Episódios
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In the serious illness space, regret is rampant.
Caregivers often regret what they did or didn't do when caring for their loved one with cancer, dementia, or other life-limiting illness. Physicians and other clinicians may regret the goals of care conversations that we meant to have but didn't get around to.
Regret is terrible and its negative impact can linger long after the ill person has died. One of the key tasks in serious illness care is to help everyone involved avoid regret.
This week I discuss four steps that we can all use to help us, our loved ones, and our patients to avoid regret.
Dr. Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Emergency Medicine physicians face life and death situations as part of their normal work day. They train for that! But what about when an ailing person with a very advanced cancer comes to the ED without an advanced directive? What if half the family wants aggressive care and half the family wants to let the patient die peacefully at home?
This week's guest is Dan Morhaim, MD who is an accomplished emergency medicine physician, legislator, and so much more. He has focused his teaching and research on advanced directives because he saw how important they are when an emergency hits the family.
You will love this conversation.
Thanks for joining us on the integrative palliative path.
Dr. Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
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Holidays can be joyful times that bring you together with the people that you love. But what if someone is missing?
Maybe your loved one has died, or maybe someone important to you can't join you for the holidays this year. How do you balance grief with expectations of holiday joy?
This week I discuss how to cope with the holidays when someone you love won't be with you.
In support and gratitude,
Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
We've just had a big election and many people have strong feelings about the result. Some people are happy about the outcome, and others are feeling deeply distressed.
In palliative care we are experts at helping people cope with highly unwanted outcomes. We can use some of our palliative care skills to help people cope with their feelings right now.
What other tips would you suggest?
#meded #hospice #election
Delia
Delia Chiaramonte, MD
www.integrativepalliative,comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Can you define cisgender? Transgender? Intersex? Gender non-conforming?
Do you know the difference between sex and gender? Have you heard of a 'dead name?'
Do you know why using "Sir" and "Ma'am" can cause you to be inadvertently hurtful to your patients?
Providing gender affirming care is important but you may not have learned this in school. Join us this week for a primer in the basics of gender affirming healthcare.
What did I miss? Reach out and let me know.
Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Sarah Freeman Smith is a blind inspirational speaker and author, former HR/recruiting leader and disability advocate. She went blind in midlife and in this week's episode of The Integrative Palliative Podcast she shares her journey, the tech that she uses to increase her independence, and guidance for physicians and clinicians to help their visually impaired patients.
Rayban Meta smart glasses have been a game changer for her!
Sara has many resources for the visually impaired and you can find them on her website www.urgems.com.
October is World Vision Awareness month.
If you like the podcast be sure to subscribe!
Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Many patients are embalmed or cremated after death, but this isn't the only option. Embalming and cremation have a negative impact on the environment, and other, more eco-friendly, options are becoming popular.
Options such as green burials, human composting, and reef balls give people options for how to handle their loved one's body after death.
Do you think that accepting, and even facilitating, decomposition of a body after death helps us engage in "circle of life" coping? Or are standard funeral services more helpful?
Let me know what you think!
If you like this podcast, please subscribe!
Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Many physicians, and other clinicians, are wiped out and burned out. They may wonder if they should stay in medicine, or if there is another path that would make them happier.
Yet running away from unhappiness isn't a great strategy because sometimes the unhappiness follows you to your next destination.
Dr. Heather Fork is a dermatologist and physician career coach who guides physicians to a career, and life, that makes them happy. Sometimes her clients decide to remain in clinical practice and sometimes they find non-clinical positions, but either way Dr. Fork helps them to create happier lives for themselves and their families.
You can find more information about working with Dr. Fork at https://doctorscrossing.com/.
You deserve to be happy!
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Sometimes patients or family members express their stress with anger. And when the anger is directed your way you may get defensive or annoyed and it can put a pall on your day.
Listen to this week's episode for clear guidance about what to do when your patient gets angry so that both of you leave the visit feeling calm.Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Don't be afraid to talk about dying.
Fear of deathNeed for connection and closureLife review Legacy or Love projects
We don't learn to talk about dying and so many people are afraid because they don't know what to say. Here are four key topics to bring up with people who have advanced illness such as progressive metastatic cancer. In patients with Alzheimer's disease or other kinds of dementia, it is important to have these conversations early in the disease course.
Today we'll discuss:What kind of legacy would you like to leave?
In gratitude,
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Mental status changes in hospice patients are extremely common. Yet are they always due to disease progression?
If a patient suddenly gets confused or sleeps all day, what should you do? Should you counsel the family that this is normal? Order testing? Assess the medication list?
Family members sometimes worry that sending their loved one with advanced cancer, dementia, or other serious illness to hospice will mean that they'll just get morphine but no medical attention. Let's make sure that this stereotype isn't accurate.
Look out for premature closure and keep the patient/family goals in mind.
Delia
Delia Chiaramonte, MD
www.integrativepalliative.com
Whole person care for people with serious illness using all the tools that workCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Your patient is in terrible pain from cancer and you have the tools to relieve it. Yet they won't take the oxycontin or morphine that you prescribed.
You can see that they are suffering yet you feel powerless to help. This is a common scenario and it can lead to discord between you and your patients. You may feel like saying, "Well fine then. I can't force you to help yourself..."
You feel frustrated and the patient may not feel supported.
Here are 30 reasons why your patient may be hesitant to take their pain medication and guidance on what you can do about it.
Help your patients, improve your doctor-patient relationships, and reduce your frustration.
Let me know how it goes!
Delia Chiaramonte, MD
www.integrativepalliative.com
Free guide for physicians to reclaim their wellbeing at work and in life: https://trainings.integrativepalliative.com/pl/2148540010Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Ketamine is in the news right now because Matthew Perry died from improper use of ketamine and his physicians just got arrested for making that possible.
It is always a bit shocking when physicians get arrested for prescribing medication. It does seem like his physicians were not acting in accordance with their hippocratic oath - if that's true, shame on them.
I do wonder, though, will this make clinicians less inclined to use ketamine to help reduce their patients' suffering. In addition to being an anesthetic, ketamine is used to help reduce severe and persistent chronic pain and depression.
In the palliative population it can be used orally, but for most people it is used IV and only under the direct (in office) supervision of a physician or other clinician.
Do you use it in your practice? Did this case impact your plans to use ketamine in the future?
Join us in the Integrative Palliative Medicine interest group on Facebook and share your experience.
I appreciate you,
Delia
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
We live in a soup of uncertainty and so do our patients and clients. Caring for patients with serious illnesses such as cancer or Alzheimers dementia can be extremely stressful because the experience is filled with uncertainty.
Having a clear approach to dealing with uncertainty reduces stress and increases joy.
This week we discuss 4 Dos and 4 Don'ts for dealing with uncertainty in health and in life.
I'm happy that you're part of the joyful palliative care tribe!
Delia
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
The LovingKindness, or Metta, meditation (not a typo - that's how it is spelled) is one of my favorite meditations. It offers kindness and healing to you, the people in your life and the world.
This week I offer you a LovingKindness meditation for your own wellbeing.
You'll notice that there is no intro or ending because I'd like you to hang on to this meditation to use any time you could use a boost of positive energy.
Enjoy! (And then share with a friend)
Delia
P.S., Can you do me a favor? If you find value from this podcast please write a review on iTunes and tell a friend about the podcast. This will help me reach more people, which will help to feed my soul. Thank you from the bottom of my heart!Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Leave your heirs the gift of organization. Estate planning is crucial but many people put it off because they aren't sure how to proceed.
Adam Zuckerman is an attorney and entrepreneur who created a company, Buried in Work, after losing his father to cancer. Adam is passionate about making estate planning and end of life preparations as easy as possible for families facing serious illness.
His site covers vast topics, from having tough conversations to green burials. He even has card "games" to help families communicate about goals, wishes, legacy, and life stories.
You can find all of these resources at www.buriedinwork.com
Wellbeing for your patients and for you,
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
We've all had challenging patient or client interactions. It can be hard to know how to handle them and it can make us feel lousy or even derail our day.
You want to be an empathetic physician, nurse, therapist, PA or other clinician but how do you balance empathy with boundaries when a patient or family is angry or mean?
This week join me to reflect on the 8 steps to managing a challenging patient interaction.
Let me know what I missed! Join us on Facebook in the Integrative Palliative Medicine Interest group or reach out through the website at www.integrativepalliative.com.
I appreciate you!
Delia Chiaramonte, MDCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Dr. Gary Sprouse is the Less Stress Doc. He is a family physician with expertise in stress management and he's the author of Highway to Your Happy Place: A Roadmap to Less Stress.
This week Dr. Sprouse shares tools and insights to help you manage stress, banish guilt and regret, and live a happier life.
You can find more information about Dr. Sprouse at www.thelessstressdoc.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Caring for a loved one who is aging or ill is hard. It is especially hard if you've had a challenging relationship with them. If you had a difficult childhood and now find yourself caring for a parent with cancer, a stroke, or Alzheimer's dementia, you may be experiencing extreme stress and overwhelm.
Ask yourself these 3 questions and ponder these 3 truths to make a hard time less stressful.
Thanks for listening,
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ -
Chiropractic care is widely misunderstood by the medical community. In this interesting interview, chiropractor Brian Morrison clues us in to how we got here and the ways in which chiropractic education and clinical care have changed for the better in recent years.
Dr. Morrison discusses who benefits most from chiropractic care, and which patients should not be referred.
Here's to an expanded clinical toolbox.
Delia Chiaramonte, MD
www.integrativepalliative.comCoping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com
A free guide for physicians to help reclaim your joy at work and in life https://trainings.integrativepalliative.com/pl/2148540010
Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!
Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch
I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/ - Mostrar mais
