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Ethics roundtables from The American Journal of Hospice and Palliative Medicine are digested, abstracted, and discussed by our AI hosts, as well as articles and other topics in symptom management, diagnosis, and others.
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Hosted by integrative palliative medicine physician, Dr. Delia Chiaramonte, The Integrative Palliative Podcast helps physicians and clinicians guide families facing serious illness to physical and emotional wellbeing. Listeners will find insights, skills and knowledge in evidence-supported integrative symptom management, as well as attention to their own self-care, because you can't pour from an empty cup! Everyone who cares for seriously ill people will find something for themselves and the ...
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A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith. CME available!
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A podcast on pearls in hospice and palliative medicine
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Welcome to the official free Podcast site from SAGE Publications for Palliative Medicine & Chronic Care. SAGE is a leading international publisher of journals, books, and electronic media for academic, educational, and professional markets with principal offices in Los Angeles, London, New Delhi, and Singapore.
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Guest speakers, researchers and University of California faculty explore palliative care and managing chronic pain.
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Palliative Care Chat - University of MD Baltimore
Palliative Care Chat - University of MD Baltimore
Brought to you by the online Master of Science and Graduate Certificates in Palliative Care from the University of Maryland, Baltimore. graduate.umaryland.edu/palliative
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GetPalliativeCare.org's podcast, A Quality Life, tells the real-life stories of people living with a serious illness, and their families. Each episode explores how palliative care specialists have helped to manage the symptoms and stress of their serious illness, and improve quality of life
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AmiPal is a podcast about palliative care, technology, innovation and research. If you want to learn more about palliative care, hospice care, research, innovation and health technology - this podcast is for you! This podcast will be of interest to healthcare professionals and students with an interest in palliative medicine. The podcast is hosted by Dr Amara Nwosu MBChB, MRCP, PhD, who is a Academic Clinical Lecturer in palliative medicine in the University of Liverpool, UK. Come and join t ...
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The Surgical Palliative Care Podcast features interviews with the founders and the leaders of the surgical palliative care community, a diverse group of surgeons, dedicated to providing high quality palliative medicine to all surgical and trauma patients. Tune in to learn the rich history of the surgical palliative care movement as well as to stay up to date on the latest research in the field. Hosted by Dr. Red Hoffman, the Surgical Palliative Care Podcast aims to educate, foster community ...
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Welcome to Life: Compassionate conversations around advanced illness and the end-of-life journey. This podcast is intended to provide insight and education into how hospice & palliative care services can help patients and families through the end-of-life journey. It is not intended to replace professional medical advice or diagnoses. We encourage you to seek advice from your physician for questions regarding a medical condition. Hosted by Hospice & Palliative Care of Iredell County’s Develop ...
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How to Start the Conversation: 5 Tips for Initiating Talks About End-of-Life Wishes
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Talking about advance directives, goals of care, and end-or-life wishes can be scary. Even if the conversation doesn't scare you, finding the right time and the right way to bring it up can be a challenge. This week I share my own recent experience of having a goals of care conversation with a loved one, and give practical guidance for how to get s…
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008 - Diagnostics: Post-radiation Lichen Planus
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This case report details a rare instance of post-radiation lichen planus in a 64-year-old male, following radiation therapy for squamous cell carcinoma. The report examines the patient's medical history, clinical presentation, and treatment response to topical triamcinolone. The authors review existing literature on lichen planus, emphasizing its T…
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007 - Diagnostics: Posterior Reversible Encephalopathy Syndrome (PRES) - Don't Miss This Diagnosis!
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This case report and accompanying discussion detail Posterior Reversible Encephalopathy Syndrome (PRES), a neurological condition presenting with seizures, visual disturbances, and altered mental status. Often misdiagnosed as more severe conditions like intracranial hemorrhage, PRES demonstrates reversible brain swelling on MRI. The case highlights…
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006 - Symptom Management: BJR Method for Methadone Conversion
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The BJR method is a novel mathematical approach to methadone conversion that aims to improve upon existing methods by providing a smoother, less discontinuous, and less linear output for a reasonable and safe methadone dose. Here's how it improves upon existing conversion approaches: Addresses Limitations of the Plonk Method: The Plonk method uses …
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005 - Cultural: The Therapeutic Baptism : A Case of Missed Cultural Cues in a Terminally Ill Patient
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The case study underscores the potential for misinterpreting spiritual distress as psychiatric illness, resulting in inappropriate treatment. Clinicians should learn several key lessons from the case of Mr. G, primarily emphasizing the importance of addressing patients' spiritual needs alongside their physical ailments. Open communication: Clinicia…
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004 - Ethics: Suicide and Self Determination - what are the limits to autonomy when a patient lacks capacity?
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This ethics roundtable discussion centers on the case of JG, a 45-year-old man who attempted suicide and subsequently suffered severe brain damage. The article presents differing perspectives from medical, nursing, risk management, ethics, pastoral, social work, and legal professionals regarding the ethical implications of his wife's request to wit…
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003 - Ethics: State-Erected Barriers to End-of-Life Care
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This ethics roundtable discussion analyzes a case study where a patient's daughter-in-law, the primary caregiver, seeks to withdraw life support, but state law restricts surrogacy to blood relatives or spouses. The discussion explores the ethical and legal implications of this restrictive law, highlighting the conflict between the patient's best in…
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002 - Ethics: Surrogacy, Religious Beliefs, and Medical Treatment
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Ethical and legal considerations surrounding a comatose Jehovah's Witness patient's need for a life-saving blood transfusion are debated. The patient's parents, also Jehovah's Witnesses, refuse consent, while her brother advocates for the transfusion, claiming she wasn't a practicing member. The case highlights the conflict between parental surroga…
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001 - Ethics: Surrogate Decision Making at End of Life
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Who makes the decision if the patient lacks capacity? Multiple healthcare professionals offer varying perspectives on the ethical and legal dilemma surrounding the care of a 93-year-old comatose patient (JH). A conflict exists between JH's legally appointed Power of Attorney (POA), his hired caregiver, who wants aggressive treatment, and his son, w…
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From Cold Showers to Going Flat: Katie Duke's Empowering View of Breast Cancer From the Inside
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In this episode, Katie Joy Duke (@katiejoyduke) shares her wisdom as a woman and life coach who experienced treatment for stage IV breast cancer. She shares the tough parts and the growth parts, including her decision to pursue an aesthetic flat closure rather than breast reconstruction. She is open and engaging and wise. I know you'll love learnin…
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The Tyranny of Expectations
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We create much of our own suffering, and I suggest that we all cut that out! Life sends us enough stress and challenge - why would we add to our suffering for now good reason? Expectations can add to our suffering. Learning to modulate your expectations allows you to stay in the moment and enjoy your experiences, your people, and your moments. Holi…
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Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious
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We’ve talked a lot before about integrating psychiatry into palliative care (see here and here for two examples). Still, we haven’t talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this week’s podcast, we talk with two experts about palliative psychiatry. We invited Dani Chammas, a pall…
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Avoiding Regret: 4 Key Steps
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In the serious illness space, regret is rampant. Caregivers often regret what they did or didn't do when caring for their loved one with cancer, dementia, or other life-limiting illness. Physicians and other clinicians may regret the goals of care conversations that we meant to have but didn't get around to. Regret is terrible and its negative impa…
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AI for Surrogate Decision Making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender
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Surrogate decision making has some issues. Surrogates often either don’t know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better? Or, to phrase the questi…
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Advance Directives & Emergency Medicine: Wisdom From the Front Lines with Dr. Dan Morhaim
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Emergency Medicine physicians face life and death situations as part of their normal work day. They train for that! But what about when an ailing person with a very advanced cancer comes to the ED without an advanced directive? What if half the family wants aggressive care and half the family wants to let the patient die peacefully at home? This we…
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Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman
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We’ve covered stories before. With Liz Salmi, Anne Kelly, and Preeti Malani we talked about stories written up in the academic literature, such as the JAMA Piece of My Mind series. We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories.…
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Managing the Holidays When Someone Important is Missing
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Holidays can be joyful times that bring you together with the people that you love. But what if someone is missing? Maybe your loved one has died, or maybe someone important to you can't join you for the holidays this year. How do you balance grief with expectations of holiday joy? This week I discuss how to cope with the holidays when someone you …
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Coping with Serious Illness: Danielle Chammas and Amanda Moment
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Denial. Substance use. Venting. Positive reframing. Humor. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a …
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Falls and Fractures: A Podcast with Sarah Berry
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Falls are very common among older adults but often go unreported or untreated by healthcare providers. There may be lots of reasons behind this. Patients may feel like falls are just part of normal aging. Providers may feel a sense of nihilism, that there just isn't anything they can do to decrease the risk of falling. On this week's podcast, we tr…
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The double awareness of the wish to hasten death and the will to live: A secondary analysis of outlier patients from a mixed-methods study
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This episode features Professor Raymond Voltz (Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany; Center for Health Ser…
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Development of the TIFFIN recommendations for co-producing palliative and end-of-life care research with individuals with lived experience of homelessness: A qualitative study
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This episode features Jodie Crooks (Marie Curie, London, UK) and Dr Briony Hudson (Marie Curie, London, UK; Marie Curie Palliative Care Research Department, University College London, London, UK). What is already known about the topic? Research into palliative care for people experiencing homelessness is complex and requires input from people with …
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Coping When Faced with Deeply Upsetting Circumstances
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We've just had a big election and many people have strong feelings about the result. Some people are happy about the outcome, and others are feeling deeply distressed. In palliative care we are experts at helping people cope with highly unwanted outcomes. We can use some of our palliative care skills to help people cope with their feelings right no…
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath
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We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declin…
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The Basics of Gender Affirming Care: A Primer for Physicians and Clinicians
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Can you define cisgender? Transgender? Intersex? Gender non-conforming? Do you know the difference between sex and gender? Have you heard of a 'dead name?' Do you know why using "Sir" and "Ma'am" can cause you to be inadvertently hurtful to your patients? Providing gender affirming care is important but you may not have learned this in school. Join…
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COVID Updates: A Podcast with Peter Chin-Hong and Lona Mody
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In March 2020, we launched our first podcast on COVID-19. Over the past four years, we’ve seen many changes—some positive, some negative. While many of us are eager to move past COVID (myself included), it’s clear that COVID is here to stay. This week, we sit down with infectious disease experts Peter Chin-Hong and Lona Mody to discuss living with …
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Supporting Blind Patients: From 'Pity Party' to 'Propel Party' with Sarah Freeman Smith
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Sarah Freeman Smith is a blind inspirational speaker and author, former HR/recruiting leader and disability advocate. She went blind in midlife and in this week's episode of The Integrative Palliative Podcast she shares her journey, the tech that she uses to increase her independence, and guidance for physicians and clinicians to help their visuall…
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Medical Cannabis Revisited: A Podcast with David Casarett and Eloise Theisen
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Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. The doses of the most widely discussed pharmacologically active ingredients, THC and CBD, vary by product, and the onset and bioavailability vary by how it is delivered. If you …
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Eco-Friendly End-of-Life Options: Green Burials and Beyond
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Many patients are embalmed or cremated after death, but this isn't the only option. Embalming and cremation have a negative impact on the environment, and other, more eco-friendly, options are becoming popular. Options such as green burials, human composting, and reef balls give people options for how to handle their loved one's body after death. D…
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Guidelines or Goals in Heart Failure: Parag Goyal, Nicole Superville, and Matthew Shuster
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When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? In this week’s podcast, we’ll tackle this crucial question, thanks to a fantastic suggestion from GeriPal listener Matthew Shuster, who will join …
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This episode features Suning Mao (State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China) What is already known about the topic? Home-based palliative care has grown in popularity, but challenges in coordina…
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This episode features Professor Scott Murray (Primary Palliative Care Research Group, Usher Institute, The University of Edinburgh, Edinburgh, UK). We are delighted with this special edition, and that Palliative Medicine has turned its focus on this important topic. Primary Palliative Care, delivering palliative care by trained primary care profess…
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White Coat Crossroads: An Interview with Physician Career Coach Heather Fork, MD
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Many physicians, and other clinicians, are wiped out and burned out. They may wonder if they should stay in medicine, or if there is another path that would make them happier. Yet running away from unhappiness isn't a great strategy because sometimes the unhappiness follows you to your next destination. Dr. Heather Fork is a dermatologist and physi…
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