Podcasts about faahpm

Eric Roeland, MD, FAAHPM, FASC, Associate Professor of Medicine, Division of Hematology/Medical Oncology, School of Medicine, OHSUMolly Thomas, MD, PhD, Assistant Professor of Medicine, Division of Gastroenterology & Hepatology, Assistant Professor of Cell, Developmental & Cancer Biology, School of Medicine, OHSUCME Credit Available for all Providence ProvidersIn order to claim CME credit, please click on the following link: https://forms.office.com/r/j8tvnSw5cd (or copy & paste into your browser)Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.Planning Committee Disclosure: The planning committee and have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. Faculty Disclosure: Eric Roeland, MD has indicated relevant financial relationships with ACCME-defined ineligible companies: Scientific Advisory Board (Napo Pharmaceuticals); Expert Witness (Heron Pharmaceuticals); Research (Pfizer). All others in control of content have indicated no relevant financial relationship with an ACCME-defined commercial interest. All clinical content presented is evidence-based and unbiased. All financial relationships have been mitigated.Original Date: May 6, 2025End Date: May 6, 2026

Eric Roeland, MD, FAAHPM, FASC, Associate Professor of Medicine, Division of Hematology/Medical Oncology, School of Medicine, OHSUMolly Thomas, MD, PhD, Assistant Professor of Medicine, Division of Gastroenterology & Hepatology, Assistant Professor of Cell, Developmental & Cancer Biology, School of Medicine, OHSUCME Credit Available for all Providence ProvidersIn order to claim CME credit, please click on the following link: https://forms.office.com/r/j8tvnSw5cd (or copy & paste into your browser)Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1  creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.Planning Committee Disclosure: The planning committee and have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. Faculty Disclosure: Eric Roeland, MD has indicated relevant financial relationships with ACCME-defined ineligible companies: Scientific Advisory Board (Napo Pharmaceuticals); Expert Witness (Heron Pharmaceuticals); Research (Pfizer). All others in control of content have indicated no relevant financial relationship with an ACCME-defined commercial interest. All clinical content presented is evidence-based and unbiased. All financial relationships have been mitigated.Original Date: May 6, 2025End Date: May 6, 2026

In a recent lunch and learn, VNA Medical Director, Dr. Newcomer, detailed her work leading the Hospice and Palliative Care Fellows program at VNA. These vital, immersive training programs provide fellows with experience working with physicians, nurses, and the interdisciplinary teams within the hospice (adult and pediatric) programs, and also make in-home patient visits. Fellows, Dr. Raseman and Dr. King, also shared what they have learned and how their experience will shape their future medical careers.Featuring:Kelley F. Newcomer, MD, FAAHPM, VNA Medical Director of Adult and Pediatric HospiceVNA Fellows Kate Raseman, MD and Andrea King, MD

Dulce M. Cruz, MD, FAAHPM, AGSF, joins the Faculty Factory this week to discuss an innovative, one-of-a-kind approach to supporting and educating hospice family caregivers through a video series that offers practical advice and emotional support. At Johns Hopkins Hospital in Baltimore, Dr. Cruz serves as an Assistant Professor in the Department of Medicine, Division of General Internal Medicine, in the Section of Palliative Medicine. Her groundbreaking work in palliative care for Latino family caregivers began with identifying a significant need for support among these caregivers, leading her to create engaging educational videos in the form of telenovelas, designed to resonate with pop culture lovers while delivering a powerful educational message. Once you hear Dr. Cruz's commitment to executing this idea, including teaching herself video production, we are confident you will leave the discussion inspired. This approach to problem-solving is sure to spark new ideas on how we can better serve others in our community of academic medicine professionals, as we are a group especially equipped to learn on the fly in pursuit of accomplishing gargantuan tasks. Learn More You can contact Dr. Cruz via Email: dcruzoli@jhmi.edu. Watch Caregivers Like Me (English Version): https://www.youtube.com/watch?v=ck6Bs1T2Zck Cuidadores Como Yo Caregivers: https://www.youtube.com/watch?time_continue=3&v=HXF-F-apTCc

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

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

**Link for MOC Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095649 In this enlightening episode of Pediatrics Now, Host Holly Wayment introduces us to a founder of pediatric palliative care.  This talk, by renowned Harvard pediatrician, Dr. Julie Hauer, highlights the complex world of managing chronic pain in children with severe neurological impairment. Featuring real-life case studies, Dr. Hauer guides us through the intricacies of identifying and treating chronic pain in these specific pediatric cases and attempts to shed more light on the often underrepresented field of pediatric palliative care. A substantial portion of the conversation revolves around the significance and interpretation of behavioral changes, and the importance of observations in diagnosing pain in neurologically impaired children. We delve into comprehensive screening methods and effective interventions that can contribute to helping the child attain a calmer state. Steering the conversation beyond known problems, this episode introduces the concept of neuropain, a type of affliction where inflammation and injury of tissues can lead to pain, and discusses how to tackle associated chronic issues via a combination of pharmacological and complementary methods such as music and massage therapy. Additionally, Dr. Hauer discusses the various tried and tested drugs and their uses for managing neuropathic pain in children, emphasizing the necessity of expertise in handling such medications. She also sheds light on indicators of escalation despite treatment, and shares possible countermeasures. With a strong commitment to improving the lives of neurologically impaired children, this discussion emphasizes the dire need for an integrated, multipronged approach, taking into account all possible sources of pain, the role of various drugs, constant monitoring, communication with the family, and adjustment of treatments as necessary. This comprehensive episode serves as a much-needed guide to healthcare professionals who strive to provide the best care to this special pediatric population. Presenter: Julie Hauer, MD, FAAP, FAAHPM Overview: Chronic Pain in Children with Neurological Impairment: A Multisource Framework Objectives: To increase awareness and education for pediatric providers Julie Hauer, MD, FAAP, FAAHPM is faculty at Boston Children's Hospital. Her clinical expertise is focused on the rare population of children with severe neurological impairment (SNI) who have multiple co-morbidities that impact health and quality of life, resulting in complex medical care and decision-making. Her expertise includes symptom treatment, including pain, feeding intolerance, and dyspnea during acute on chronic respiratory illness. Her work has included innovative symptom treatment protocols targeting the mechanisms of pain generation specific to this population. She has written a book on the medical and palliative care needs of such individuals, with a second book to be published by Oxford University Press. Financial Disclosures: Julie Hauer, MD, FAAP, FAAHPM has no financial relationships with ineligible companies to disclosure. The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator.

ASCO: You're listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the voice of the world's oncology professionals. 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. Guests' statements on this 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. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. In this Meaningful Conversations podcast, Dr. Karan Jatwani talks to Dr. Amy Case about what people with cancer should know about hospice care, including the difference between palliative and supportive care and hospice care, who is eligible to enroll in hospice care, and the types of support available for people receiving hospice care and their family and caregivers. Meaningful Conversations is a Cancer.Net blog and podcast series that describes the important discussions people may need to have with their providers, caregivers, and loved ones during cancer and offers ways to help navigate these conversations. Dr. Jatwani is a Medical Oncology Fellow at Roswell Park Comprehensive Cancer Center. Dr. Case is the Lee Foundation Endowed Chair of the Department of Palliative and Supportive Care at Roswell Park Comprehensive Cancer Center, and Professor of Medicine at the Jacobs School of Medicine and Biomedical Sciences of the University at Buffalo. View disclosures for Dr. Jatwani and Dr. Case at Cancer.Net. Dr. Jatwani: Hi, everyone. My name is Karan Jatwani. I'm one of the 3-year fellows at Roswell Park Comprehensive Cancer Center. I have finished my palliative care fellowship from Memorial Sloan Kettering Cancer Center. And I am interested in the integration of oncology as well as palliative care, and that is where I envision my future career to be. And it's my pleasure to be involved in a podcast with Cancer.Net and looking forward to it. Dr. Case: Hello. My name is Amy Case, and I'm the chair of the Department of Supportive and Palliative Care here at Roswell Park Comprehensive Cancer Center, and we're in Buffalo, New York. So I appreciate being invited to speak today. And we also have a fellowship that we run here and a pretty comprehensive department with 8 divisions that include palliative, social work, psychiatry, psychology, spiritual care, bioethics, and geriatrics, and also employee resilience. So we have a lot of kind of passion projects we work on in our supportive care department. Dr. Jatwani: Thank you so much, Dr. Case, for joining us today. I think I've always admired your work. And just to start off, just for our listeners and our audience, if you can just give us a brief idea of what palliative care is, I think that would be the best segue to enhance the discussion. Dr. Jatwani: So “to palliate” means to make feel better. And when I talk to patients about what it is that we do, I talk about how we take care of the whole person, which includes the physical symptom management, the emotional support, which could include psychiatry, psychology, or social work support of the emotional piece. And then also the spiritual support, which often we work as a team. In order to be palliative care, you actually need to be a team. It can't just be one physician, for example, doing palliative. You need to work as a team. So generally, a core team consists of a physician, a nurse, a chaplain, a spiritual care professional, and a social worker at its core. But sometimes it can be a nurse practitioner providing that or other specialists helping on that team. Dr. Jatwani: I think one of the key questions that always arise with the patients is, as soon as you talk about palliative care, patients start equating it to death. How do you make sure that the patients you're interacting with, how do you differentiate it with them, and how do you relieve that anxiety whenever the patient hears “palliative care”? Dr. Case: So no matter what you call the work that we do, there will always be a stigma. So if we change the name to yellow banana, people would be afraid of yellow bananas, right? So I think that the word hospice has-- I joke that it's kind of like a 4-letter word type of situation. We call it “the H word.” Sometimes patients are really fearful to hear that word. And even now, palliative has adopted this stigma. So generally, what I do is I kind of say that it's focused on quality of life. The main goal is to help people feel better, live a better quality of life, to get through their cancer treatments. And I also educate them that people who receive palliative care tend to have better outcomes. Patient-reported outcome metrics are better. So patients often have a prolonged survival. They may be able to tolerate their cancer treatment better and get through those treatments. And that generally, I would say, is something that they're happy to hear. That's something that they're usually, "Yeah, sign me up for that." When we start with somebody-- we spend an hour with every patient for a new visit. When I start with them, they're really skeptical. Oftentimes, they're looking at me mistrustfully, like, "What is this?" And by the end of the visit, they say, "Where has this been from the beginning of my cancer journey? And why am I only getting this now? This was the best interaction I've had at this organization." And it's because we give them kind of what we call a “wrap-around care,” which is almost like a big hug. We use a lot of skills that include empathy. And with our communication, we often spend a lot of time listening. And I think people really walk out feeling heard. Even if you can't solve it or cure it, you can discuss things that can just make them feel that you were there for them and you listened. And that is very powerful. Dr. Jatwani: I 100% agree. I mean, that has been my sort of experience as well during my fellowship. I took a lot of those learnings with me when I see my patients. But also, I think coming from an oncology standpoint, I can definitely now understand that I have been at fault when I have not given that palliative blanket that you were talking about at different times. And so my question is, when can patients ask for palliative care? And we'll discuss “the H word,” as you mentioned at the beginning. So we'll discuss with that as well. But when should patients undergoing cancer treatment, when should they ask for involvement of palliative care, or they should advocate for themselves or even the caregivers should advocate? Dr. Case: Yeah. So I think that generally, palliative care, the beauty of palliative care is that it doesn't really have a time limit. Someone can ask for it anytime. And often, we encourage people right from the beginning. So there's people who may be looking for that extra added support right from the beginning. And so we usually encourage oncologists and the oncology teams to start those discussions themselves. Dr. Jatwani: And I think at this point of time, I would like to definitely ask you. I think you mentioned “the H word” in the beginning. So can we discuss a little bit more about what is hospice care? Dr. Case: So palliative care is provided on a trajectory. So it can be provided anytime, even for survivors, for people who are earlier in their diagnosis. But hospice has a timeline on it because it's actually a Medicare benefit that it's like almost like an insurance benefit that kicks in, but the government pays for the patient's care. And so in order to enroll or sign up for hospice, a patient has to have certain criteria in order to meet that. In order to get those things paid for. And so hospices have to—generally, it's when a patient has a life expectancy of 6 months or less, and they have decided that the cancer treatment, meaning chemotherapy, radiation in most cases, immunotherapy, the burden of that is higher than the benefit. Most of the patients who see us in palliative are still getting their cancer treatment, and we're helping them walk the journey with them through their treatment, helping them feel better, starting those conversations. And then we do something called a transition to hospice. So many of the patients we see in palliative end up transitioning to hospice. How is palliative care different than hospice? How is hospice different than palliative care? They're very similar. The philosophy of care and the way it's provided is almost exact, meaning that it's a team-based approach made up of physical, emotional, and spiritual support for the patient provided by a team. Although in palliative care, many times that's done in a clinic or an inpatient setting. There are home palliative programs that exist. We have one here at Roswell as well. But hospice, 80% of the time, is done at home. Because generally, when people prefer to pass away and we talk to them, where do they want to be at the end of their life? I'd say 95% of people do want to be at home if that's feasible. The biggest barrier that they are worried about dying at home is that they worry about being a burden on their loved ones. And so that's the way I frame those discussions, is that I ask them about what are the things that they're hoping for. What are the things that they're worried about? And when I find out, inevitably, like I said, it's probably the number 1 fear of people to be a burden on their loved ones. It's this wonderful thing that can reduce burden on family to help care for you and have you be at peace in the place that you wish to be. Dr. Jatwani: I 100% agree. I think you framed it perfectly that if the discussions-- I think, as you said, they should happen at the right time point. And the other thing is I think they should happen often. They should not happen only once. They should happen at every juncture of time when the cancer care has sort of transitioned into going into the more risk and less benefit window. And that's a spectrum, as you mentioned. It does not have to happen only once, and the provider feels, “OK, I've done that discussion. Now I don't have to do it again.” Dr. Case: It's a journey. Dr. Jatwani: It's a journey, yes. Dr. Case: I think we always talk about a journey and that advanced care planning does not happen, excuse me, just once in the trajectory. It happens over multiple time points. And I call it “loosening the lid,” where the lid is often on really tight. There's maybe often mistrust of the health care system. People are really scared. And you really need to give them that emotional support. And that's why palliative is so beautiful because we provide them that wrap-around hug when they're feeling at their most vulnerable. And then when they have comfort with us, then it's much easier to discuss these really tough topics. And I think establishing rapport, getting to know them as a human being and who they are is extremely important. So, for example, my style is to start any medical visit with a social interaction and asking them about themselves socially. I say, “Let's put the cancer aside. I want you to tell me about you. Tell me about your family. Tell me about the things that you enjoy doing for fun.” And they often laugh because they want to talk just about the cancer, right? They say, “I don't have fun anymore.” And then I try to ask them about the things they did before they had cancer. And you see them light up, and you see the rapport being built, and you see the trust. And once you have those types of relationships, these discussions become much easier. Dr. Jatwani: I agree. So just to transition a little bit more about hospice care, I think you talked about that this hospice care is a Medicare benefit. Can you tell our audience, is it only at home or is it available inpatient as well? And can you speak a little bit about that? Dr. Case:  Sure. So I mentioned before that generally, the majority of hospice care is preferred to be in the home, and really taking care of someone at the end of life actually can be less scary when you have the support of hospice. And so anyone who's in the hospital where a discussion is had and then advanced care planning is done, and they say, “You know what? I don't want to end up being on a ventilator. I'm going to elect to be a, “do not resuscitate or allow natural death.'" If that happens, I actually think it's almost imperative for hospice to also be consulted and offered. Because if you send someone home that is a “do not resuscitate” without those family support in place, the family will struggle. And so I think that it goes hand in hand. So dying at home goes hand in hand with having hospice in place. End of story. You need to have those supports in place. I do not think it will work out well for the family if you do not. And so there are rare circumstances where some physicians provide that support or home palliative can provide that support. But hospice really is the gold standard. So I'd say most of it is in the home. But once someone enrolls in hospice, there is caveats where if a patient is having uncontrolled symptoms that are not managed by the nurses in the home and the physicians by phone or by home visit, that the patient may be able to be brought in to an inpatient hospice unit or a hospital. They can unelect—to come off of, or unenroll—in hospice. For example, they change their mind. They decide, oh, they fall they break a hip, OK? And hospice is not going to fund a non-cancer-related hip fracture repair. So they would have to unenroll from that Medicare benefit, hospice Medicare benefit, and enroll in a different part of their insurance. And it's very easy to enroll and unenroll. And so there are different parts of that Medicare benefit that pay for different things. And so if somebody gets a hip fracture, it doesn't mean they have to not have it repaired. I mean, so you adjust and unenroll them from hospice, get the hip repaired, and then enroll them back in the hospice. And so those types of things can totally be done. It doesn't mean the patient can never come back to the hospital. It doesn't mean they can't change their mind. It doesn't mean that if, say, they get pneumonia, that they can't have their pneumonia treated. So simple infections, like Clostridium difficile (C. diff), pneumonia, the hospice actually gives antibiotics. They manage a lot of medical treatments like anticoagulation and things like that. So there are, depending on the hospice, leeway with some of those medical treatments. For example, total parenteral nutrition (TPN), percutaneous endoscopic gastrostomy (PEG) tubes, some of those things can be managed in hospice. However, if a PEG tube or a TPN is causing more burden, they will continue to have those discussions about, is this treatment in the best interest of comfort and quality of life? And so that's generally the philosophy of care. And so, yes, they can be inpatient. There can be coming back to the hospital. And there are hospice inpatient units kind of all over the country. Some cities may not have hospice inpatient units, and they have other things like something called a “comfort home,” where comfort homes are depending on the area, the region that you live. Comfort homes exist in some cities where they're run by volunteers, and a patient may not be able to be at home, but they can go to a comfort home. Sometimes hospice can be provided in an assisted living where a patient's home is actually not home, it's in a facility or it can be provided in a nursing home. However, I think there's a misperception that hospice pays for the room and board of those places, and that is actually not true. So if someone needs a facility to live, then the family or the patient is on the hook, unfortunately, for the room and board. And so a lot of times, that delays discharge. So, for example, family does not want to take that patient home. They are not able to do that. The patient then needs a facility with hospice. The assumption is the hospice will pick up the bill of the facility. So that does not happen. But hospice covers all of the costs related to the care of the patient that's related to their hospice diagnosis. Dr. Jatwani: For patients who are living alone, who are in the elderly population, who are undergoing cancer-directed treatments, for those patients, is hospice an option? If it is, because that is always a challenging area that we face, how do you deal with those patients? Dr. Case: That's very challenging. Generally, we would call on social work and some of those specialties to help us figure out a support care network for that patient. And so often, you can actually recruit folks to take shifts coming in and checking on that patient. And so, yes, you can have hospice care for a patient who has a care-- generally, you need to have a caregiver who is around for that patient. Ideally, in an ideal world, there's somebody with that patient 24/7 when the patient is really ill. If the patient is pretty functional and they're on hospice, walking around, there may be some hours out of the day where they may not need someone with them. And really, we kind of determine that on a case-by-case basis. I would say it's not a door-shut situation that if someone lives alone, they could never have hospice. I would not say that. But in an ideal world, we do need to recruit someone to be there with the patient. If someone has absolutely no one to be there with them during hours during the day, which I think is pretty rare, then generally, if the person is too ill to stay home alone, it'll be a conversation that you have with that patient that they may be moved to a higher level of care, meaning that they may need a skilled nursing facility with hospice on board coming in and checking on them. That's their new home, or they may need an assisted living. And there are some facilities that provide their own hospice, meaning that if you go to that facility, they have a team that's built into that facility that provides them the end-of-life care at the facility, and they don't allow in external hospices. So it kind of depends on your area where you're practicing and asking those questions as, "Do you have an external hospice or do you provide hospice services internally?" And those are questions I often steer patients to ask. Dr. Jatwani: Just some parting thoughts on in terms of, as you said, hospice has a very selective criteria. And some patients might say, "How can you prognosticate me for living less than 6 months?" That's a challenging question that we often get. And I think you have answered it partly, that it's enroll “on and off switch” kind of situation. But what if a patient starts feeling much, much better on hospice and they feel that they want to come back and get cancer-directed treatment, how does palliative care and hospice care come into that domain? Dr. Case: Prognostication, when a physician is asked to prognosticate a patient, we call it “the art of prognostication” because you can't always look it up in a textbook and get the right answer. And what one physician may determine is a prognosis for a patient, another one may give a different one. Because we look at the same things, but a lot of times, there's a clinician estimate that comes into it that is really one of those, you put a bunch of facts together and you come up with what we call an estimate. And so sometimes, we may be correct. Sometimes, we may underestimate or we may overestimate. If a patient enrolls in hospice and they, for example, are doing a lot better, they're outliving the 6 months, the hospice programs often reevaluate those patients, and they do allow folks to stay enrolled with hospice care sometimes quite longer than the 6 months. Sometimes, people are on hospice a year or even longer. What they need to document is that the patient has an ongoing need where they need the multi-disciplinary team supportive care. And so as long as you meet certain criteria, and generally, the criteria are often that they have the continuing progression of the cancer or whatever the other medical illness is, the disease itself, and advancing illness, whether that be chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF). It doesn't have to just be cancer. And you need to also have often a documentation of potentially continued functional decline or functional impairment. So prognosis is tied hand in hand with functional status. And so we don't just look at the computed tomography (CT) scan when we're determining prognosis. We look at nutritional. We look at weight loss. We look at appetite. We look at functional status and comorbidities. And there's a lot of other things that go into that, not just, “Is the tumor growing on the scan, yes or no?” So it's really important to look at a wide array of things when we're determining prognosis. Dr. Jatwani: Yes. And I think that sort of I just wanted to give our patients some idea of how we determine. I know there are a lot, many things that we have not covered, and we haven't even touched the expertise of Dr. Case, which we hope to do that in the future. And from my end, these are the questions that I had. And we hope to reconnect soon Dr. Case, and get some more insights into other aspects of palliative care, which you have done a lot of wonderful work in. Dr. Case: Thanks, Dr. Jatwani. ASCO: Thank you, Dr. Jatwani and Dr. Case. Find more podcasts and blog posts in the Meaningful Conversations series at www.cancer.net/meaningfulconversations. Cancer.Net Podcasts feature trusted, timely, and compassionate information for people with cancer, survivors, and their families and loved ones. Subscribe wherever you listen to podcasts for expert information and tips on coping with cancer, recaps of the latest research advances, and thoughtful discussions on cancer care. And check out other ASCO Podcasts to hear the latest interviews and insights from thought leaders, innovators, experts, and pioneers in oncology. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds lifesaving research for every type of cancer, helping people with cancer everywhere. To help fund Cancer.Net and programs like it, donate at CONQUER.ORG/Donate.

This episode offers a CRUCIAL overview of the Medicare hospice benefit, utilization logistics for advanced lung disease patients, communication strategies, patient-focused methodology in discussions and additional resources to enhance providers' skill sets in caring for this important and vulnerable patient population.

Ep.75 Palliative Medicine and Hospice Insights with Andy Arwari MD MS FACP SFHM FAAHPM HMDC Hospice & Palliative Care Physician and Educator • Holistic Person-Centered Interdisciplinary Team Care Advocate • Goals of Care Consultant • Epistemophilic • Author As we all go through the different seasons of life, there comes a time when we have to face the reality that someday we will pass away. It is important to talk openly about this natural part of life and not treat it like something to be scared or ashamed of. Unfortunately, having these conversations in our families and communities is not always easy. Some people feel uncomfortable or do not want to consider it until it is too late. In addition, many people helping as hospice caregivers are not fully trained or know precisely what to do. This is why Andy Arwari MD, wrote 'Navigating the U.S. Hospice Maze' a book where he pens down strategies for navigating this noble role. In our conversation, he shared his experiences caring for hospice patients and discussed important things we all need to know about hospice and end-of-life care.   Dr. Andy Arwari is a hospice and palliative medicine board-certified physician with 20 years of experience in the field. He has a master of science in palliative care from the University of Maryland, Baltimore, and is presently working on a PhD in palliative care. Dr. Arwari serves as a faculty member of the hospice and palliative medicine fellowship programs for the University of Miami. He is a hospice medical director for VITAS Healthcare and overseas Hospice and palliative care in Miami-Dade and Monroe counties.   Tune in!   Key Highlights from the Episode; [00:30] Episode intro and a quick bio of the guest, Dr. Andy Arwari [01:27] About Andy's background and career journey [02:01] A standout pain point from Andy's book, ‘Navigating the U.S. Hospice Maze.' [04:24] The one thing about hospice that Andy would teach for the rest of his life [07:23] Why advance care planning is so crucial [12:27] Tips to start the end of life conversations with your patient as a caregiver [16:57] The most profound death of a patient that affected Andy much [18:14] Palliative sedation, its significance, and who gets it [24:54] Andy's experiences in both palliative medicine and hospice [30:37] What you need to understand about morphine in palliative care [34:07] Tips on how the hospice experience of a patient can be improved [38:13] Ending show and calls to action Notable Quotes  ●      The philosophy of hospice and palliative care is interdisciplinary or holistic care. The only way to deliver holistic care is through a team approach. [03:33] ●      We will all reach that season of life where our time comes to a close, and having that hospice care and support is phenomenal. [05:24] ●      In hospice, sometimes palliative sedation is employed to alleviate pain or distress in the patient. It is not to expedite a patient's demise. [18:14] ●      Hospice care focuses not on death but on the quality of time and life during that time. Death will come whether you are in hospice or not.  [32:31] Let's Connect Andy Arwari LinkedIn: https://www.linkedin.com/in/andy-arwarimd/ Andy's Book: Navigating the U.S. Hospice Maze.: A short guide for community hospice physicians   Marie's Contact: Marie@HospiceExplained.com www.hospiceexplained.com http://buymeacoffee.com/hospice Marie@HospiceEncounters.com Leave a Voicemail: 206-705-3080                                   As we all go through the different seasons of life, there comes a time when we have to face the reality that someday we will pass away. It is important to talk openly about this natural part of life and not treat it like something to be scared or ashamed of. Unfortunately, having these conversations in our families and communities is not always easy. Some people feel uncomfortable or do not want to consider it until it is too late. In addition, many people helping as hospice caregivers are not fully trained or know precisely what to do. This is why Andy Arwari MD, wrote 'Navigating the U.S. Hospice Maze' a book where he pens down strategies for navigating this noble role. In our conversation, he shared his experiences caring for hospice patients and discussed important things we all need to know about hospice and end-of-life care.   Dr. Andy Arwari is a hospice and palliative medicine board-certified physician with 20 years of experience in the field. He has a master of science in palliative care from the University of Maryland, Baltimore, and is presently working on a PhD in palliative care. Dr. Arwari serves as a faculty member of the hospice and palliative medicine fellowship programs for the University of Miami. He is a hospice medical director for VITAS Healthcare and overseas Hospice and palliative care in Miami-Dade and Monroe counties.   Tune in!   Key Highlights from the Episode; [00:30] Episode intro and a quick bio of the guest, Dr. Andy Arwari [01:27] About Andy's background and career journey [02:01] A standout pain point from Andy's book, ‘Navigating the U.S. Hospice Maze.' [04:24] The one thing about hospice that Andy would teach for the rest of his life [07:23] Why advance care planning is so crucial [12:27] Tips to start the end of life conversations with your patient as a caregiver [16:57] The most profound death of a patient that affected Andy much [18:14] Palliative sedation, its significance, and who gets it [24:54] Andy's experiences in both palliative medicine and hospice [30:37] What you need to understand about morphine in palliative care [34:07] Tips on how the hospice experience of a patient can be improved [38:13] Ending show and calls to action Notable Quotes  ●      The philosophy of hospice and palliative care is interdisciplinary or holistic care. The only way to deliver holistic care is through a team approach. [03:33] ●      We will all reach that season of life where our time comes to a close, and having that hospice care and support is phenomenal. [05:24] ●      In hospice, sometimes palliative sedation is employed to alleviate pain or distress in the patient. It is not to expedite a patient's demise. [18:14] ●      Hospice care focuses not on death but on the quality of time and life during that time. Death will come whether you are in hospice or not.  [32:31] Let's Connect Andy Arwari LinkedIn: https://www.linkedin.com/in/andy-arwarimd/ Andy's Book: Navigating the U.S. Hospice Maze.: A short guide for community hospice physicians   Marie's Contact: Marie@HospiceExplained.com www.hospiceexplained.com http://buymeacoffee.com/hospice Marie@HospiceEncounters.com Leave a Voicemail: 206-705-3080                                

Data is becoming increasingly engrained and revered in the world of healthcare. And, indeed, data is vitally important in improving medical science, measuring outcomes and proving the value of specific processes.Yet, as data continues to grow in priority, that emphasis can cause patients to feel like a number in an ever-expanding sea of numbers. Going back to Hippocrates, medicine was designed to treat people, not just diseases. In fact, one of the main principles of the Hippocratic Oath centers on respect for the patient's autonomy.So how do healthcare providers retain the humanity and dignity of patients and their families while data reigns?In this episode, Tim Short (M.D., HMDC, FAAFP, FAAHPM, FNAP) joins host Stan Massey of Transcend Strategy Group to discuss this crucial topic. Their conversation covers how to engage the art of empathy, as well as how to maintain a feel of high-touch care while high-tech continues to emerge in all facets of healthcare practices. Tim and Stan even discuss how to leverage technology to improve communications with patients and families, so they feel heard and understood.As implied by all those letters after his name, Tim has enjoyed an illustrious and impactful career in family practice as well as in practicing hospice and palliative medicine. He most recently served as chief medical officer at Hospice of the Piedmont in Charlottesville, Virginia, where he also was director of their education institute. That program developed education and training modules for healthcare professionals on a variety of subjects.Among other positions at several institutions, Doctor Short also served as associate professor of palliative medicine at the University of Virginia. While there, he was clinical director of the Schwartz Center rounds and course director for the “Heart of Medicine,” mentoring first-year medical students on how to apply skills such as the art of listening, communicating with patients and having difficult conversations. 

Featuring Dr. Martha L. Twaddle, MD, FACP, FAAHPM, HMDC Challenging and emotional conversations become the norm after a cancer diagnosis, so it's essential to surround yourself with a broad team to educate and guide you while also making you feel comfortable and supported. This is especially true when exploring and planning for palliative and hospice services. Join Rolfe Pancreatic Cancer Foundation and Cancer Wellness Center in a candid discussion with Dr. Martha L. Twaddle, the Medical Director for Palliative Medicine and Supportive Care at Northwestern Medicine. Dr. Twaddle will help us: • Explore the differences between palliative care and hospice care. • Understand when it is time to plan for care options. • Three key questions you should ask providers in setting up care. • Ways in which family members can also receive support during this difficult time.

This episode features Dr. Arif Kamal, the chief patient officer at the American Cancer Society, who gave the keynote address at the recent ACS Cancer Programs Conference in Atlanta. Dr. Kamal reflects on how multiple disciplines can come together to care for patients across the continuum of care, from prevention through survivorship. Arif H. Kamal, MD, MBA, MHS, FACP, FAAHPM, FASCO, Chief Patient Officer, American Cancer Society The 2024 ACS Cancer Conference will be February 22-24 in Austin, Texas. Talk about the podcast on social media using #HouseofSurgery.

In this podcast, Chris interviews Dr. Cameron Muir, MD, FAAHPM, Chief Innovation Officer for the National Partnership for Healthcare and Hospice Innovation & Principal and Founder, Cameron Muir Consulting, LLC. Chris and Dr. Muir talk about why hospices should innovate and how necessary it is today given the changes in the payer landscape and broader healthcare landscape. Dr. Muir shares two core areas, or launching pads, by which hospices must think about innovation. He then shares four specific innovations which are great areas for every hospice and palliative care organization to be thinking about. He shares strategies we should consider going forward and ties it all together with a great patient story that connects with the heart of what we do while casting a vision of where innovation could take us. A great quote from the podcast from Dr. Muir, “These are scary, uncertain yet exciting times in health care… Stay focused on your mission, and the beneficiaries that you set out to serve… and for which you took your oath as a health care professional… lead with your heart and serve boldly.” Words of wisdom for us all. This is a great listen and thinking opportunity for staff and leaders as evolving and innovating the care models of our organizations is essential to our future and, more importantly, the future patients and families we will serve. Join us, this is timely and relevant. Guest: Dr. Cameron Muir, MD, FAAHPM, Chief Innovation Officer for the National Partnership for Healthcare and Hospice Innovation & Principal and Founder, Cameron Muir Consulting, LLC. Host: Chris Comeaux, CEO / President of Teleios Collaborative Networkhttps://www.teleioscn.org/tcntalkspodcast/the-future-serious-illness-continuum-of-careTeleios Collaborative Network / www.teleioscn.org

Michael W. Rabow, MD, FAAHPM, the Helen Diller Family Chair in Palliative Care, is a Professor of Clinical Medicine and Urology at UCSF. He is the Associate Chief of Education & Mentoring in the Division of Palliative Medicine in the Department of Medicine, and the Medical Director of Palliative Care at UCSF's Helen Diller Family Comprehensive Cancer Center (https://cancer.ucsf.edu/people/profiles/rabow_michael.3627). Board-certified in internal medicine and hospice & palliative care, Dr. Rabow directs a leading outpatient palliative care program-- the Symptom Management Service. In addition, Dr. Rabow is a member of UCSF's Academy of Medical Educators and is the Founding Director of the MERI Center for Education in Palliative Care at UCSF/Mount Zion (https://meri.ucsf.edu). Dr. Rabow was the winner of the 2017 AAHPM PDIA National Palliative Care Leadership Award. He is a past recipient of the Soros Project on Death in America award and the Hastings Center Cunniff-Dixon Physician Award.

Host Ankur Patel, MD, MBA, FAAFP, Chief Medical Officer, Tabula Rasa HealthCare, interviews David Wensel, DO, HMDC, FAAHPM, Chief Medical Officer, Tru Community Care. In this episode, Dr. Wensel shares how Tru Community Care, one of the original legacy hospices, ventured into PACE and its goals for significant growth in both rural and metropolitan areas. He discusses his experiences and dedication to improving hospice and palliative care services to all patients and families on a national level.Dr. Wensel is the current chair of the Primary Care Committee and the End of Life and Palliative Medicine Work Group for the National PACE Association. He serves on the board of directors for the National PACE Association, the Governance Committee of the American Academic of Hospice and Palliative Medicine, and the Hospice Medical Director Certification Board.

In this episode Jenni Linebarger, MD, MPH, FAAP, FAAHPM, Chair of the AAP Section on Hospice and Palliative Medicine, goes through the new clinical report on guidance for end-of-life care. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk with Suzanne Mcclintick, MD, and Darci Brosnan about the role family advisors play in medical practices. For resources go to aap.org/podcast.

Robert Macauley, MD, FAAP, FAAHPM, Professor of Pediatrics, School of Medicine & Director, Doernbecher Bridges Program, Oregon Health & Science University CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/ieHbYXBfp8 (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: May 10, 2022 End Date: May 10, 2023

Robert Macauley, MD, FAAP, FAAHPM, Professor of Pediatrics, School of Medicine & Director, Doernbecher Bridges Program, Oregon Health & Science University CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/ieHbYXBfp8 (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The Planning Committee and faculty have no relevant financial relationships with ineligible companies interests to disclose. Original Date: May 10, 2022 End Date: May 10, 2023

The Wendy Love Edge Show does not dispense medical advice and all of your health choices are your own. Co-host: Branden Lee Guests: Sunil K. Aggarwal, MD, PhD, FAAPMR, FAAHPM is a physician and medical geographer and Co-founder and Co-director of the AIMS (Advanced Integrative Medical Science) Institute in Seattle, a multispecialty teaching clinic and research institute offering cutting edge care in oncology, psychiatry, neurology, rehabilitation, pain, and palliative care. He is a Board-Certified Fellow of both the American Academy of Physical Medicine and Rehabilitation and the American Academy of Hospice and Palliative Medicine, where he was named a Top 20 Emerging Leader. He is Past Chair of the Integrative Medicine Special Interest Group and an inaugural member of the Safe Use in Psychedelic-Assisted Therapies Forum at the American Academy of Hospice and Palliative Medicine. He is a Voluntary Clinical Assistant Professor of Rehabilitation Medicine at the UW School of Medicine, an Affiliate Assistant Professor of Geography in the UW College of Arts and Sciences, an Affiliate Clinical Faculty Member at Bastyr University School of Naturopathic Medicine, and a Faculty Member of the National Family Medicine Residency. He serves on the Editorial Advisory Board of the National Cancer Institute's PDQ Cancer CAM information summary on cannabis and as an Associate Member of the New York Academy of Medicine and the Humboldt Institute for Interdisciplinary Marijuana Research. He maintains a clinical practice at AIMS and serves as an Associate Hospice Medicine Director and On-Call Palliative Physician for MultiCare Health System. He has been qualified as an expert in cannabis and psilocybin medical and religious use in county, state, and federal courts. Dr. Aggarwal received a B.S. in chemistry, B.A. in philosophy, and a minor in religious studies from UC Berkeley. He completed his MD and PhD degrees at the University of Washington as part of the NIH-supported Medical Scientist Training Program and completed his Residency and Fellowship at Virginia Mason Medical Center, NYU Langone Health, and the NIH Clinical Center Pain and Palliative Care Service. A former National Science Foundation Graduate Research Fellow, Dr. Aggarwal completed his PhD dissertation on “The Medical Geography of Cannabinoid Botanicals in Washington State: Access, Delivery, and Distress.” He is presently a co-investigator on the AIMS Cancer Outcomes Study, the AIMS Medical Outcomes Study, and previously the Canadian Psilocybin Safety Initiative Registry. He has published over three dozen peer-reviewed articles and book chapters that have been cited over 800 times and growing per Google Scholar, and he is honored to serve as a member of the Board of Directors of End of Life Washington and the Center for the Study of Cannabis and Social Policy. Musical Guest: Angela Edge http://angelaedge.com The Wendy Love Edge Show is written and created by Wendy Love Edge Producer: A. Edge Productions Editor: Flint Woods Cannabis Expert MD Dr. Brian Nichol, Music and Cannabis Pairing https://cannabisexpertmd.com/ #FIMM with @learnfromteddi #Milehighnews with Candis Dyer https://www.facebook.com/CannaCornerWithCandisDyer #trainingwithmaryjane Offleash K9 Training LLC, Northwest Arkansas https://www.facebook.com/OLK9Arkansas/ Sponsors: The Relevnt App Karas Healthcare Offleash K9 Training, LLC NW Arkansas Irie Bliss Wellness Green Harvest Health Lynsey Camp Lit Premium Smoking Supplies The Balmb Body Care 131 Inclusion Gallery

Social worker Jill Farabelli, MSW, LCSW, APHSW-C talks team health and well-being during the pandemic, and how the power of debriefing sessions can tackle burnout and moral distress. This episode is hosted by Diane E. Meier, MD, FACP, FAAHPM. The views and opinions expressed on this podcast do not necessarily reflect the official policy or position of CAPC.

At the onset of COVID, clinical nurse specialist, Pat J. Coyne, MSN, ACHPN and his team were prepared for a tidal wave to hit their hospital in Charleston, South Carolina. When it finally did, it changed everything—from the way they functioned to the way they went home. Listen to what kept his team going. This episode is hosted by Diane E. Meier, MD, FACP, FAAHPM. The views and opinions expressed on this podcast do not necessarily reflect the official policy or position of CAPC.

Palliative care physician, Stephanie Terauchi, MD, Director of Palliative Care at UT Southwestern Medical Center in Dallas, reflects on her team's strength and compassion during the pandemic. With a third wave that caught everyone by surprise, the team faced a marathon, not a sprint. Listen as Dr. Terauchi shares how building relationships and an environment free of judgment are the ways forward. This episode is hosted by Diane E. Meier, MD, FACP, FAAHPM. The views and opinions expressed on this podcast do not necessarily reflect the official policy or position of CAPC.

Donna W. Stevens, MHA, Director, OACIS/Palliative Medicine at Lehigh Valley Health Network, discusses navigating the pandemic as part of a leadership team. Facing chaotic challenges such as vaccine hesitancy on the team, unparalleled demand and unparalleled exodus, leadership had to explore new ways to meet their staff's needs. This episode is hosted by Diane E. Meier, MD, FACP, FAAHPM. The views and opinions expressed on this podcast do not necessarily reflect the official policy or position of CAPC.

Trained as a physician, he is also educated in business and public health. He is a leader in quality and research. He serves as faculty within the Master's program at University of Maryland.

Trained as physician, Dr. Gonzales serves as chief medical information officer for the Institute for Human Caring at Providence. He began his career in biology and created software.

Trained as physician, Dr. Meier was geriatrician at Mt. Sinai who has been a thought leader in palliative care. She has been involved in many aspects of palliative care. She created CAPC and won a MacArthur Award for her work.

Trained as an emergency physician, Dr. Byock has been involved with hospice and palliative care since the 1970s. He is a past president of the American Academy of Hospice and Palliative Medicine He led the Robert Wood Johnson Foundation Promoting Excellence in End of Life Care program and the Missoula Demonstration Project. He directs the Center for Human Caring. and served as director for Promoting Excellence in End-of-Life Care, a national grant program of the Robert Wood Johnson Foundation.

.PART ONEPERSONALIZING CARE IN A TRANSACTIONAL WORLD.Dr. Wes Ely is the author of the new book, Every Deep-Drawn Breath:  A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU. He's also one of the participants in the upcoming online conference Personalizing Care in a Transactional World, presented by the Providence Institute for Human Caring. The conference is being held Monday, Nov. 1, from 8a-Noon PDT. Registration is now open. Dr. Matt Gonzales, Chief Medical Information Officer for the Institute, talks with host Seán Collins about some of the topics featured during the conference..Matthew Gonzales, M.D., FAAHPM,Palliative Care PhysicianAssociate Vice PresidentChief Medical Information OfficerProvidence Institute for Human CaringGardena, Calif...PART TWOEVERY DEEP-DRAWN BREATH.A conversation with Dr. Wes Ely about his new book. Wes Ely, M.D., MPHPulmonologist and Critical Care PhysicianProfessor of MedicineVanderbilt University School of MedicineNashville, Tenn.author: Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU.Proceeds from sales of the book will benefit the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center established to help ICU survivors and their families. Visit Dr. Ely's website: www.icudelirium.org for updates on the work at CIBS.. 

Sandra Gomez, MD, FAAHPM is the Medical Director of Care and Value of Houston and part of the Supportive Care Team of Houston for WellMed talks with WellMed Radio co-hosts Dr. Marissa Charles and veteran broadcaster and attorney Ron Aaron Eisenberg about preparing for hurricane season when you or a loved one live with a chronic illness.  Listen to the podcast here https://www.podbean.com/media/share/pb-tekka-10de9c1 or by searching for WellMed Radio in Apple Podcasts, Google Podcasts, Podbean, Pandora, Stitcher and Spotify. WellMed Radio focuses on health issues affecting adults. Clinicians and partners discuss stories, topics and tips to help you live healthier. WellMed Radio airs on Saturdays from 7 to 7:30 a.m. CT in the following cities: Arlington (95.5 FM The ANSWER) Dallas (660 AM/92.9 FM The ANSWER) Fort Worth (99.9 FM The ANSWER) San Antonio (930 AM The ANSWER) WellMed Radio also airs on Sundays from 1:30 to 2 p.m. ET: Tampa (860 AM/93.7FM The ANSWER)

Sandra Gomez, MD, FAAHPM is the Medical Director of Care and Value of Houston and Part of the Supportive Care Team of Houston for WellMed talks with WellMed Radio cohosts Dr. Marissa Charles and veteran broadcaster and attorney Ron Aaron Eisenberg about Emergency preparedness/ hurricanes and Palliative Care. See omnystudio.com/listener for privacy information.

Colleague Conversations offers insights into hematology/ oncology from two different perspectives: a seasoned hematologist/oncologist and an early-career clinician. In this installment, Oncology Times sat down with Christopher A. Jones, MD, MBA, HMDC, FAAHPM, and David Jonathan Casarett, MD, MA, FAAHPM, to discuss the relatively new field of palliative care. The discussion leads us through how the field has transformed oncology care, how palliative care physicians can address issues like racial disparities, and how telehealth is the wave of the future.

In this podcast Chris interviews Dr. Janet Bull whom he  has worked with throughout much of his career at Four Seasons.  In this podcast Dr. Bull reviews innovations, she is most proud of and what she learned from them throughout her illustrious career in hospice and palliative care.  Dr. Bull also shares a creative thinking framework:  Ideation, Inspiration, and Implementation which all of us can use.   Finally,  Dr. Bull takes our listeners through a visualization exercise with a look towards the future.  You will enjoy this one so please join us.  Dr Janet Bull's BioJanet Bull, MD, MBA, FAAHPM is the Chief Medical Officer Emerita/Chief Innovations Officer at Four Seasons Compassion for Life and holds a consultant assistant professorship at Duke University Medical Center. She is a Fellow of the AAHPM, board certified in hospice and palliative medicine and holds a hospice medical director certification.  Janet has authored or coauthored several papers on  palliative care operations, telehealth, billing issues, and quality data reporting. She helped develop the QDACT (Quality Data Assessment Collection Tool), co-directed the Global Palliative Care Quality Alliance, and is on the board of the Palliative Care Quality Collaborative. She directs the research department at Four Seasons and has served as the Principal Investigator on over 45 clinical trials in hospice and palliative medicine. She is Program Director of the Palliative Care Immersion Course and a principal of Four Seasons Consulting Group, which offers consulting services in hospice, palliative care, and research.  Janet was the recipient of the Sharon O. Dixon Award in 2007, the Cuniff-Dixon Hastings Award in 2012, and the Josephino Magno Distinguished Physician Award in 2013. In 2014, she was recognized as one of the Top 30 Visionaries in the Field award by the American Academy of Hospice and Palliative Medicine (AAHPM) and served as Principal Investigator on the 2014-17 Center of Medicare Innovations Grant demonstrating the value of palliative care.  She was President of the American Academy of Hospice and Palliative Medicine (AAHPM) in 2017 and was as a core team member on the development of the Alternative Payment Model for Serious Illness Care for AAHPM..  

We explore the poetry of medicine by offering two conversations. In the first, Dr. Ira Byock talks with Dr. Patrick Clary about his poetry, why he writes it, how he uses it, and why it matters."I don't see it as a medical practice so much as a humane practice for us as we do medicine; to maintain our way of looking at our patients as people."    —Dr. Patrick Clary in conversation with Dr. Ira Byock..Then host Seán Collins talks with palliative care clinician Redwing Keysaar about the poetry workshops she's been hosting online during the pandemic. What began as a way for people to process their grief has become a way to get in touch with un-tapped creativity and strengths."We forget so many of the healing modalities that are with us all the time and that have been part of the various cultures that many of us come from. Dr. Rachel Remen says, "We may have lost faith in our ability to write poems just as we have lost faith in our ability to heal. Recovering the poet strengthens the healer and sets free the unique song that's at the heart of each life."   —Redwing Keysaar, RN in conversation with Seán Collins..Patrick L Clary, M.D.  has long used poetry as a tool in his effort to understand, practice, and teach medicine. His work has appeared in anthologies and in two collections, Notes for a Loveletter and Dying for Beginners. A conscientious objector on the basis of Quaker beliefs, he served as a medic with US Infantry Units in Vietnam 1969-70. He is past President of the New Hampshire Hospice and Palliative Care Organization and remains clinically active in end-of-life care as medical director of a community hospice house...Ira Byock, M.D., FAAHPM, is a leading medical authority and public advocate for improving care through the end of life. He is founder and serves as chief medical officer of the Providence Institute for Human Caring. The Institute drives transformation in clinical systems and culture to make caring for whole persons the new normal. The Institute for Human Caring's change strategies produce measurable and scalable improvements in healthcare quality and efficiency. Dr. Byock's books include The Best Care Possible  and The Four Things That Matter Most...Redwing Keysaar, RN is a palliative care clinician, author, poet, educator, national presenter, and frequent contributor to the public conversation about palliative and end-of-life care. Redwing is currently the director of Patient and Caregiver Education at the MERI Center for Education in Palliative Care (Making Education Relevant and Integrated) for Primary Palliative Care Education  at the Mt. Zion Campus of the University of California, San Francisco. She is the author of The Last Acts of Kindness. 

Home Health Foundation Chief Medical Officer Bernice Burkarth, MD, HMDC, FAAHPM reviews the data leading to the FDA's Emergency Use Authorization of the vaccine for ages 12 and older.

Special Guest Moderator: Leonard Hock, DO, MACOI, CMD, FAAHPM, HMDC Hosted by: Diane Sanders-Cepeda, DO, CMD Our learning objectives for this session were: Address ongoing approaches to addressing vaccine Hesitancy within our PALTC community. Discuss the perspectives of clinical and administrative leaders by sharing our experiences. Report on FMDA's SNF Vaccine Hesitancy initiative and the steps we are taking to increase vaccine confidence within the PALTC community. Access the PowerPoint Slides Recorded: May 12, 2021 0.25 CMD-Clinical

Episode 9 of Manchester Living Podcast is here. The topic today is end-of-life planning with our guest Robert L. Fine, MD, FACP, FAAHPM. He's the Clinical Director of Ethics and Palliative Care at Baylor Scott & White Health. http://www.ManchesterLivingPodcast.com

Dr. Barnett is a palliative care physician who knows a thing or two about having empathetic conversations and delivering difficult news. The post 159 – Words Matter: A Palliative Care Physician's Perspective – Michael David Barnett MD, MS, FACP, FAAP, FAAHPM appeared first on Swallow Your Pride Podcast.

Michael W. Rabow, MD, FAAHPM, the Helen Diller Family Chair in Palliative Care, is a Professor of Clinical Medicine and Urology at UCSF. He is the Associate Chief of Education & Mentoring in the Division of Palliative Medicine in the Department of Medicine, and the Medical Director of Palliative Care at UCSF's Helen Diller Family Comprehensive Cancer Center (https://cancer.ucsf.edu/people/profiles/rabow_michael.3627). Board-certified in internal medicine and hospice & palliative care, Dr. Rabow directs a leading outpatient palliative care program-- the Symptom Management Service. In addition, Dr. Rabow is a member of UCSF's Academy of Medical Educators and is the Founding Director of the MERI Center for Education in Palliative Care at UCSF/Mount Zion (https://meri.ucsf.edu). Dr. Rabow was the winner of the 2017 AAHPM PDIA National Palliative Care Leadership Award. He is a past recipient of the Soros Project on Death in America award and the Hastings Center Cunniff-Dixon Physician Award.

To continue this new series, Edo sits down with Ira Byock, MD, FAAHPM, Founder and Chief Medical Officer of the Institute for Human Caring. They discuss why service in leadership is so important and qualities to look for in new hires. Hear their thoughts on why historically hospice hasn't always gotten an equal seat at the table.