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Hosted by integrative palliative medicine physician, Dr. Delia Chiaramonte, The Integrative Palliative Podcast helps physicians guide families facing serious illness to physical and emotional wellbeing. Physicians will find insights, skills and knowledge as well as attention to their self-care, because you can't pour from an empty cup! All physicians will find something for themselves and their patients in this podcast. Targeted to physicians, but all are welcome!Also, check out The Institut ...
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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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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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show series
 
I saw this question online "Are you a martyr for medicine?" The question made so many people uncomfortable that I figured it was something we needed to think about. Here are the questions to ponder that we address in this week's episode: - How much are you sacrificing? - How much are you suffering? - What is your cause? - What can you do to bring t…
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This episode features Caitlin Spooner (Marie Curie Palliative Care Research Department, University College London, London, UK). What is already known about the topic? - Currently, there is no gold standard for evaluating how different methods of prognosticating in advanced cancer impact on patient care. - Prognostic models are principally evaluated…
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Communicating about death and end of life topics can be scary. For both clinicians and family members who care for people with serious illness (like cancer and dementia) it can be tough to know how to raise issues related to mortality, end of life decisions, and beliefs about what happens after death. Lisa Pahl, LCSW co-created the Death Deck and t…
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What do you say if your patient comes in with a bag of supplements? What if they are on a bunch of medications but they don't tell you about all of the supplements that they take? What if you disagree with what they are doing? What if you don't know much about the complementary modalities that they are using? You may feel hesitant to talk to patien…
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This episode features Dr Amara Nwosu (Lancaster Medical School, Lancaster University, Lancaster, UK; Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK; and Marie Curie Hospice Liverpool, Liverpool, UK). The podcast is an overview of a published editorial on telehealth in palliative care. Dr Nwosu highlights the unrealised potential…
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"I wish I could do that." This benign sounding sentence isn't really benign at all. It is passive and a bit pessimistic and it implies that you probably won't be doing that cool thing after all. "I will do that thing" has a totally different vibe. It is active and powerful and makes it more likely that you really will do that very cool thing. Maybe…
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Is it true that integrative palliative care isn't evidence supported? Definitely not. Is it true that all "natural" approaches are safe and effective. Also definitely not. Guided imagery and acupuncture are very safe, but there are times that they should be avoided. Knowing these details is crucial for practicing safe and effective integrative pall…
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Being a physician or clinician can be tough. Some are leaving medicine. Some, tragically, even die by suicide. Having a job that makes you happy is key. Doctor Lara Hochman helps physicians find jobs that they love. Lara Hochman, MD is a Family Medicine physician and The Medical Matchmaker. She is an advocate for fellow physicians’ wellbeing amidst…
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For some people pets are family. Losing a family member is heartbreaking and destabilizing, no matter how many feet they have. Why is it so hard when a pet dies and what can we do to help us cope? This week I share my own journey with losing a beloved pet and give guidance for how to handle the situation of euthanasia and grief with intention. I'm …
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Dr. Sherita Gaskins-Tillett is an Ob-Gyn, mother, wife, wellness enthusiast and leader of wellness retreats for professional women. She has also been a caregiver of a loved one with dementia so she knows the stress of caregiving from the inside. In this lighthearted and advice-filled interview Dr Gaskins-Tillett gives practical tips for supporting …
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Title "Hospital-service use in the last year of life by patients aged ⩾60 years who died of heart failure or cardiomyopathy: A retrospective linked data study" Description This episode features Dr Gursharan K Singh (Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD, Australia). What is…
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Gabapentin is widely used, often for pain, but it is often not used skillfully. This can result in patients getting inadequate symptom relief or stopping the drug unnecessarily because they mistakenly think that they can't tolerate it. Using gabapentin skillfully is worth learning! Listen and learn the 8 things that you should know about gabapentin…
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Bill Zvarick, L.Ac is a true healer. In treating his patients he combines his skills in acupuncture, Chinese herbal medicine, Qi gong, Tui Na, and western massage to help people find their way back to wellbeing. He describes acupuncture as an elegant art and when you will listen you will feel his passion for his craft. Bill explains why he describe…
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When cancer treatment is finished, people expect to feel happy. Some do, of course, but many don't. Any serious illness can be scary, but finishing chemotherapy or radiation can leave people feeling unsettled because the close attention from the oncology team ends. And family and friends may expect the person to go back to "normal" but the patient …
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The hair loss associated with chemotherapy makes a hard time even harder. Patients may wonder: "Should I cut my hair short?" "Should I shave my head before chemo starts?" "Is there anything that I can do to prevent my hair from falling out?" This week's episode will answer those questions and more. Here's to happier patients and happier clinicians,…
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Loneliness is rampant and so many of us are starved for touch. Cuddle therapy is an interesting treatment modality that provides platonic touch by trained cuddle therapists. Have you tried it? Let us know. If you'd like more info about cuddle therapy or to find a cuddle therapist, here's a resource: www.cuddlist.com I am not affiliated with them or…
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Talking about tough stuff like serious illness, advancing illness or end of life issues can be stressful. This week you'll hear 5 very practical and effective strategies for mastering these tough conversations. Physicians, nurse practitioners, physician assistants, social workers, chaplains, home health aides, and people caring for a loved one with…
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Battling stress and preventing burnout is an active process. If you have a stressful job, like being an Emergency Medicine physician in a pandemic, actively working on yourself is protective. Dr. Tamara Beckford is an Emergency Medicine physician and expert in burnout prevention and wellbeing. She shares her personal steps for managing her wellbein…
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Having a parent with declining cognitive function is one of the most stressful experiences that you will face. It can be hard to know how to approach your parent(s) about the decline. You want to keep them safe, but they may not want your help. It can be a long road, so having a coping plan from the start is important. Here are 8 suggestions for ho…
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This week I've been on the other side of the palliative care coin with a family member and my family doggie. I noticed five themes that applied in both places and I share them this week. What did I miss? What would you add? Dr. C Delia Chiaramonte, MD P.S. The Conscious Coping program is starting in late July. If you have an ill loved one and you'd…
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This episode features Hannah May Scott (Florence Nightingale Faculty of Nursing Midwifery and Palliative Care, Cicely Saunders Institute, King’s College London, London, UK). What is already known about the topic? - Although spiritual concerns are recognised as a core component of palliative care for children, there is a paucity of primary data. - S…
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Being in the hospital is hard. It can be overwhelming, exhausting and feel like a completely out of control experience. Whether you are a physician, other clinician or family member of someone who is ill, these six tips will help you improve the wellbeing of people in the hospital. What other tips would you suggest? Send me a message with your sugg…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. While patients with this condition can fall through the cracks of the health care system, there have been major advances…
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Mia Redrick is the real deal. She is a life coach and business coach who has dealt with significant chronic and serious illness in her family. Mia will show you how to show up for yourself in a powerful way, even while living a busy life or caring for someone who is ill. You don't want to miss this episode. Think of two friends who are stressed and…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. While patients with this condition can fall through the cracks of the health care system, there have been major advances…
  continue reading
 
You will love this week's guest! Cal Cates is a massage therapist as well as the founder and Executive Director of Healwell, a non-profit whose mission is to touch people affected by serious illness, teach massage therapists how to provide that touch, and to advocate for a broader role for those therapists in serious illness care. They have trained…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. While patients with this condition can fall through the cracks of the health care system, there have been major advances…
  continue reading
 
It is hard to talk to a loved one about their serious illness. And it can be hard to counsel families about how to communicate well. Knowing your own communication style and that of the patient can help make communication easier. This podcast will discuss 6 different communication styles: Direct & open, reserved & private, emotional & expressive, p…
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Anticipatory grief is common and normal but it is rarely talked about, which leaves people to suffer alone. Beginning to grieve for the loss of a loved one before they have died can be hard. In this week's podcast we discuss ten things that a grieving loved one can do with their loved one during this challenging time. I'm glad you're here, Dr. C De…
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What is the difference between sympathy, empathy, and compassion? They are each approaches to other people's suffering; however, sympathy is distancing, empathy is supportive, and compassion includes a component of action. How do you tend to respond to other people's suffering? I'm glad you're here, Dr. C Delia Chiaramonte, MD P.S. I'm starting a p…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. While patients with this condition can fall through the cracks of the health care system, there have been major advances…
  continue reading
 
Welcome to The Game of Joy! This week Joy Ambassador, Yasmin Nguyen, shares his inspiring story of struggle and exploration that led him to write his book The Game of Joy. There is so much in this episode for everyone. Discover your "joy blockers," what to do when you encounter "unjoy" and how to play the "game of joy." Here's where you'll find Yas…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. While patients with this condition can fall through the cracks of the health care system, there have been major advances…
  continue reading
 
Have you said any of these things to your patients? "Unfortunately,..." "Your MRI is one of the worst I've even seen." "Your knee is bone on bone" If so, you may have elicited the nocebo response. The nocebo response is the opposite of the placebo response and it can increase your patients' pain, nausea, fatigue, anxiety and more. Words are powerfu…
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It is estimated that more than 80% of adults in the U.S. will have low back pain at some time in their lives. It is a significant cause of disability, resulting in an immeasurable toll on function, happiness, and quality of life. Dr. Paul Su discusses the basics of lower back pain with a look at anatomy, physiology and evaluation. Series: "Mini Med…
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Do you have a ton of open charts? Are you charting at night in your PJs? Do you feel overwhelmed by work tasks? Are you also intuitive and a connector? Do you get totally engaged in the things that you enjoy? If that sounds like you, you might have ADHD. Many high functioning people have ADHD (often inattentive type) but they just don't know it. Co…
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The healthcare system is rough on everyone. Physicians and patients are both frustrated and everyone has a point. This week we talk about three big topics that come up in the hospital: information, emotions and decisions. We discuss them from the clinicians' perspective and then from the patients' perspective so that we can better understand each o…
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This episode features Dr Jenny Lau (Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada; Division of Palliative Care, University Health Network, Toronto, ON, Canada) and Dr. Daniel Buchman (Everyday Eth…
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Dr. Rashmi Schramm is a meditation & life coach, and a generally sage and wonderful human being. She offers tons of practical tools to help us feel better, stress less and find joy in day to day life. She will teach you to spend a little less time DOING and a little more time BEING. You'll leave this episode with techniques that you can use to make…
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Pets are like family and it can be terribly painful and difficult when they get sick. Should you take them for surgery? Do the intensive testing? How do you know when it's time to think about euthanasia? This week's episode is all about pets and palliative care. You'll learn about the pet palliative care that is going on in my home, and if you list…
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Dr. Kara Wada is an allergist, immunologist and lifestyle medicine physician. She had years of vague and unexplained symptoms that ultimately resulted in a diagnosis of Sjögren's syndrome. This diagnosis spurred her to explore ways to control her symptoms and improve her health. This week Dr. Wada shares her journey and offers many tips for reducin…
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Compassion fatigue is the negative impact that caring for patients can have on caring clinicians over time. It can happen when we are witness to repeated suffering, when we don't get time to replenish ourselves or when we see multiple micro-injustices (like patients getting sicker because they can't afford their medications) over time. With these t…
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How many of these hospice myths did you believe? Hospice is kind but misunderstood! If everyone truly understood what hospice is, how it helps, when you should have it, and when you want it but can't get it, the world would be a better place. There would be less suffering and I am all about helping people suffer less. Listen and see how many hospic…
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Unfortunately our world has a lot of tragedies and people may reach out to you for help when they are dealing with hard things. Or you may be dealing with hard things in your own life. It can feel overwhelming and you may be unsure of exactly what to do to help. This week we discuss a 8-step plan for coping successfully when something really tough …
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There are a lot of questions and myths on the topic of aromatherapy. Is it safe? Is there evidence of benefit? How exactly should we be using it? Dr. Ann Huntington, internist and expert in essential oils, will answer all those questions for us, and more. She also offers a course on the science of aromatherapy for physicians and has generously offe…
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This episode features Dr Rachael Moss (Bradford Institute for Health Research, Bradford Teaching Hospitals Foundation Trust, Bradford, UK). What is already known about the topic: - The degree to which individuals access and use palliative and end-of-life care services varies across communities and countries. What this paper adds: - This study found…
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When a parent gets seriously ill or has a significant decline in function, the care often falls on the children unevenly. This can create significant family conflict and fracture important sibling relationships. This week I talk about 5 things to suggest to your patient to help solve this sticky problem. Reach out anytime! Dr. C. Delia Chiaramonte,…
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Welcome to The Integrative Palliative Podcast where we talk about integrative symptom management and physician wellbeing, because every physician deserves to have satisfying work and every patient deserves an effective and joyful physician! This week we are talking about what to do when the patient doesn't want to talk about their diagnosis. Should…
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