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Friday Chalk Talk - Palliative Care
United States
Registrace 2. 10. 2020
The Palliative Care Friday Chalk Talks are a weekly, 20-30 minute, short-and-sweet, live audience, presentation and discussion, for the entire multidisciplinary Palliative Care team. A grassroots project involving Palliative Care programs globally; providing the opportunity to share knowledge, experiences, and lessons learned with other PC specialists. Presentations are focused on narrow topics meant to spark further interest and provide listeners with pearls of wisdom to impact their practice. We put an emphasis on the entire multidisciplinary team by having a diverse range of guest speakers (social workers, chaplains, nurses, physicians, pharmacists, fellows, ethicists, therapists, & more).
Created by Martin Bazelak & Rose Champagne in collaboration with our wonderful PC team in Milwaukee; and many PC colleagues and mentors throughout the US.
Co-hosts: Kristen Mathson-Holtz, Lee Ann Lau, Maureen Blaha, Rachel Gage, Patrice Fedel, Jesslyn McMahon, Caitlin Berry, & Eve Conversa.
Created by Martin Bazelak & Rose Champagne in collaboration with our wonderful PC team in Milwaukee; and many PC colleagues and mentors throughout the US.
Co-hosts: Kristen Mathson-Holtz, Lee Ann Lau, Maureen Blaha, Rachel Gage, Patrice Fedel, Jesslyn McMahon, Caitlin Berry, & Eve Conversa.
Novel Opportunities in Bedside Teaching for Palliative Med Educators
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics meant to spark further interest in a subject and provide listeners with pearls that may help impact their practice.
Looking to Join? If you are in healthcare and working in, or closely with, the field of hospice or palliative care and would like to be a part of our weekly live discussions, reach out to us at: mobazelak@gmail.com or at martin.bazelak@aah.org
Looking to Join? If you are in healthcare and working in, or closely with, the field of hospice or palliative care and would like to be a part of our weekly live discussions, reach out to us at: mobazelak@gmail.com or at martin.bazelak@aah.org
zhlédnutí: 44
Video
Complexities of Combined Kidney & Liver Disease
zhlédnutí 46Před 14 dny
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Ambivalence & Reluctance: Motivational Interviewing in PC
zhlédnutí 71Před měsícem
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Basic Healing
zhlédnutí 76Před měsícem
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Does "DNR" Change the Care Patients Receive?
zhlédnutí 58Před měsícem
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Psychedelic Q&A (Palliadelic Health)
zhlédnutí 83Před měsícem
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Palliative Care in Nephrology & Dialysis Access Considerations
zhlédnutí 90Před 2 měsíci
Friday Chalk Talks are a weekly, live-audience, short-and-sweet, 20-30 minute presentation and discussion, for the entire multidisciplinary Palliative Care team (physicians, nurses, social workers, chaplains, pharmacists, and others). A grassroots project to share knowledge, experiences, and lessons learned with other Palliative Care specialists. Presentations are focused on smaller topics mean...
Palliative Management of Inoperable Malignant Bowel Obstruction
zhlédnutí 151Před 3 měsíci
Palliative Management of Inoperable Malignant Bowel Obstruction
Palliative Care Billing Quick Tips 2024 (CAPC Collab)
zhlédnutí 101Před 3 měsíci
Palliative Care Billing Quick Tips 2024 (CAPC Collab)
Reflections on the Field of Palliative Medicine w/ Doctor von Gunten
zhlédnutí 74Před 3 měsíci
Reflections on the Field of Palliative Medicine w/ Doctor von Gunten
What is Given: Forgiveness in Medical Ethics, Palliative Care, and Literature
zhlédnutí 144Před 4 měsíci
What is Given: Forgiveness in Medical Ethics, Palliative Care, and Literature
Aligning Organ Donation & PC to Support Patients/Families
zhlédnutí 39Před 5 měsíci
Aligning Organ Donation & PC to Support Patients/Families
Missed Opportunities to Ease Suffering: OT Utilization at EOL
zhlédnutí 215Před 6 měsíci
Missed Opportunities to Ease Suffering: OT Utilization at EOL
Questioning a Proxy/Surrogate's Judgement & Decisional Capacity
zhlédnutí 63Před 6 měsíci
Questioning a Proxy/Surrogate's Judgement & Decisional Capacity
The Concept of Social Death & its Impact on Bias
zhlédnutí 81Před 6 měsíci
The Concept of Social Death & its Impact on Bias
Clinician Self-Disclosure in Palliative Care
zhlédnutí 121Před 6 měsíci
Clinician Self-Disclosure in Palliative Care
Supporting Grieving Children & Adults w/ Developmental Disabilities
zhlédnutí 108Před 7 měsíci
Supporting Grieving Children & Adults w/ Developmental Disabilities
Geriatric and End-of-Life Care in Prisons: Just Care
zhlédnutí 52Před 7 měsíci
Geriatric and End-of-Life Care in Prisons: Just Care
Denying Death: The Terminally Chronically Critically Ill
zhlédnutí 126Před 8 měsíci
Denying Death: The Terminally Chronically Critically Ill
A Mindset for Improved Communication in Conflict
zhlédnutí 37Před 8 měsíci
A Mindset for Improved Communication in Conflict
Reconsidering the Language of "Need" in Serious Illness
zhlédnutí 86Před 9 měsíci
Reconsidering the Language of "Need" in Serious Illness
What is Wrong w/ Advanced Care Planning? (CAPC Collab)
zhlédnutí 121Před 10 měsíci
What is Wrong w/ Advanced Care Planning? (CAPC Collab)
The Value of Advanced Care Planning for Spokespersons of Patients
zhlédnutí 53Před 10 měsíci
The Value of Advanced Care Planning for Spokespersons of Patients
QTc: When to Worry, When Not to Worry
zhlédnutí 66Před 10 měsíci
QTc: When to Worry, When Not to Worry
Nope
Leah and Andy... that was just a lovely bite sized morsel for us to chew on this morning. I love your paper. I appreciate your time with us. Thank you.
Looking for more? Follow the link to the fabulous full 30-minute discussion with Dr. Pollak about motivational interviewing in medicine: czcams.com/video/Qqqfa2LuoIY/video.htmlsi=d7WQHX_qZsfOlkpT
Toby and Clara. Just wow! That was stellar and so valuable. Sometimes Palliative Medicine (or any specialty for that matter) can get into an echo chamber when we have an audience and guest speaker all sharing the same training... and today having a transplant hematologist and nephrologist join us was VERY valuable and helps us to see our own blinds spots that we struggle to acknowledge. It means a lot that you joined us today. Thank you both.
good idea!
Thank you! Cheers!
Looking for more? Follow the link to the fabulous full 30-minute discussion with Dr. Pollak about motivational interviewing in medicine: czcams.com/video/Qqqfa2LuoIY/video.htmlsi=d7WQHX_qZsfOlkpT
Looking for more? This short is an excerpt from a much larger conversation about “healing” by Rabbi Yonason and Social Worker Jen. Enjoy! Link: czcams.com/video/0Mfh1wfpqiE/video.htmlsi=v5g4uqJbXoAVJuqN
She's absolutely correct about everyone being on a different page. Hopefully, with some time that improves. Thankfully, the most important team members are very good.
Link to the article referenced today: Pollak KI, Childers JW, Arnold RM. Applying motivational interviewing techniques to palliative care communication. J Palliat Med. 2011 May;14(5):587-92. pubmed.ncbi.nlm.nih.gov/21291329/
Kathryn. Thank you. That was fabulous. We appreciate your time with us today.
Looking for more? This short is an excerpt from a much larger conversation about “healing” by Rabbi Yonason and Social Worker Jen. Enjoy! Link: czcams.com/video/0Mfh1wfpqiE/video.htmlsi=v5g4uqJbXoAVJuqN
“Advice of the ages… wisdom of the sages…” it’s inspirational time!
Yoni and Jen. Wonderful sage wisdom today. Thank you for the exploration on healing.
I want to get past the immense anger I feel.
Anger towards what?
PubMed Links to Laura's 2 fabulous articles: Driggers KE, Keenan LM, Alcover KC, Atkin M, Irby K, Kovacs M, McLawhorn MM, Mir-Kasimov M, Sabbahi WZ, Sellman J, Johnson LS. Unintended Consequences of Code Status in the Intensive Care Unit: What Happens After a Do-Not-Resuscitate Order Is Placed? A Retrospective Cohort Study. J Palliat Med. 2024 Apr;27(4):508-514. pubmed.ncbi.nlm.nih.gov/38574337/ Driggers KE, Dishman SE, Chung KK, Olsen CH, Ryan AB, McLawhorn MM, Johnson LS. Perceptions of care following initiation of do-not-resuscitate orders. J Crit Care. 2022 Jun;69: pubmed.ncbi.nlm.nih.gov/35278875/
A discussion about the dilemma of psychedelic training: urldefense.com/v3/__www.ecstaticintegration.org/p/ethical-dilemmas-facing-psychedelic?;!!PrVBqlTvcBbYrqSF!BEBgh9__ky9BIWfo-OEINN_Byunitd-BZr3k4_COrCmQc4GO95UCtFkYUuxsa-0l4ktInbMMe5Qwce7h59y3$
Amazing information. Thank you!
Lou. That was just wonderful! From my perspective, there is so much mystery around these topics and you dissipated the obfuscation. Thank you.
Thank you.
Looking for more? This is an excerpt from a larger discussion on Kidney Palliative Care and dialysis access considerations. follow the link to the full interview: czcams.com/video/5la9pxAvjFo/video.htmlsi=SIHzfzrQlwSrYDyV
Looking for more? This is an excerpt from a larger discussion on Kidney Palliative Care and dialysis access considerations. follow the link to the full interview: czcams.com/video/5la9pxAvjFo/video.htmlsi=SIHzfzrQlwSrYDyV
Sam and Dirk. What an absolute pleasure. Thank you both for sharing your perspectives on KidneyPal and in particular on dialysis access considerations. We are all the better for having you joins us today!
#muscularchaplains! For the full stellar interview with Dr Charles F. von Gunten, follow the link to full video. Enjoy.
Amy. We are so impressed by the wealth of your knowledge and experience on this topic. Thank you for a wonderful presentation and answering our questions. Admittedly, before your paper I understood very little about this topic, and your time with us has meant a lot. We wish you all the best on your third upcoming publication and your ongoing work. Cheers!
I'm grateful for the opportunity to contribute to the larger conversation!
Michelle and David. Thank you for this enlightening conversation about the limited evidence we are working with when it comes to Octreotide and other Palliative Management of malignant bowel obstructions. We appreciate your time, your papers from 2015 and 2024, and your expertise.
how can a nurse applied Total pain teori of Cicely Sunders?
Great question: “how can a nurse apply total pain theory of Sicily Saunders?” Nurses are present on the front lines and spend more time with their patients than anyone else in the hospital. They are perfectly poised to bring a therapeutic presence and a ‘sounding board’ and recognize in their patient that there may be more than just physical pain contributing to their suffering. And then they can advocate for getting the right folks involved to try to help address all those other aspects of pain. Thanks for the question.
@@fridaychalktalk-palliativecare thank you for the answer
Cathy, thank you for all you have done and do...it is obvious that you are passionate about helping patients with IPF.
Andy. What a pleasure to have you back and to hear your insights on this large and complex topic. And a big thank you to CAPC (Center to Advance Palliative Care) for collaborating with us on this episode.
I appreciate your perspective here. Long time peds palliative care SW here, (and shout out to Kenyon! Class of 80... your liberal arts education is showing to good effect). And this topic just came up in a recent training our EPEC-Peds group was conducting, and the question of moral conflict when admin prohibits disclosure, and ethical imperative to tell the truth or acknowledge error experienced by the clinician. Moral injury can result. Consequences of barriers to this seeking of, or offering of forgiveness perhaps?
Charles. Thank you ever so much. It was a pleasure interviewing a fellow introvert. We thank you for your career and sharing your wisdom.
Aldis. Thank you for your time and your depth of knowledge on this complex subject of forgiveness. We are grateful to have run into you. Good luck next year in your internship!
Thank you so much for the opportunity! I look forward to keeping up with this community and series! What an amazing collaborative.
I think this is important information. Not enough out there. Thank you.
Im on methadone ive gotten myself down to 40 mg from 100mg in a month and now im trying to figure out how to safely switch to Suboxone. Unfortunately i live in DE and many clinics and physicians wont even take me until im on 30-40 mg and i have to be off for over 72 hours and unfortunately i have sooo many responsibilities along with a busy career i cant just withdraw for days ugh 😢
Holy shit yall are some smart men!
Cal. What a pleasure! Thank you for helping us appreciate the state of the literature and reinforcing how massage therapy can provide an level of expertise with a profound impact on therapeutic presence.
Michelle and Kristen. Thank you for your time and your expertise today to help us better understand how everyone's communication can impact these delicate times.
Dr Sarah Hull… thank you so very much for sharing your perceptive on the ethics of LVAD (and other life sustaining medical interventions) deactivation. We really valued your time and expertise today.
Janice. Thank you so very much for your time with us today. This was eye opening. The take-aways are that: Occupational therapists support participation in occupation (meaningful activity) across the lifespan. Many assume participation only equates to performance and dismiss occupational therapy for people who are dying and do not have rehab potential. But OT works across a range, from remediating lost function to accepting loss and modifying/adapting a person's occupations, to make the most of where the person is, support their engagement in living, and help them cultivate meaning and connection. OT and PC have so many opportunities to collaborate together.
Methadone old nazi drug which is bad for the electric system in your heart it allso eats away at calcium in your bones and teeth. Morphine is better
Every medicine has its own unique risk and benefit profile. Each requires careful consideration. Methadone may not be for everyone, but there are absolutely patients out there for whom this is the difference to having their pain controlled and getting their life back. Every case is different.
@@fridaychalktalk-palliativecare if morphine is available to give for pain that is the first choice methadone should be the last
Great question! Thanks for asking. The answer is that it depends. There are patients for whom methadone would be preferable to morphine and vice versa. Let me give you a real world example… Our bodies remove (metabolize) morphine primarily by our kidneys. So, for a patient who is on dialysis or has very bad renal function, Morphine would be contraindicated because their body wouldn’t be able to remove it so it would accumulate and be very toxic/harmful. Other opioids, like Methadone or fentanyl, that are not impacted by your kidney function might be a better choice. Every situation is case by case, and a complicated consideration of your body, its organ function, and other prescription (or non-prescription) medication’s that might interact. Opioid selection is a very complicated puzzle indeed.
czcams.com/video/l0EqbISNPQA/video.htmlsi=XT_lJtsS5aB9dqNa
czcams.com/video/tZ1EmbqugMo/video.htmlsi=oTZEqt026b63YuAg
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: czcams.com/video/FBBoHYkT3hI/video.html
I trained with a physician, who made it a point to visit many of the surrounding rural communities so that when he would ask his patients where they were from, he would have a story unique to each of those communities that he could share that would help him earn a connection right from the start of the encounter. Self-disclosure in action.
Katherine. It is always a pleasure having you with us! Thank you so very much for your wonderful paper, your time, and sharing your experiences. We are all the better for it.
Thank you
You're welcome
Looking for more? This short is an excerpt from a larger conversation about the role of Palliative Medicine in the family conference. Check out the link to the full conversation for more communication tips.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: czcams.com/video/FBBoHYkT3hI/video.html
A question from an outstanding hospital chaplain colleague: “…Is medicine a series of mechanical actions that the practitioner performs on the patient, or is medicine a mutual path of healing where both the practitioner and the patient have to invest themselves?…”. How can we not be human and cross some boundaries in medicine, so long as we are thoughtful and intentional in that process.
Joelle and Holland. What a pleasure! Thank you for talking about such an important topic and so that we can name it out loud and recognize our own biases in these situations.
Looking for more? This short is an excerpt from a larger conversation about the role of Palliative Medicine in the family conference. Check out the link to the full conversation for more communication tips.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: czcams.com/video/FBBoHYkT3hI/video.html
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: czcams.com/video/FBBoHYkT3hI/video.html
Additional food for thought: “… we are not advocating for self-disclosure to become a routine part of the communication toolbox. Rather, we see self-disclosures as inevitable. Some individuals are inclined to make more elective disclosures than others, and of course, patients/families often ask us for personal information (and if we summarily shut these bids for connection down, the therapeutic relationship may end before it begins). So rather than setting an unrealistic goal of never self-disclosing, to us it is more realistic to provide clinicians with a way to think about self-disclosures in order to minimize harm (which may include deciding not to self-disclose) and, when possible, actually promote treatment goals…”