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Пікірлер
@VNCL1PZ 11 сағат бұрын
good idea!
@fridaychalktalk-palliativecare 38 минут бұрын
Thank you! Cheers!
@fridaychalktalk-palliativecare 21 сағат бұрын
Looking for more? Follow the link to the fabulous full 30-minute discussion with Dr. Pollak about motivational interviewing in medicine: kzbin.info/www/bejne/h6LUl5Rogdqif7ssi=d7WQHX_qZsfOlkpT
@fridaychalktalk-palliativecare 4 күн бұрын
Looking for more? This short is an excerpt from a much larger conversation about “healing” by Rabbi Yonason and Social Worker Jen. Enjoy! Link: kzbin.info/www/bejne/Zn7JmWStm9Wkn6csi=v5g4uqJbXoAVJuqN
@katk1958 4 күн бұрын
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.
@fridaychalktalk-palliativecare 6 күн бұрын
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/
@fridaychalktalk-palliativecare 7 күн бұрын
Kathryn. Thank you. That was fabulous. We appreciate your time with us today.
@fridaychalktalk-palliativecare 12 күн бұрын
Looking for more? This short is an excerpt from a much larger conversation about “healing” by Rabbi Yonason and Social Worker Jen. Enjoy! Link: kzbin.info/www/bejne/Zn7JmWStm9Wkn6csi=v5g4uqJbXoAVJuqN
@martyb8772 12 күн бұрын
“Advice of the ages… wisdom of the sages…” it’s inspirational time!
@fridaychalktalk-palliativecare 21 күн бұрын
Yoni and Jen. Wonderful sage wisdom today. Thank you for the exploration on healing.
@WJK2198 23 күн бұрын
I want to get past the immense anger I feel.
@fridaychalktalk-palliativecare 22 күн бұрын
Anger towards what?
@fridaychalktalk-palliativecare 28 күн бұрын
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/
@fridaychalktalk-palliativecare 28 күн бұрын
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$
@martyb8772 Ай бұрын
Amazing information. Thank you!
@fridaychalktalk-palliativecare Ай бұрын
Lou. That was just wonderful! From my perspective, there is so much mystery around these topics and you dissipated the obfuscation. Thank you.
@Croc-1753 Ай бұрын
I was this I js didn’t have depression (I think)
@Scott-ff2oe Ай бұрын
Thank you.
@fridaychalktalk-palliativecare Ай бұрын
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: kzbin.info/www/bejne/a53EaqOudtudfNEsi=SIHzfzrQlwSrYDyV
@fridaychalktalk-palliativecare Ай бұрын
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: kzbin.info/www/bejne/a53EaqOudtudfNEsi=SIHzfzrQlwSrYDyV
@fridaychalktalk-palliativecare Ай бұрын
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!
@martyb8772 Ай бұрын
#muscularchaplains! For the full stellar interview with Dr Charles F. von Gunten, follow the link to full video. Enjoy.
@fridaychalktalk-palliativecare 2 ай бұрын
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!
@amydellingerpage5512 2 ай бұрын
I'm grateful for the opportunity to contribute to the larger conversation!
@fridaychalktalk-palliativecare 2 ай бұрын
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.
@ginabrandt 2 ай бұрын
how can a nurse applied Total pain teori of Cicely Sunders?
@fridaychalktalk-palliativecare 2 ай бұрын
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.
@ginabrandt 2 ай бұрын
@@fridaychalktalk-palliativecare thank you for the answer
@daisies4444 2 ай бұрын
Cathy, thank you for all you have done and do...it is obvious that you are passionate about helping patients with IPF.
@fridaychalktalk-palliativecare 2 ай бұрын
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.
@stacyremke6305 2 ай бұрын
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?
@fridaychalktalk-palliativecare 3 ай бұрын
Charles. Thank you ever so much. It was a pleasure interviewing a fellow introvert. We thank you for your career and sharing your wisdom.
@fridaychalktalk-palliativecare 3 ай бұрын
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!
@AldisPetriceks 3 ай бұрын
Thank you so much for the opportunity! I look forward to keeping up with this community and series! What an amazing collaborative.
@mathgenius9940 3 ай бұрын
I think this is important information. Not enough out there. Thank you.
@mikecastro4923 3 ай бұрын
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 😢
@mikecastro4923 3 ай бұрын
Holy shit yall are some smart men!
@fridaychalktalk-palliativecare 4 ай бұрын
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.
@fridaychalktalk-palliativecare 4 ай бұрын
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.
@fridaychalktalk-palliativecare 4 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@London780 5 ай бұрын
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
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@London780 5 ай бұрын
@@fridaychalktalk-palliativecare if morphine is available to give for pain that is the first choice methadone should be the last
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
kzbin.info/www/bejne/omGoopV_iLODh6Msi=XT_lJtsS5aB9dqNa
@fridaychalktalk-palliativecare 5 ай бұрын
kzbin.info/www/bejne/qouUdqCYptqag9Esi=oTZEqt026b63YuAg
@fridaychalktalk-palliativecare 5 ай бұрын
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: kzbin.info/www/bejne/fHOloHuPoLlmnqs
@martyb8772 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@annabellemacedo1914 5 ай бұрын
Thank you
@fridaychalktalk-palliativecare 5 ай бұрын
You're welcome
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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: kzbin.info/www/bejne/fHOloHuPoLlmnqs
@martyb8772 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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.
@fridaychalktalk-palliativecare 5 ай бұрын
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: kzbin.info/www/bejne/fHOloHuPoLlmnqs
@fridaychalktalk-palliativecare 5 ай бұрын
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: kzbin.info/www/bejne/fHOloHuPoLlmnqs
@fridaychalktalk-palliativecare 6 ай бұрын
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…”
@fridaychalktalk-palliativecare 6 ай бұрын
Indrany and Josh... what an absolute pleasure. Thank you for the thought-provoking discussion, questions, and paper. We are all the better for having you with us today!!
@fridaychalktalk-palliativecare 6 ай бұрын
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.
@fridaychalktalk-palliativecare 6 ай бұрын
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: kzbin.info/www/bejne/fHOloHuPoLlmnqs