain%20language%20version.

Send us an inquiry through a text message here!Welcome to another episode of The Veterinary Roundtable! In this episode the ladies discuss what their chip of choice would be if they were the CEO of a chip company, an uncomfortable (but funny) tale from the trench, diving deeper into the realities of pet hospice and euthanasia, and more!Do you have a question, story, or inquiry for The Veterinary Roundtable? Send us a text from the link above, ask us on any social media platform, or email theveterinaryroundtable@gmail.com!Episodes of The Veterinary Roundtable are on all podcast services along with video form on YouTube!Instagram: https://tinyurl.com/2h27xnfuTikTok: https://tinyurl.com/m8f62ameYouTube: https://tinyurl.com/48njfywdTIMESTAMPS00:00 Intro01:11 Pits And Peaks10:38 Icebreaker18:31 Tails From The Trenches21:38 Case Collections36:05 Getting Real About Pet Hospice And Euthanasia42:20 Outro

Explore how death doulas fill the gaps in end-of-life medical care with Kacie Gikonyo, RN and founder of The Death Doula Collective. A conversation about presence, advocacy, and healing at the end of life.

If you've ever avoided talking about death with a loved one because it felt too uncomfortable or culturally off-limits, episode 344 is for you. Dr. Cynthia X. Pan, a leading expert in end-of-life care, shares practical strategies for navigating these sensitive conversations with empathy and clarity. Learn how to approach topics like advanced directives and final wishes—especially across cultural lines—so you can honor your loved ones' values and find peace in knowing you did right by them.In This Episode, You Will Learn:(1:25) The evolution of palliative care(2:55) Ethics and cultural diversity in end-of-life conversations(4:30) Reframing death with dignity and celebration(5:51) The power of showing up(6:47) Family dynamics and grief during COVID(10:05) Why advanced directives matter(14:30) When systems ignore patient wishes(15:44) Navigating cultural resistance to end-of-life talk(21:56) Breaking death taboos and redefining goodbyeIn today's episode, I'm joined by Dr. Cynthia X. Pan, a board-certified physician in internal medicine, geriatrics, and hospice and palliative medicine. She holds a BA in Biology from Harvard and an MD from Stony Brook University School of Medicine. Dr. Pan completed her internal medicine residency at the University of Rochester and a geriatrics fellowship at Harvard Medical School's Division on Aging. She now serves as Chief of Geriatrics and Palliative Care Medicine and Designated Institutional Official for Graduate Medical Education at NewYork-Presbyterian Queens. A Professor at Weill Cornell Medical College, she educates future healthcare providers on palliative care, cultural humility, and communication. Fluent in Mandarin and Spanish, she brings a multicultural lens to patient-centered care.Throughout this episode, Dr. Pan uses her medical background and personal experiences to share both clinical insight and emotional depth. She reflects on working in one of the most culturally diverse regions in the U.S., where sensitive end-of-life conversations require compassion and cultural awareness. Through stories of caring for her father and mother-in-law, she highlights the importance of honoring patients' wishes. She also discusses how to approach taboo topics like death with respect and indirect communication—especially in communities where such discussions are avoided. Her guidance helps us embrace these moments with courage, clarity, and connection.Connect with Dr. Cynthia X. Pan:WebsiteInstagramLinkedInBook: Exit Strategies: Living Lessons from Dying People Let's Connect:WebsiteLinkedInFacebookInstagramTwitterThe Grief and Happiness Alliance Hosted on Acast. See acast.com/privacy for more information.

One of the country's largest hospice organisations is planning to reduce services next month, if nothing changes with regard to its funding. 

In this episode of the Pre-Hospital Care Podcast, we explore the evolving role of ambulance clinicians in palliative and end-of-life care. We're joined by a dedicated team working to improve how prehospital services support patients in their final months, ensuring care is compassionate, coordinated, and patient-centred.We introduce the team and their roles before breaking down the key concepts of palliative and end-of-life care. We discuss the differences between generalist and specialist palliative care, the challenges of identifying patients in the last year of life, and the critical role ambulance services play in this journey.The conversation then moves to the service gaps and educational challenges identified within prehospital care. We examine referral pathways, tools like SPICT for early identification, and how technology shapes advanced care planning (ACP) to help inform decision-making. The team also highlights the importance of education in building clinician confidence when navigating these complex cases.Looking ahead, we discuss the future of prehospital palliative care, including the role of simulation training, national collaboration, and addressing healthcare inequalities. We also explore opportunities for joint learning, debriefs, and improved care pathways to strengthen the connection between ambulance services and specialist palliative care teams.The SPICT tool can be found here: https://www.spict.org.uk/the-spict/This podcast is sponsored by PAX.⁠Whatever kind of challenge you have to face - with PAX backpacks you are well-prepared. Whether on water, on land or in the air - PAX's versatile, flexible backpacks are perfectly suitable for your requirements and can be used in the most demanding of environments. Equally, PAX bags are built for comfort and rapid access to deliver the right gear at the right time to the right patient. To see more of their innovatively designed product range, please click here:⁠https://www.pax-bags.com/en/⁠

Doctors are key members of the hospice team. On this episode, Mary Crowe welcomes on Dr. Kristen Schaefer, Vice President and Associate Chief Medical Officer. They talk about the role of a hospice physician.This episode continues our series informing the audience about all facets of end-of-life care.CareDimensions.org

In this episode, we explore the fascinating phenomenon of Terminal Lucidity - what it is, how it occurs, and why it continues to mystify both science and spirituality. Hear powerful, firsthand stories from those who've witnessed this final moment of clarity, offering insight, comfort, and awe at the threshold between life and death. Some of the references to this episode include: https://pubmed.ncbi.nlm.nih.gov/20010032/ https://theconversation.com/terminal-lucidity-why-do-loved-ones-with-dementia-sometimes-come-back-before-death-202342 https://www.buddhanet.net/bereaved/ https://www.leiferreport.com/poetry-life/ https://www.crossroadshospice.com/hospice-resources/spirituality-end-of-life-care https://en.wikipedia.org/wiki/Moksha https://waterfromrock.org https://en.wikipedia.org/wiki/Turiya www.reddit.com www.quora.com *** The views and opinions expressed in this podcast are intended solely for discussion and informational purposes. They do not necessarily represent the views of the hosts, guests, or affiliated organizations, and should not be taken as professional advice or endorsements. Please consider this content as part of an open dialogue. For more about Kirsty, visit www.kirstysalisbury.com

The Minds in Motion Podcast from Dementia Researcher in association with the NIHR Applied Research Collaborations and Alzheimer's Society, brings together NIHR Dem Comm Research Fellows, to talk about their research and careers. Over the next few months, we will be releasing the second series, hearing from five of the Dem Comm Fellows each taking e a turn as co-host and guest. Alongside the researchers we have the incredible Trevor Salomon, Alzheimer's Society Volunteer & Chair of the European Dementia Carers Working Group as our permanent co-host and anchor. -- In show Trevor is joined by Dr Katie Breheny from Bristol University and NIHR Applied Research Collaboration (ARC) West to interview Dr Pippa Collins. Pippa Collins is an Advanced Clinical Practitioner and NIHR / Alzheimer's Society Dem Comm Fellow based at the University of Southampton and NIHR ARC Wessex. Her research primarily addresses the critical aspects of end-of-life care, frailty, and dementia. In this discussion, we explore her work aimed at enhancing the recognition and management of the end-of-life period for people living with dementia. Pippa highlights the importance of shifting from traditional medicalised models of palliative care towards a holistic and personalised "palliative approach," focusing on recognising individual trajectories and vulnerabilities. Her goal is to foster improvements in dementia care practices by better educating healthcare professionals, supporting families, and integrating patient-centred care pathways that respect each individual's emotional, social, and cognitive needs. -- Dem Comm is a 2 year programme funded by the National Institute of Health and Care Research and the Alzheimer's Society. It supports a new generation of dementia research leaders, bringing together researchers from different multidisciplinary backgrounds to encourage cross-cutting and community-orientated dementia research projects that can address key gaps in the evidence around dementia care and support, delivering transformative translational research. -- For information on the Fellowship visit: http://www.arc-wx.nihr.ac.uk/dem-comm-research-fellows For guest biographies, a full transcript and much more visit: https://www.dementiaresearcher.nihr.ac.uk - Like what you hear? Please review, like, and share our podcast, and don't forget to subscribe to ensure you never miss an episode. If you prefer to watch rather than listen, you'll find a video version of this podcast on our website & on YouTube. -- This podcast is brought to you in association with Alzheimer's Association, Alzheimer's Research UK, Alzheimer's Society and Race Against Dementia, who we thank for their ongoing support. -- Follow us on Social Media: https://www.instagram.com/dementia_researcher/ https://www.facebook.com/Dementia.Researcher/ https://www.bsky.app/profile/dementiare…archer.bsky.social https://www.linkedin.com/company/dementia-researcher

Death and aging are universal human experiences, yet few of us feel fully prepared to navigate them. In this deeply thoughtful conversation, Amber Albee Swenson draws from her unique perspective as both a private elderly companion and nursing home worker to offer wisdom that transcends typical end-of-life discussions.Swenson walks us through practical preparation strategies regardless of our current life stage. For those still in their prime, she emphasizes that daily health habits aren't just about present comfort but future independence. "Thank God that you still can climb those stairs," she advises, encouraging a perspective shift that views physical capabilities as gifts rather than burdens.When discussing the caregiving journey, Swenson's compassion shines through as she acknowledges its inherent messiness. Having watched her own mother's struggle with Alzheimer's, she offers the profound yet simple goal of making loved ones "feel safe and loved" rather than striving for unattainable perfection. Her practical advice on advocacy, family dynamics, and recognizing when additional help is needed comes with reassurance that seeking support doesn't represent failure.The conversation takes a particularly moving turn when examining the distinctly Christian approach to end-of-life care. Swenson shares powerful stories of seemingly unconscious patients responding to prayer and Scripture, reminding us that our spiritual presence matters even when words seem futile. "This is not the time to settle scores," she emphasizes, encouraging families to focus on grace, forgiveness, and the promises of eternity.Perhaps most challenging is Swenson's call for Christians to overcome hesitation about sharing faith in healthcare settings. "Stop being so afraid of offending," she urges, noting that many nursing home residents lack spiritual support in their final days. This reframes family visits not just as obligations but as ministry opportunities that extend beyond our loved ones to everyone within hearing distance.Ready to approach end-of-life matters with greater confidence and spiritual purpose? This episode offers both practical guidance and spiritual encouragement for one of life's most challenging journeys.SHOW NOTES:Find strength and courage in your faith at this year's FEARLESS FAITH Conference. Inspired by Joshua 1:9, “Be strong and courageous,” join us for presentations on navigating life's storms, understanding God's peace, and engaging in crucial conversations about euthanasia, anorexia, abortion, prenatal genetic testing, and more. Hear powerful journeys of faith through loss and hope. Don't miss this empowering event! $50 in person or $40 virtual. Register now: https://christianliferesources.com/resources/events/2025-conference/Support the show

Learn why it’s important to be aware of the needs of people with disabilities (and their families) when providing end-of-life and bereavement care. My guest Carrie Batt is an end-of-life doula and the founder of SEOL Care which offers disability-competent end-of-life care, support and planning for people with a disability and their families. She advocates… Continue reading Ep. 501 Disability-Informed End-of-Life Care with Carrie Batt

Today's episode is one that I have wanted to create since January, when mum was told there was no more treatment and my family and I had to dive deep into death. I know no one likes to talk about it, but I actually want to change the narrative and become more open about this topic. Grieving is the most common human experience, everyone will have to endure it at some point so understanding end of life care a little better has empowered me and really helped with the healing journey. On the podcast I have Shanae O'Leary, a registered psychologist who has a strong passion in palliative care treatments. Shanae has done a lot of work on trauma and is currently working with a team of health professional and palliative care specialists to make psilocybin assisted therapy accessible to people given a terminal diagnosis who are experiencing existential distress towards the end of their life. More information about End Wise below:https://www.endwise.au/

In this episode, I'm joined by Selma Zollman, a music therapist and member of Brazilian Voices—a nonprofit female vocal group based in South Florida. For over 22 years, Brazilian Voices has been bringing the tranquil sounds of Bossa Nova into hospitals, medical facilities, and schools, uplifting patients, families, and healthcare workers through music.What You'll Hear:Pam's personal journey with grief and how art and music can provide solace in times of loss.Selma Zollman's story of following her passion for music therapy and joining Brazilian Voices.The transformative power of harmony—how Brazilian Voices uses soft, multi-part singing to create a gentle ambiance in hospitals, allowing patients, families, and staff to simply “be.”Why the group's presence is about illumination, not cure, and how performing with “no expectations” brings peace for both singers and listeners.Heartfelt anecdotes about the response from patients (including those at end-of-life), their families, and healthcare workers touched by the music.Selma's thoughts on the importance of expanding similar music programs to more hospitals and healthcare settings, despite the challenges around privacy and logistics.Ways to follow and learn more about Brazilian Voices, including their Instagram, Facebook, and website.Learn More:Find out more about Brazilian Voices:Instagram: @brazilianvoicesFacebook: Brazilian VoicesWebsite: brazilianvoices.orgConnect with the Show:Host Pam Uzzell welcomes your feedback and stories. Reach out via arthealsallwoundspodcast.com.Credits:Music in this episode: Ketsa, Lobo Loco, and Brazilian VoicesEditing by Iva Hristova

Send us a textWe're focusing on a documentary at the SFFilm Festival that highlights some of the beautiful change makers in the heart of the Bay.The Chaplain & the Doctor shares the story of two unlikely allies who are tackling a broken healthcare system with curiosity, compassion and connection. We are joined by director/participant Dr. Jessica Zitter, and Chaplain Betty Clark to discuss the origins and importance of Palliative Care, the positive changes they see happening in hospitals, and turning misunderstandings into teachable moments.To host a screening of The Chaplain & the Doctor, click here!Follow The Chaplain & the Doctor on IGFollow director/Dr. Jessica Zitter on IGSupport the showThanks for listening and for your support! We couldn't have won Best of the Bay Best Podcast in 2022 , 2023 , and 2024 without you! -- Fight fascism. Shop small. Use cash. -- Subscribe to our channel on YouTube for behind the scenes footage! Rate and review us wherever you listen to podcasts! Visit our website! www.bitchtalkpodcast.com Follow us on Instagram & Facebook Listen every Tuesday at 9 - 10 am on BFF.FM

In this powerful episode of Radio Medium, Psychic Medium Laura Lee connects with caller Ashley, a compassionate caregiver surrounded by hundreds of spirits from the other side. Ashley's spirit guides reveal that she unknowingly carries the unresolved grief of her patients home with her—an energetic burden that is quietly impacting her personal life and emotional well-being.Laura offers deeply personal and intuitive guidance on how Ashley can restore balance in her life and career—particularly one so intimately connected with end-of-life care. Through daily spiritual rituals, emotional boundaries, and a shift in mindset, Laura empowers Ashley to transform grief into a celebration of life—both her own and those who have crossed over.This episode is rich with messages of healing, love, and spiritual clarity. It's a powerful listen for anyone in caregiving roles, navigating grief, or seeking reassurance that we are never truly alone. Tune in for transformative insights, heartfelt mediumship readings, and divine wisdom from the spirit world that helps us live with purpose, peace, and connection.✨

Chelsea McGivney, DVM earned her Doctor of Veterinary Medicine degree from Colorado State University.Her diverse veterinary career includes completing a small animal internship, working as an emergency and general practitioner, serving as an in-home end-of-life care veterinarian, and working in the pet food industry as a veterinary consultant for a leading company. This unique blend of experiences prepared McGivney for her role as General Manager at Caring Pathways, where she leads a dedicated team of at-home, end-of-life specialists. Her deep passion for the human-animal bond allows her to combine her professional expertise with her love of veterinary care to support families during some of life's most tender moments. Tyler Carmack, DVM, CVA, CVFT, CHPV, CTPEP,  is the Director of Hospice and Palliative Care for Caring Pathways. She founded Hampton Roads Veterinary Hospice, an AAHA Accredited End of Life practice, and has practiced exclusively hospice and palliative care since 2011. She has served on the Board of Directors of the International Association for Animal Hospice and Palliative Care (IAAHPC) since 2016 in various roles, including President in 2020 and 2025. Carmack holds certifications in animal hospice and palliative care, veterinary pain management, peaceful euthanasia, veterinary acupuncture, TCVM food therapy, and TCVM End-of-Life care.

Compassion, kindness and authenticity: these are some of the fundamentals of end of life care, according to Marie Curie clinical educator Maria Sinfield.On the latest episode of the Nursing Standard podcast, Ms Sinfield tells RCNi content editor and podcast host Alistair Mason about the skills nurses need to provide person-centred end of life care, and how to build confidence in an area of practice that some can find challenging.Follow the Nursing Standard podcast on Apple Podcasts, Spotify, Acast or wherever you get your podcasts.For more episodes of the Nursing Standard podcast, visit rcni.com/podcast Hosted on Acast. See acast.com/privacy for more information.

Learn how doulas and chaplains collaborate to provide end-of-life care in a skilled nursing facility. My guests for this episode are Jane Whitlock and Liza Neal who both work with the Full Circle Care Program in a skilled nursing facility to support residents and their loved ones during end-of-life journeys. Jane is an end-of-life doula… Continue reading Ep. 497 Integrating Doulas and Chaplains in End-of-Life Care with Jane Whitlock and Liza Neal

Unveil the secrets of effective end-of-life planning with Greg Barnsdale, CEA, CFP, LFD. In this vital episode, he shares insights from his personal health scare and professional experience, underscoring the importance of clear communication and thorough documentation to safeguard your wishes and prevent family conflicts. Don't miss these essential strategies to ensure your legacy is managed exactly as you envision.   Key Takeaways To Listen For The importance of pre-planning What are medical directives for? Pros and cons of setting up wills online How planning ahead can prevent financial overspending Why you need a certified executor advisor   Resources/Links Mentioned In This Episode Do Not Ignore Your Mortality by Greg Barnsdale | Kindle, Paperback, and Hardcover   Take the Living Legacy Quiz and find out if you're truly prepared. Start now at https://www.donotignoreyourmortality.com/quiz.html. Start meaningful conversations about end-of-life planning with Top 30 Questions To Ask Yourself Right Now. Access the free resource and Canadian planning tools at https://www.donotignoreyourmortality.com/resources.html.   About Greg Barnsdale, CEA, CFP, LFDGreg Barnsdale is a seasoned professional in the funeral industry and financial planning, with credentials as a Certified Executor Advisor, Certified Financial Planner, and licensed Funeral Director since 1985. His diverse experience spans roles in various funeral homes, as an examination proctor, and a life insurance specialist, educating financial advisors across Canada. Greg, who is also a hospice volunteer and holds a certificate in Estate & Trust Administration from STEP Canada, has authored the book "Do Not Ignore Your Mortality," which aims to encourage proactive end-of-life planning. His work promotes the Death Positive Movement and offers practical advice for legacy planning, blending seriousness with a touch of humor. His book is available on major platforms, including Amazon and Barnes & Noble.   Connect with Greg Website: • GREG BARNSDALE • LinkedIn: Greg Barnsdale CEA/CFP/LFD Facebook: Do Not Ignore Your Mortality YouTube: Greg Barnsdale   Connect With UsIf you're looking to invest your hard-earned money into cash-flowing, value-add assets, reach out to us at https://bobocapitalventures.com/.   Follow Keith's social media pages LinkedIn: Keith Borie Investor Club: Secret Passive Cashflow Investors Club Facebook: Keith Borie X: @BoboLlc80554

Dan Corder speaks with Sylvester Hlongwane, Marketing Manager at Matjokane Funeral Services — the winner of Most Stylish Funeral at the National Funeral Business Awards. They explore what “style” means in the context of grief, how aesthetics can offer comfort and dignity, and why beauty and ritual still matter at the end of life.See omnystudio.com/listener for privacy information.

An unassuming house in Southeast Portland’s Buckman neighborhood was recently added to the National Register of Historic Places. Once known as “Juniper House,” the building served as one of the first end-of-life care homes for AIDS patients in the Pacific Northwest in the late 1980s. An OPB documentary at the time explored the lives of some of the patients in Juniper House and the neighboring Assisi House, which provided a range of care for patients with HIV/AIDS. Jan Weyeneth is one of the co-founders of Juniper House. Cayla McGrail is a former associate project manager for Portland’s LGBTQ+ Historic Sites Project, which sponsored the house’s listing. They both join us to share more about Juniper House and the importance of documenting queer history in Portland.

When we lose someone, we love, we often say we have a broken heart—but what if that's not just a metaphor?In her new book “The Grieving Body: How The Stress of Loss Can Be An Opportunity For Healing” University of Arizona Professor of Psychology Mary Frances O'Connor shares groundbreaking insights into the biological and physiological impacts grief has on our bodies. O'Connor reveals how profound loss can lead to serious medical conditions, from heart attacks to immune system breakdowns, and explains why grieving can make us more vulnerable to diseases like cancer, pneumonia, and even autoimmune disorders.Drawing on her personal experiences and extensive research, O'Connor outlines why our medical system—and society at large—needs to rethink how we support grieving individuals. She makes a powerful case for viewing grief not only as an emotional experience but as a medical event deserving careful monitoring and intervention, similar to pregnancy or chronic illness.

Understanding End-of-Life Care with Barbara Karnes RN In episode 142 of Hospice Explained, host Marie Betcher, RN, discusses crucial aspects of end-of-life care with renowned hospice educator Barbara Karnes RN. The conversation covers Barbara's background, her influential booklet 'Gone From My Sight,' and the importance of end-of-life education. They address common misconceptions about the dying process perpetuated by media, emphasizing the need for accurate knowledge to transform a potentially frightening experience into a sacred memory. Barbara also delves into practical topics such as the appropriate use of food and fluids at the end of life, the natural stages of dying, terminal agitation, and the critical role of comfort in hospice care. This episode provides valuable insights for caregivers, healthcare professionals, and anyone seeking a deeper understanding of the end-of-life journey. 00:00 Introduction to Hospice Explained 00:50 Meet Barbara Karnes: End of Life Educator 02:53 Understanding End of Life Education 05:24 Personal Experiences with End of Life 07:19 Discussing Barbara's Book: Always Offer, Never Force 11:43 The Role of IV Fluids at End of Life 12:59 The Importance of Comfort in End of Life Care 14:53 Feeding Tubes and End of Life Nutrition 18:07 Barbara's Booklets: A Guide for Caregivers 23:21 Terminal Agitation and Restlessness 27:08 Conclusion and Resources https://bkbooks.com/     Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.   In addition you can donate to help support Hospice Explained at the Buy me a Coffee link  https://www.buymeacoffee.com/Hospice Kacie Gikonyo's Death Doula School https://hospiceexplained--deathdoulaschool.thrivecart.com/death-doula-school/ Affilitate for the Caregiving Years Training Academy:  https://www.careyearsacademy.com/ref/1096/  Affiliate for DNA is Love listeners also get a 5% discount!! https://dnaislove.com/?coupon=hospiceexplained5  The Death Deck and the E*O*L deck:  https://thedeathdeck.goaffpro.com/  Marie's Contact Marie@HospiceExplained.com www.HospiceExplained.com

The Heart of Mary House (HOMH) began in a two bedroom home located in the South Nashville area on the campus of St. Edward Church. The mission of Heart of Mary House is to provide a safe, comfortable, and peaceful home-like setting for underserved people who have been given a terminal prognosis and need somewhere to stay and someone to care for them during their final days and weeks. They were able to host two residents at a time in this home. Today's episode, host Mary Anne Oglesby-Sutherly and HOMH's director, Kim Derrick. share in the celebration of a new property for HOMH that was obtained in November of 2024. They moved their first resident into the home on February 17, 2025. This home has six bedrooms, two living areas, two full baths, a full kitchen, and two office spaces. The design of the home is more perfect than they could have ever imagined. HOMH is grateful and excited to care for triple the amount of people needing a safe, comfortable and peaceful home-like setting.  Nothing could be more perfect than two very distinct ministries, with brand new locations (The Veranda Ministries and Heart of Mary House) celebrating new buildings at the same time.  Two hearts; One mission - to care for those in their desperate time of need. Ribbon cutting ceremony for the new location of “Veranda Ministries” will be  April 1st, 2025 at 1pm - 650 Nashville Pike, Building 4, Gallatin, TN 37066. Refreshments will follow. The public is invited.   https://heartofmaryhouse.org/ https://theverandaministries.org/ 

In this episode of Women Petpreneurs, Mary Oquendo and Kate Klasen delve into the sensitive and often heart-wrenching topic of knowing when it's time to say goodbye to a beloved pet. As experienced pet professionals, they explore the challenges of recognizing the signs of a pet's declining health and the emotional complexities involved in making end-of-life decisions. Mary shares personal anecdotes about her own pets, including the emotional rollercoaster of determining the right moment for their pets to cross over. The hosts discuss the different ways pet owners and professionals process grief and emphasize the importance of supporting one another through this difficult time. They also touch upon resources like grief counselors and the significance of acknowledging the deep bond between humans and their pets. Join Mary and Kate in this heartfelt conversation that offers support and understanding to anyone facing the inevitable decision of letting go of a cherished animal companion. 

Death is something we all have to face, yet most of us avoid talking about it—until we have no choice. But what if we approached it differently? What if we could embrace the inevitable in a way that brings peace, purpose, and even a sense of fulfillment? Our guest today, Suzanne B. O'Brien, RN, has spent her career at the bedside of over 1,000 end-of-life patients as a hospice and oncology nurse. She is the Founder and CEO of Doulagivers Institute, and her work in end-of-life education has earned her recognition as a Humanitarian Ambassador by Oprah Magazine. In her new book, The Good Death: Supporting Your Loved One Through the End of Life, she shares what it truly means to have a “good death” and how we can prepare for it—both for ourselves and our loved ones. In This Episode, We Cover:  ✅ The four biggest regrets people share on their deathbeds ✅ Why forgiveness is the most powerful tool for healing at the end of life ✅ How to prepare for death in a way that removes fear and adds peace ✅ The role of death doulas and why end-of-life care matters ✅ How to live today in a way that leaves no room for regret If today was your last day, what would you regret? What's missing? What's left unsaid? The answers to these questions aren't just about dying—they're about truly living. Connect with Suzanne B. O'Brien, RN:  Website: https://www.suzannebobrien.com/  Book: https://thegooddeathbook.com/ 9 Questions Document (Free download): https://doulagivers.com/the-doulagivers-9-choice-advance-directive/  Doula Givers (Free) Resource Center: https://doulagivers.com/free-resource-page/  Related Podcast Episodes: You Only Die Once with Jodi Wellman | 262 How Is Your Spiritual Health? with Dr. Lisa Miller | 287 060 / Caring For An Aging Parent with Rayna Neises Share the Love: If you found this episode insightful, please share it with a friend, tag us on social media, and leave a review on your favorite podcast platform!

Unlock the secrets to navigating end-of-life care with empathy and clarity in our latest episode of the Ask a Death Doula podcast. Suzanne O'Brien invites you to explore the profound yet practical aspects of caring for loved ones in their final stages of life. From understanding advanced directives and dementia-specific care planning to addressing the emotional labyrinth of family dynamics, this episode is packed with insights to help you honor your loved ones' wishes and navigate these challenging conversations with confidence. Join us as we share heartfelt stories from caregivers and hospice professionals around the globe, highlighting the universal challenges and emotional tolls of end-of-life care. Discover strategies to prevent caregiver burnout and learn how to support both yourself and your loved ones through this journey. We'll guide you through practical self-care techniques and emphasize the importance of community and open communication in reducing family conflicts and ensuring everyone's needs are met. Through poignant storytelling and expert guidance, this episode offers a compassionate approach to understanding death as a sacred and natural part of life. We delve into the increasing prevalence of dementia and the vital importance of proactive care planning to prepare for an aging population. Whether you're a caregiver, family member, or simply curious about end-of-life care, this episode promises to empower you with the knowledge and support needed to embrace a "good death" for yourself and those you love. Join us, and transform your perspective on life and death with kindness, education, and support.     Mark your calendars! On March 22nd, I'm hosting a private virtual event to celebrate "THE GOOD DEATH," and I want YOU to join me. Pre-order the book today, and you'll get exclusive access to a full day of training, conversation about what makes life an AMAZING  journey. I will share my 5 pillar framework that I use every day, to create a life of fulfillment, joy and service- and you can too! I can't wait to share this journey with you. Grab your ticket here!         We dive into: (00:01) End of Life Care and Decisions (06:17) Understanding Advanced Directives and Dementia (20:32) Family Caregiving for Elderly Relatives (24:25) Preventing Caregiver Burnout (36:52) Caregiver Self-Care and Regrets (50:36) Child Hospice Care and Burnout Prevention (59:01) Navigating Family Conflict in End-of-Life Care (01:08:23) Planning for End-of-Life Care (01:13:38) Navigating End-of-Life Care Challenges         We want to hear from you!!! If you found this podcast helpful, Please Rate, Review, & Follow so we can reach more people.         Links mentioned in this episode: Doulagivers Institute The NEXT Free Level 1 End of Life Doula Training Registration LINK  Buy The Good Death Book   80-90% of a positive end of life depends on these two things: Knowing the basic skills on how to care for someone at the end of life and planning ahead - and BOTH Doulagivers Institute is giving you for FREE! Access them Below! Making your wishes known is one of the greatest gifts you can give to your loved ones. Download The Doulagivers 9 Choice Advance Directive now! It's FREE!     More about what we do at Doulagivers Institute - Click here!