Episodit
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Happy World Hospice & Palliative Care Day 🌎🌍🌏
2024 theme: “Ten Years Since the Resolution: How Are We Doing?“ https://ehospice.com/international_posts/world-hospice-and-palliative-care-day-theme-2024/#:~:text=Every%20year%20we%20mark%2C%20celebrate,on%20Saturday%2012%20October%202024.
https://nationaltoday.com/world-hospice-and-palliative-care-day/
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guests-
Judi Lund Person, MPH, CHC
- Worked in hospice since 1980, social worker by trade
- 1981 started working on the Medicare Hospice Benefit MHB
- Photo on Capitol Hill September 1982 https://www.nhpco.org/panetta-reflects-on-hospice/
Lauren Templeton DO, FAAHPM, HMDC
- Weatherbee Resources Consultant
- Previous podcast guest: Hospice Regulatory Myth Busting S1E9 What do we mean by Goals of Care? S1E20 Recap & Highlights of #ALC2023 S1E36 The Holiday Season S1E35
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Judi was honored last NHPCO ALC 2023 https://www.nhpco.org/nhpco-annual-leadership-conference-celebrates-volunteers-and-awards-honorees/📸 https://flic.kr/s/aHBqjAWPHw
- She took care of her mother who had COPD on hospice care; Interviewed Dane Cicely Saunders; Co-presents with Dr. Templeton
2. Educate -Teaching points
- Individualized plan of care
- Interdisciplinary team IDT care
- Care for Patients AND Family
- Symptom Management
- Volunteers
- Past keeps Passion
- Communication
- Hospice CARE Act https://www.congress.gov/bill/118th-congress/house-bill/9803
-The end of life is a challenging time but you are not alone when a Hospice IDT is there for the dying until death occurs, and afterwards for 1 year of family bereavement
- Medical Specialists: hospice can partner with you for difficult conversations
- Avoid crashing into hospice by selecting best agency in your zip code S1E36
3. Empower -A valuable a resource Lund Person & Associates https://hospiceconsultant.com
Website info https://mourningdovemedical.com
Video podcast 🔗https://youtu.be/n7BXTXkfqng?si=yTFF4dDFrBncUKGy #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MedicareHospiceBenefit #WHPCDay24
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest-
Joe’l Simone Maldonado
-Lives in South Carolina
-Licensed funeral director since 2010
-Fascinated during childhood by uncle who was a Mortician
-In 2020 started creating courses from YouTube page and started The Multicultural Death & Grief Care Academy
-Instagram page https://www.instagram.com/thegravewoman?igsh=MzRlODBiNWFlZA== (https://www.instagram.com/thegravewoman?igsh=MzRlODBiNWFlZA==)
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G met the Grave Woman in Seattle at the Deathcare Superconference 2024 https://www.homefuneralalliance.org/conference.html (https://www.homefuneralalliance.org/conference.html) hosted by NHFA, NEDA, FCA, PMA
2. Educate -Teaching points
-Deathcare has legal and cultural implications as we learned in Seattle;
-Defined: Realization of mortality.
-Sacred work, beyond the funeral home, includes spiritual community, hospice and palliative care, florist, etc.
-What are the 3 steps of embalming?
-Impact of culturally inclusive deathcare.
3. Empower -A valuable a resource
https://www.thegravewoman.com
Website info
https://mourningdovemedical.com https://mourningdovemedical.com/
Video podcast 🔗 https://youtu.be/SsEpmlAE9LM?si=P1k6TxTJz9ynMJ2N
#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #TheGraveWoman #Deathcare #MortuaryScience #MortuarySchool
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest-
Cal Cates (they/them)
-Healwell CEO founded in 2009
-Serves on NHPCO committees (Diversity Advisory Council DAC, Integrative & Rehabilitative Therapies Steering)
-Impacted by experience of massaging grandfather’s hand when he died
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Cal & Dr. G met at last year’s NHPCO ALC 2024. This year they recap the final NHPCO ALC held in Denver, Colorado. https://www.nhpco.org/alc2024/
2. Educate -Teaching points
- NHPCO + NAHC = The Alliance of Care at Home https://allianceforcareathome.org
- Massage therapy is a discipline, not a modality. It’s more than “rubbing skin and muscles.” Cal discussed how human vulnerability allows massage therapist to inhabit full scope of a collaborative care provider.
3. Empower -A valuable a resource https://healwell.org
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/XvNDGStL998?si=UjOfmQNO3OhdF-SR #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MassageTherapist #Healwell
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest- Geraldine Jean Baptiste, LVN, COTA
- Manager of family business Lone Oak Garden RCFE
- Certified Occupational Therapy Assistant (COTA)
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Sue fell and broke hip while reaching for a coffee mug in her home.
2. Teaching points What is Occupational Therapy OT? https://www.aota.org/about/what-is-ot
- When is OT necessary? Contrast with PT
- What conditions benefit from an OT referral?
- Significance of OT during the late stages of life?
-Activities of Daily living ADLs: transferring, ambulating, toileting, showering, dressing, feeding
- Legacy work (meaningful activities in addition to gardening, knitting, etc.)
3. Empower -A valuable a resource https://vistaassistedliving.com
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/2pyiJkysZ8s?si=djOn3nUf7YdULP8L #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #OccupationalTherapy #ADLs
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest- Rick Topete has served families at Silverado since 2011
https://www.linkedin.com/in/rick-topete?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) When facing MCI Mild Cognitive Impairment there are many care options available if disease progresses to dementia. https://www.alzheimers.gov/alzheimers-dementias/mild-cognitive-impairment In your estate planning, consider selecting a place to live (home) that meets your healthcare needs.
2. Educate -Teaching point
Nexus program (connections) Socialization and living with purpose while disease progressesClinical model: medical director and 24/7day nurses Social model: in house support groups Care planning with cognitive exercisesEnrich lives Educate & Encourage3. Empower -A valuable a resource Silverado Memory Care https://www.silverado.com/nexus-at-silverado/nexus-living/
Website info https://mourningdovemedical.com
Video podcast link 🔗 https://youtu.be/gNn8in1tqBQ?si=vPSPy2FsdFq6nyQ2 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MemoryCare #EstatePlanning
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guests-
Finly Zachariah, MD FAAFP FAAHPM FAMIA
Chris Halsema
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
Story (theme) Dr. G joined the Empower Hope platform to complete (Advance Care Planning) POLST with palliative care patients. This secures healthcare wishes online. Educate -Teaching point-POLST: Physician Orders for Life-Sustaining Treatment forms, integrated seamlessly into electronic health records (EHR) systems, making them accessible to healthcare providers when needed. -VIDEO https://www.empowerhope.ai/polst-portable-medical-orders-patient-education-video/
3. Empower -A valuable a resource https://www.empowerhope.ai
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/UEBVzi8txGI?si=TZd8vCdwmqlA6p9f #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #POLST #AdvanceCarePlanning #AdvanceDirective
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Show notes
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest
Jessica Guthrie, M.Ed
- Lives in Fredericksburg Virginia
- One of 53 million caregivers for a decade
- Her mother, Constance Guthrie, is living with end stage Alzheimer’s disease and is receiving home hospice care.
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Jessica is a leader in the Instagram family caregiver community https://www.instagram.com/careercaregivingcollide?igsh=MzRlODBiNWFlZA== Jessica lived in Dallas, Texas before sacrificing her career to care for her mother over 10 years ago.
2. Educate -Teaching points
Tips for Physicians:
- Center the Caregiver
- Slow down & Be Curious
- They have a story, build trust with the family, have empathy
- Be proactive in communicating with the family about trajectory of disease during the late stages of life.
-Share information about the continuum of care Home Health (PT, OT, ST) Palliative Care, Hospice Care.
3. Empower -A valuable a resource https://www.jessicacguthrie.com You are doing the BEST you can! Keep showing up! Give Dignity and respect to your loved one! Experience Joy, Laugher, Love while navigating your priorities
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/895RPlJhaWc?si=ukkjrXA3ad0574M9 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #FamilyCaregiver #Thrive #Alzheimers #Daughter #Joy
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
James Jones
- Concierge Senior Living Advisor
- 20 years of experience helping people find a new home
- San Diego native
- Originally from Puerto Rico
- Musician, pilot
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G met James at POM networking group. He transferred skills as realtor to be a guide for seniors needing a new home in a senior community. No home maintenance activities; Meals provided; socialization, surrounded by peers; better quality of life
2. Educate -Teaching points
- Senior Living Advisor exist:
- Assess & Tour senior living communities
- Listen to needs
- Understanding
- Living Options: Independent Living, Assisted Living, Memory Care Center, Board and Care Home, Respite Care Center for Retired, Skilled Nursing Facility
3. Empower -A valuable a resource https://goldenyearsseniorlivingadvisors.com
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/JTTe43_wHfQ?si=iUoSvbo1xGEkYjeP #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #SeniorLiving #AssistedLiving #MemoryCare
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Las notas del programa/ Show notes-
¡Feliz mes Nacional de la Herencia Hispana!/ Happy National Hispanic Heritage Month! https://www.hispanicheritagemonth.com
https://www.whitehouse.gov/briefing-room/presidential-actions/2024/09/13/proclamation-on-national-hispanic-heritage-month-2024/#:~:text=NOW%2C%20THEREFORE%2C%20I%2C%20JOSEPH,as%20National%20Hispanic%20Heritage%20Month.
Mourning Dove Medical presenta a Dr. G en el corazón de la asistencia médica
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest-
Lisa Muller, DNP, FNP-BC, ACHPN, PMHNP-BC, PMGT-BC
- Grew up in Downey, California
- UMass
- Dr. Lisa is working with the 🆕Essence Palliative Care team https://essencehospicecare.com Previously discussed on podcast Season 1 EPISODE 15 Essential Care Program https://youtu.be/tb37Innwt8s?si=m2VIUe5-FlqzwlFl
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
Historia/ Story (theme) Dr. Lisa shared how challenging it was to be the only English speaker while her grandparents were facing end of life. https://hospicenews.com/2024/02/28/bilingual-patient-navigation-can-improve-palliative-care-outcomes-for-hispanic-patients/?euid=cb6408ccb4&utm_source=&utm_medium=email&utm_campaign=82daa9d9a6&mc_cid=82daa9d9a6&mc_eid=cb6408ccb4Educar/Educate -Teaching points- ¿Qué es hospice?/ What is hospice? ¿Para quién es el cuidado de hospice?/Who is hospice care for? ¿Cuáles son los condiciones comunes?/ What are common conditions?
- ¿Es el cuidado de hospice cubierto por el seguro?/ Is hospice care covered by insurance?
- ¿Cuándo es el momento de inscribirse en hospice?/ When is it time to sign up for hospice?
- ¿Qué es cubierto por el cuidado de hospice?/ What is covered by hospice care?
- ¿Qué pasa si no estás listo?/ What if not ready? Palliative care
- ¿Cómo encontrar la mejor agencia en tu zona?/ How to find the best hospice agency in your area?
- Information about diseases: Enciclopedia médica: MedlinePlus en español https://medlineplus.gov/spanish/encyclopedia.html
3. Empoderar/ Empower -A valuable a resource NHPCO CaringInfo en Español https://www.caringinfo.org/es/
Website info https://mourningdovemedical.com
Hashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #HispanicHeritageMonth
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guests 🎭
Erin Whalen
- Professional actor, retired standardized patient
- Founded Compassionate Coaching in Fall 2020, signature offering is Playback Theater https://www.compassionatecoaching.org/blog/what-is-playback-theatre
- Sister’s death 2016 taught her about anticipatory grief
John A. Johnson
- Native Washingtonian
- B.A in theater form the University of the District of Columbia
- 2024 Artist in Residence at the Honfleur Art Gallery in Washington DC. Artist Fellow of the DC Arts Commission.
- Founder and creator of Verbal Gymnastics Theater Company
- Poet/Playwright: written and produced six plays
- Published author of a book of poetry called “Love for Her"
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
Story (theme) Dr. G worked with standardized patients like Erin & John. They use their acting skills to help medical students learn clinical reasoning skills to diagnose & treat once they become physicians.Educate -Teaching point- SELF CARE after workday “Don't let a difficult day at work negatively impact your time at home. If you work in the end-of-life field, you might be emotionally drained at the end of your work day. Listen to our 5-minute Transition Routine to help you transition from emotional overwhelm to peaceful presence.”
- Hospice Leadership: Consider COMPASSIONATE COACHING for your team to combat burnout😓
3. Empower -A valuable a resource https://www.compassionatecoaching.org
Video podcast 🔗 https://youtu.be/TbBkVcW9R8I?si=Y300dAVxUCDDJxQz https://mourningdovemedical.com
#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Burnout #Mindfulness #Compassion #Compassionate #Empathy #Stories
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guests
Hitomi Gonzales
Frank Velasquez, CFO
1. Story (theme) Dr. G met Hitomi at a senior living event at Surnrise or Aegis. They recognize there is diversity among insurance plans and everyone does not have luxury ALF in their budget, others desire to age in place at home with support of caregivers.
2. Educate -Teaching point CalAIM “CalAIM is a once-in-a-generation opportunity to improve care and outcomes for millions of Medi-Cal enrollees. It’s also complicated, given its incredible scope and reach and the fragmented system that it strives to improve. Over a span of five years, CalAIM will introduce a myriad of new programs and make important reforms to many existing programs. CHCF’s CalAIM Explained series provides an overviewof CalAIM’s goals, explains its importance, and breaks down the key changes and timeline for implementation.” https://www.chcf.org/resource/calaim-in-focus/calaim-explained/
3. Empower -A valuable a resource Coast Care’s brand promises fulfill “Caregiving reimagined“ https://coastcare.org
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/g5UFtH4L0Lo?si=u3SY3zsLksqhbNIL#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CalAIM #Caregiving #Caregiver #SeniorLiving
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Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest- Favorite Retired Hospice Nurse Gerard Soucy, RN, CHPN
- BOSTON based
- Previously on Season 1 EPISODE 19 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs
- BONUS EPISODE 36 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
Story (theme) Family Caregiver/Daughter reported to the hospice nurse that her mother is “sundowning.” Sundowning = DELIRIUM is cyclic, waxes & wanes and is REVERSIBLE. Can happen in different settings. Confusion Assessment method for the ICU (CAM-ICU) https://www.icudelirium.org/medical-professionals/delirium/monitoring-delirium-in-the-icu Educate -Teaching points- Fast Fact #1 Diagnosis and Treatment of Terminal Delirium | Palliative Care Network of Wisconsin https://www.mypcnow.org/fast-fact/diagnosis-and-treatment-of-terminal-delirium/
- New nurses advice: expect, prevent, manage environment, instruct family
- Caregivers advice: Manage environment
- Risk factors: illness, disrupted routine, sensory deprived (glasses, hearing aids), sleep disturbance, substance withdrawal, UNtreated PAIN
- Nurse Gerards tips: step in early, prevention is the best treatment
- Sedate or fix problem, AVOID disinhibiting benzodiazepines
- Hospice Comfort kits have haloperidol, an antipsychotic for terminal delirium. Consider as recommendation in delirium SBAR
Assessment tools
-RASS like temperature calm restless agitated very agitated combative ….use same language ; Richmond Agitation-Sedation Scale (RASS) https://www.mdcalc.com/calc/1872/richmond-agitation-sedation-scale-rass
-Nursing Delirium Screening Scale (Nu-DESC) quick can be done from door https://www.jpsmjournal.com/article/S0885-3924(05)00053-9/fulltext
Empower -A valuable a resource“Delirium in Advanced Disease” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600115/
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/3ZFXYcZqVhQ?si=CtJ4LJg1bUU_R7gg #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Delirium #Confusion #Agitation #Disoriented #Restlessness #Anxiety
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Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Kristen Lew-Byrne, RSW
- Founded “Growing in Grief” 1 year ago 🥳 HAPPY Anniversary!
- Lives in Hamilton, 1 hour west of Toronto, Canada
- Provides 1:1 Grief & Loss counseling
- Experienced in clinical consulting as social worker long-term care LTC facility,
- Previous hospice agency manager of bereavement
- Education & Support Groups “Honoring our grief as healthcare practitioners”
- Artist, utilizes artistic modalities for grief counseling
- Former fashion designer, Kristen drew logo herself
Instagram page
https://www.instagram.com/growing.in.grief?igsh=MzRlODBiNWFlZA==
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Fashion Designer for 7 years until maternal grandfather died and grandmother needed to live with Kristen and Mother. During grandmother’s health decline, gaps in care became evident. “Aha moment in life” happened when a 16-month fast track Social Services gerontology program “filled her cup. “
2. Educate -Teaching points
- A Definition of Grief: “When love meets loss”
- What do we grieve? Defined personally: job, relationship, not just death https://www.ncbi.nlm.nih.gov/books/NBK518989/
- Stages of Grief: experts Dr. Elisabeth Kubler-Ross and David Kressler shock, denial, anger, bargaining, depression, testing, and acceptance. Bottom line, grief is NOT linear. One becomes a whole new person with new identity after grieving process. https://www.medicalnewstoday.com/articles/grieving-process
- Creative approach to processing grief: water color, finger prints, seeds, transplanting pieces of garden.
- Feeling Stuck? Wherever you’re at is okay💜 It’s okay to NOT BE OKAY💜
3. Empower -A valuable a resource https://www.growingingrief.ca
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/rcxx4MfRV5I?si=rZroca-Ek5kZ6tIO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Grief #Counselor #Bereavement #Olympics #Toronto #SocialWork
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest- Penny Smith, BSN, RN, CHPN
- Started nursing career as an LPN
-40 years young started nursing school
- Currently works as Hospice quality nurse
- Lives in Washington State
- Tik Tok Queen uses it for teaching about dying, death, end of life care https://www.tiktok.com/@hospicenursepenny?_t=8otVRsZMTNb&_r=1
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
Story (theme) Dr. G met Nurse Penny in person ‘End Well 2023’ Hospice Table Talk https://youtu.be/MyzQyvWJGtc?si=xKX3fqw8YmlUe5p1
Educate -Teaching points
- Death anxiety is common in our society. It’s IMPORTANT to have conversations about healthcare options as health changes. JAMA Internal Medicine article published online November 6, 2023 “Talking About Dying” https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2811178?utm_source=linkedin&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=110723
- Penny helped raise money for a dying 25 year old named Amanda in 2022 (with bestie Hospice Nurse Julie) https://www.tiktok.com/@justsomecancerkid?_t=8nnfTcQDoHD&_r=1
- Strong emotional boundaries are needed for death workers to continue providing care for those in need.
Empower -A valuable a resource
https://www.hospicenursepenny.com
Website info https://mourningdovemedical.com Video podcast https://youtu.be/9lOTgcgT9RI?si=QFyUMRD0F7lpUPto #hapc #EducateAndEmpower #PeaceOfMind #Hope #TikTok #death #dying #HospiceNursePenny
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest-Mitsuo Tomita, MD
- Father was from Japan and his mother from Hawaii
- Born and grew up in Los Angeles
- Attended Dorsey High School
- UCLA First Gen, graduated cum laude, Phi Beta Kappa, with highest honors, majoring in Zoology
- UCSF School of Medicine, Fresno
- Board certified Family Medicine
- Joined Kaiser Permanente, San Diego in 1975
- Appointed Assistant Clinical Professor at the UCSD School of Medicine
- Retired in 2008 after 33 years of full-time practice, which he very much enjoyed
- Served on the boards of Planned Parenthood in San Diego, Arthritis Foundation, Lupus Society
- Post-retirement work in FQHCs federally-qualified community health centers in the San Joaquin Valley, Washington State
- Co-chairs the San Diego County Medical Society's Bioethics Commission and the Retired Physicians section of the Medical Society
- Serves on the board of the San Diego Chapter of the Japanese American Citizens League
- Volunteers with Compassion & Choices
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G heard Dr. Tomita’s insightful talk about EtOH & Dementia at the 12th Annual Brain Health Forum SD Dementia Consortium hosted by Oasis Senior Advisors and The Elizabeth Hospice
2. Educate -Teaching points
- Article: Clinical Guidelines for Voluntarily Stopping Eating and Drinking (VSED) by Hope Wechkin, MD https://pubmed.ncbi.nlm.nih.gov/37352942/
- VSED or terminal fasting leads to death by dehydration in 1-3 weeks. It is an option of addressing quality of life for an adult, with decision-making capacity, who does not qualify for Medical Aid in Dying MAiD, and have severe pain & suffering from a non-psych serious health condition.
- ADVANCE CARE PLANNING: Consider if Hand Feeding is important for you at the end-of life. While creating your Advance Directive consider the QUESTION “If I can NOT feed myself, DO I WANT TO BE HAND FED❓” Some conditions, such as end stage dementia, people forget how to feed self.
- Article, COMFORT FEEDING https://www.cuanschutz.edu/graduate-programs/palliative-care/palliative-care-blog/blog/palliative-care-blog/the-dilemma-comfort-feeding-presents
- Fast Fact Number 470 “Counseling Adult Patients and Caregivers on Nutrition During the Dying Process”https://www.mypcnow.org/fast-fact/counseling-adult-patients-and-caregivers-on-nutrition-during-the-dying-process/
3. Empower -A valuable a resource to define your own quality of life https://compassionandchoices.org/our-issues/vsed/
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/vwiZb7JQf8A?si=x6WGJQtdt91fMWEA #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #AdvanceDirective #AdvanceCarePlanning #VSED #MAiD #GoalsOfCare
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Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest
Francesca Lynn Arnoldy, Contemplative Doula
- Started as child birth educator & postpartum doula
- Founded and ran an End of Life Doula program in Vermont
- Author. Educator, Researcher
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G and Francesca swapped books in Vegas where they were both speaking at The City of Hope Interdisciplinary End of Life Symposium
2. Educate -Teaching points
AAP report: Childhood grief more complicated due to pandemic, marginalization https://publications.aap.org/aapnews/news/29164/AAP-report-Childhood-grief-more-complicated-due-to
“Map of Memory Lane” https://a.co/d/8NbUSz5
- Helps adults have conversation with kids in advance of loss, coping
- Memory Lane curates 3 special times
- Facilitates grief literacy, death awareness
- pdf available
3. Empower -A valuable a resource https://francescalynnarnoldy.com
Video podcast 🔗 https://youtu.be/IdZ1nwy4HgA?si=LZJtbTAHQq_JvGP- https://mourningdovemedical.com
Hashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MemoryLane #Legacy #Children #Grief #EOLDoula #DeathDoula -
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestsDr. Gobi ParamanandamChip Mitros, Medtronic Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G learned about intrathecal therapy (cancer pain pump) during the Annual Assembly of Hospice and Palliative Care in Phoenix, Arizona. Discussed a case of cancer symptoms intractable nausea vomiting and the oral medication caused gagging. 2. Educate -Teaching points Intrathecal therapy usage in the Palliative Care is potentially LIFE CHANGING for patients. Article https://pubmed.ncbi.nlm.nih.gov/21587327/ Dr. G challenges specialists to facilitate broader PATIENT ACCESS to this pain pump:- Oncologists- Palliative Care - Hospice agencies Economic savings for healthcare, improves pain scores and function ECOG score; able to use less medication since it is delivered to CNS. Interventional pain and palliative care physicians can help.AVOID recurrent hospitalizations (hospice revocations) for pain crisis NO NEED to switch medications along continuum of care, medication stable in pump months (Evidence Matrix available by request)3. Empower -A valuable a resource https://www.medtronic.com/us-en/patients/treatments-therapies/pain/cancer-pain-pump.htmlWebsite info https://mourningdovemedical.com#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Cancer #Pain #PatientAccess #Palliativecare
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Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest Tina Buchanan MSW, ALCP
-CEO of Visionary Care Consultants -Originally from Nevada
-Worked in Skilled nursing and Home Health
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) ⚾️Dr. G enjoyed 1st Padres game night with Tina’s community partners and Right at Home-El Cajon. https://padres.mlblogs.com/happening-homestand-join-us-for-xanders-bobblehead-giveaway-beerfest-and-more-at-petco-park-cd89d1033db5?gi=11489f71cdab
2. Educate -Teaching point
Tina is an Aging Life Care Professional https://www.aginglifecare.org/ who saw GAPS in healthcare for seniors. Created this company to hold families hand through navigating healthcare processes to prevent them from falling through the cracks of the healthcare system.
😵💫SIGNS you need support of a Care Manager:
-Stressed
-Struggling
-Losing sleep
-Crisis mode
-Sandwich generation needing to help aging parents or disabled loved ones
VCC can help create a care plan for EVERYONE to “Age with Dignity & Integrity”
- Have conversations EARLY to plan and adjust (Solo ager, 50s & 60s, cognitive and physical declines)
3. Empower -A valuable a resource VCC serves community https://visionarycareconsultants.com/
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/byjLnMQarTI?si=PxjqEZAdJJ6aAwIh #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CareManager #Advocate #Communication -
Show notes
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Kevin Tutunijan, Administrator
In the Arms of Grace Hospice
-Owner-operator and administrator of a hospice agency in the Atwater Village neighborhood of Los Angeles, founded in 2011.
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G met Kevin at City of Hope Interdisciplinary End of Life Symposium, where they discussed advocating in Washington D.C. as a part of the California delegation for Hospice Action Week 2024 (HAW 2024) June 10th-13th. When Kevin’s Grandmother suffered a health decline, this became the impetus for a new hospice agency. By serendipity, the first Joint Commission survey was the day after she died. Years later it was a full circle moment when In the Arms of Grace cared for his other Grandmother.
2. Educate -Teaching points
☑️Clinicians need great ADMINISTRATIVE SUPPORT to provide needed REGULATORY COMPLIANCE with Medicare Hospice Benefit, and Conditions of Participation CoPs.
☑️ We don’t shy away from the business side of hospice care. We need strong infrastructure to provide quality healthcare at home.💜
☑️Hospice Action Network HAW 2024 priorities: https://hospiceactionnetwork.org/haw-2024-blog/
3. Empower -A valuable a resource https://inthearmsofgrace.com
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/etPkb9aZGqs?si=YugM-gBArV7pRlU6 #hapc #EducateAndEmpower #PeaceOfMind
#TheRealDealAboutHospice #HAW2024 #Advocacy #AdministrativeSupport #PatientAccess #JimmyCarter #CaliforniaLove #Education #Medicare -
Show notes-
Mourning Dove Medical Presents Dr. G at the Heart of Healthcare
Guest
Jon Duerden, Administrator
- Originally from Utah, wife is from San Diego (check socials Dr. G is holding baby at party👶🏼)
- Former white water rafting guide in Idaho’s Salmon River
- Interested in healthcare since childhood
-Been with PACS parent company since 2019
Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.
1. Story (theme) Dr. G enjoyed a private tour and the ribbon cutting grand opening party on June 27, 2024✂️🎀
2. Educate -Teaching point
- No new nursing home in San Diego for nearly 30 years
- This new skilled nursing facility will service Oceanside and all of Southern California to help patients rehabilitate after a hospitalization (post-surgery, infections, wounds) and get back into the community.
- Care plans for high acuity care, with everything in house to help patients heal within a beautiful environment.
- Private & Semi-Private suites
- In room showers
- Services: Pulmonary rehab, IV management, pain management, PT, OT, ST, social workers, discharge planners, classically trained dietary supervisor, pharmacy, etc.
- Hospice care rooms available for GIP, Respite
- Stigma dispelled! PVPA, a skilled nursing facility SNF being a crossroads of healthcare to help plan next step in life for patients.
3. Empower -A valuable a resource for the community, a NEW Cutting-edge 120 bed Skilled Nursing Facility https://pacificvillaspa.com
Website info https://mourningdovemedical.com
Video podcast 🔗 https://youtu.be/F33Tx42eWOg?si=tui1lgOZ6meIaY2O #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #PostAcute #SkilledNursingFacility #PhysicalTherapy #hospice #GIP #Respite #NursingHome #Rehab #HighAcuity #Healing #Leadership #SocialWork #CaseManager #CarePlan - Näytä enemmän
