最高の Palliative ポッドキャスト (2025)

1
Loss of DEI Hurts Everyone: Farah Stockman, Ali Thomas, Ken Covinsky 47:18

6d ago47:18

47:18

I read Farah Stockman’s article in the NYT on why attacks on DEI will cost us all, and thought, “Yes, and ‘everyone’ includes harm to our healthcare workforce, our patients, and their families.” So we’re delighted that Farah Stockman, pulitzer prize winning journalist, author of American Made: What Happens to People When Work Disappears, and editor…

1
Fragments and Light: An Exploration of Traumatic Grief 23:16

20d ago23:16

23:16

In this deeply personal and powerful episode, Dr. Delia Chiaramonte shares her experience of traumatic loss of both her father and her father-in-law. Traumatic grief is not just about missing someone—it’s about having your sense of the world torn apart. It can show up in surprising ways: emotional numbness, panic, guilt, dissociation, and even phys…

1
RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest 50:34

13d ago50:34

50:34

Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I…

1
GeriPal Takeover! Nancy Lundebjerg and Annie Medina-Walpole 51:34

20d ago51:34

51:34

Whelp, goodbye folks! Eric and I have been DOGE’d. In a somewhat delayed April Fools, Nancy Lundebjerg and Annie Medina-Walpole have taken over podcast host duties this week. Their purpose is to interview me, Eric, and Ken Covinsky about your final AGS literature review plenary session taking place at the Annual Meeting in Chicago this May (for tho…

1
A Call for Medical Aid in Dying: A Tale of Autonomy and Desperation 17:57

27d ago17:57

17:57

Not having access to Medical Aid in Dying can drastically increase suffering for dying people and their families. This week I'll share a deeply personal and painful story about a dying man who wanted to have control over his death and what why he had to face it alone. Helping healers heal others and themselves. Delia Delia Chiaramonte, MD www.integ…

1
Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson 47:04

27d ago47:04

47:04

A pragmatic trial evaluates the effectiveness of a treatment or intervention in “real-world” clinical practice. Outcomes are typically assessed from available records. Eligibility in pragmatic trials are often broad, and don’t have the exclusions of efficacy studies, which examine treatment effects under highly controlled conditions in highly selec…

1
Bearing Witness to Grief: A Powerful Way to Support Someone Who is Grieving 9:51

1M ago9:51

9:51

It's been an interesting experience for me to experience the loss of my dad and both feel my own grief and also observe it with the lens of a palliative care physician. I have noticed how healing it has been for me when others bear witness to my pain and also when they bear witness to my dad as a person. This is how we can best support people who a…

1
Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe 51:26

1M ago51:26

51:26

Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking (VSED), and multiple episodes about the ethical issues surrounding medical aid in dying (MAID). Recently, discussion has emerged about how these issues intertwine in caring for pat…

1
The Roots of Palliative Care: Michael Kearney, Sue Britton, and Justin Sanders 48:50

1M ago48:50

48:50

As far as we’ve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? In today’s podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care. Sue Britton was the first nurse hired on tha…

1
015 - Ethics: A Mother in Jeopardy: The Ethics of Pregnancy and Chemotherapy 17:17

1M ago17:17

17:17

Questions? Comments? Send us a message! In this episode, we discuss a complex ethical dilemma concerning a pregnant woman diagnosed with advanced ovarian cancer who refuses recommended termination and chemotherapy due to prior fertility struggles. Several experts in medicine, ethics, law, spiritual care, and social work provide differing perspectiv…

1
PC for People Experiencing Homelessness: Naheed Dosani 46:46

2M ago46:46

46:46

I was very proud to use the word “apotheosis” on today’s podcast. See if you can pick out the moment. I say something like, “Palliative care for people experiencing homelessness is, in many ways, the apotheosis of great palliative care.” And I believe that to be true. When you think about the early concepts that shaped the field, you can see how pa…

1
Changes in perception of prognosis in the last year of life of patients with advanced cancer and its associated factors: Longitudinal results of the eQuiPe study. 4:28

2M ago4:28

4:28

This episode features Moyke Versluis (Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands Graduate school of Social and behavioral sciences, Tilburg University, Tilburg, The Netherlands). What is already known about the topic? Patients who are aware of their limited prognosis are more likely to b…

1
PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers 51:26

2M ago51:26

51:26

Much like deprescribing, we plan to revisit certain high impact and dynamic topics frequently. Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. You can listen to our prior podcasts on substance use disorder here, here, here, and here. Today we talk with experts Janet Ho, Sach Kale, and Julie Chil…

1
Components of home-based palliative and supportive care for adults with heart failure: A scoping review 4:27

2M ago4:27

4:27

This episode features Dr Madhurangi Perera (Cancer and Palliative Care Outcomes Centre, School of Nursing and Australia Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia) What is already known about the topic? Providing palliative and supportive care in the home setting for people…

1
Anticipatory Grief: A View From the Inside 19:10

2M ago19:10

19:10

Grief isn't only an issue after a person dies. Anticipatory grief shows up long before a person has passed away. Families facing dementia, ALS, cancer, renal failure, and other serious illnesses can experience anticipatory grief long before the very end of life. This week we take a look at anticipatory grief from the inside because my family is fac…

1
014 - Symptom Management: Botulinum Toxin for Post Thoracotomy Pain Syndrome 19:06

2M ago19:06

19:06

Questions? Comments? Send us a message! This case report explores the use of botulinum toxin type A (BTX-A) injections for treating post-thoracotomy pain syndrome (PTPS), a chronic neuropathic condition affecting many patients after thoracotomy. The study highlights that traditional treatments often fail to provide adequate relief, prompting invest…

1
Trauma-Informed Care: A Podcast with Mariah Robertson, Kate Duchowny, and Ashwin Kotwal 47:07

2M ago47:07

47:07

Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. That’s my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, …

1
Plenary Abstracts at AAHPM/HPNA: Yael Schenker, Na Ouyang, Marie Bakitas 47:19

2M ago47:19

47:19

In today’s podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine (AAHPM) and the Hospice and Palliative Medicine Nurses Association (HPNA). Eric and I interviewed these presenters at the meeting on Thursday (before the pub crawl, th…

1
013 - Symptom Management: Dronabinol for Neuropathic Pain 18:22

2M ago18:22

18:22

Questions? Comments? Send us a message! I. Introduction This briefing document synthesizes key findings from several sources exploring the potential of cannabinoids in managing neuropathic pain. The sources include pre-clinical investigations, clinical trial reviews, and decision analysis models, offering a multifaceted view of the topic. We will e…

1
Advance Directive Dos and Don'ts: Key Advice for Your Patients, Your Family and Yourself 21:21

2M ago21:21

21:21

Everyone should have an advanced directive. Full stop. You, your parents, your partner, your adult kids - everyone. Most people know that having an advance directive is important but they feel awkward or anxious about actually making it happen. I've seen patients with stroke have a terrible outcome from a poorly done advance directive. And I've see…

1
Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: A mixed methods analysis 4:58

3M ago4:58

4:58

This episode features Amy Brown (Marie Curie Research Centre, Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK. Swansea University Medical School, Swansea University, Swansea, UK) What is already known about the topic? The third World Health Organization Global Patient Safety Challenge ‘Medication without harm’, …

1
How to Make an Alzheimer's Diagnosis in Primary Care: A Podcast with Nathaniel Chin 47:52

3M ago47:52

47:52

Things are changing quickly in the Alzheimer’s space. We now have biomarkers that can reasonably approximate the degree of amyloid build-up in the brain with a simple blood test. We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anythin…

1
Definition and recommendations of advance care planning: A Delphi study in five Asian sectors 4:32

3M ago4:32

4:32

This episode features Dr Masanori Mori (Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan) What is already known about the topic? As in Western countries’ health-care systems, advance care planning is being increasingly implemented in Asian ones, but consensus on its definition and recommendations base…

1
What is Holding You Back? Five Steps for Finally Doing What You've Been Avoiding 19:07

3M ago19:07

19:07

What have you been avoiding? Is there a courageous conversation you should be having? A boundary you should be setting? A household task that needs to be completed? I wrote Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself about a year ago and I never recorded the audio book! I meant to. I want…

1
Telehealth vs In-Person Palliative Care: Guests Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson 51:14

3M ago51:14

51:14

It is a battle royale on this week’s GeriPal podcast. In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnera…

1
012 - Symptom Management: Gabapentin for Intractable Hiccups 15:32

3M ago15:32

15:32

Questions? Comments? Send us a message! Hiccups, while often seen as a minor inconvenience, can become a significant health issue when they are persistent or intractable. This episode explores the science behind hiccups, their potential medical causes, and treatment options, particularly the use of gabapentin as an off-label solution. • Discussion …

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