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コンテンツは GeriPal, Alex Smith, and Eric Widera によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャスト コンテンツは、GeriPal, Alex Smith, and Eric Widera またはそのポッドキャスト プラットフォーム パートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal
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The Nature of Suffering: BJ Miller and Naomi Saks

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Manage episode 399850420 series 3008298
コンテンツは GeriPal, Alex Smith, and Eric Widera によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャスト コンテンツは、GeriPal, Alex Smith, and Eric Widera またはそのポッドキャスト プラットフォーム パートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal

In 1982 Eric Cassell published his landmark essay: On the Nature of Suffering and the Goals of Medicine. Though his narrow definition of suffering as injured or threatened personhood has been critiqued, the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included.

Today we talk about suffering in the many forms we encounter in palliative care. Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health, and Naomi Saks, chaplain at UCSF.

We discuss:

  • How to respond when a nurse or trainee says, “I think this patient is suffering,” but the family does not share that perception

  • The trap in comparing one person’s suffering to another person’s suffering

  • How to respond to suffering, from naming to rebirth

  • Ways in which suffering can bring meaning and purpose, or at the very least co-exist alongside growth and transformation

  • The extent to which elimination of suffering ought to be a goal of palliative medicine (with a nod to Tolstoy)

  • A simple 2 sentence spiritual assessment

Credit to my son Kai Smith on guitar on Everybody Hurts for those listening to audio only (hand still splinted at time of this recording)

-@AlexSmithMD

Additional links:

Screening for suffering: https://pubmed.ncbi.nlm.nih.gov/27714532/ and https://pubmed.ncbi.nlm.nih.gov/35195465/ and https://pubmed.ncbi.nlm.nih.gov/31387655/

Evans CB, Larimore LR, Grasmick VE. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. Epub ahead of print. PMID: 38129210.

Kleinman, A. (2020). The illness narratives suffering, healing, and the human condition.

Accepting This Poem by Mark Nepo https://marknepo.com/poems_accepting.php

Saks, N., Wallace, C.L., Donesky, D., & Millic, M. (in preparation). “Profession-specific Roles in Palliative Care.” In Donesky, D., Wallace, C.L., Saks, N., Milic, M. & Head, B. (eds.), Textbook on Interprofessional Palliative Care. Oxford University Press.

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314 つのエピソード

Artwork
iconシェア
 
Manage episode 399850420 series 3008298
コンテンツは GeriPal, Alex Smith, and Eric Widera によって提供されます。エピソード、グラフィック、ポッドキャストの説明を含むすべてのポッドキャスト コンテンツは、GeriPal, Alex Smith, and Eric Widera またはそのポッドキャスト プラットフォーム パートナーによって直接アップロードされ、提供されます。誰かがあなたの著作物をあなたの許可なく使用していると思われる場合は、ここで概説されているプロセスに従うことができますhttps://ja.player.fm/legal

In 1982 Eric Cassell published his landmark essay: On the Nature of Suffering and the Goals of Medicine. Though his narrow definition of suffering as injured or threatened personhood has been critiqued, the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included.

Today we talk about suffering in the many forms we encounter in palliative care. Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health, and Naomi Saks, chaplain at UCSF.

We discuss:

  • How to respond when a nurse or trainee says, “I think this patient is suffering,” but the family does not share that perception

  • The trap in comparing one person’s suffering to another person’s suffering

  • How to respond to suffering, from naming to rebirth

  • Ways in which suffering can bring meaning and purpose, or at the very least co-exist alongside growth and transformation

  • The extent to which elimination of suffering ought to be a goal of palliative medicine (with a nod to Tolstoy)

  • A simple 2 sentence spiritual assessment

Credit to my son Kai Smith on guitar on Everybody Hurts for those listening to audio only (hand still splinted at time of this recording)

-@AlexSmithMD

Additional links:

Screening for suffering: https://pubmed.ncbi.nlm.nih.gov/27714532/ and https://pubmed.ncbi.nlm.nih.gov/35195465/ and https://pubmed.ncbi.nlm.nih.gov/31387655/

Evans CB, Larimore LR, Grasmick VE. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. Epub ahead of print. PMID: 38129210.

Kleinman, A. (2020). The illness narratives suffering, healing, and the human condition.

Accepting This Poem by Mark Nepo https://marknepo.com/poems_accepting.php

Saks, N., Wallace, C.L., Donesky, D., & Millic, M. (in preparation). “Profession-specific Roles in Palliative Care.” In Donesky, D., Wallace, C.L., Saks, N., Milic, M. & Head, B. (eds.), Textbook on Interprofessional Palliative Care. Oxford University Press.

  continue reading

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