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Hosted by integrative palliative medicine physician, Dr. Delia Chiaramonte, The Integrative Palliative Podcast helps physicians guide families facing serious illness to physical and emotional wellbeing. Physicians will find insights, skills and knowledge as well as attention to their self-care, because you can't pour from an empty cup! All physicians will find something for themselves and their patients in this podcast. Targeted to physicians, but all are welcome!Also, check out The Institut ...
 
AmiPal is a podcast about palliative care, technology, innovation and research. If you want to learn more about palliative care, hospice care, research, innovation and health technology - this podcast is for you! This podcast will be of interest to healthcare professionals and students with an interest in palliative medicine. The podcast is hosted by Dr Amara Nwosu MBChB, MRCP, PhD, who is a Academic Clinical Lecturer in palliative medicine in the University of Liverpool, UK. Come and join t ...
 
The Surgical Palliative Care Podcast features interviews with the founders and the leaders of the surgical palliative care community, a diverse group of surgeons, dedicated to providing high quality palliative medicine to all surgical and trauma patients. Tune in to learn the rich history of the surgical palliative care movement as well as to stay up to date on the latest research in the field. Hosted by Dr. Red Hoffman, the Surgical Palliative Care Podcast aims to educate, foster community ...
 
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show series
 
Pets are like family and it can be terribly painful and difficult when they get sick. Should you take them for surgery? Do the intensive testing? How do you know when it's time to think about euthanasia? This week's episode is all about pets and palliative care. You'll learn about the pet palliative care that is going on in my home, and if you list…
 
Dr. Kara Wada is an allergist, immunologist and lifestyle medicine physician. She had years of vague and unexplained symptoms that ultimately resulted in a diagnosis of Sjögren's syndrome. This diagnosis spurred her to explore ways to control her symptoms and improve her health. This week Dr. Wada shares her journey and offers many tips for reducin…
 
Compassion fatigue is the negative impact that caring for patients can have on caring clinicians over time. It can happen when we are witness to repeated suffering, when we don't get time to replenish ourselves or when we see multiple micro-injustices (like patients getting sicker because they can't afford their medications) over time. With these t…
 
How many of these hospice myths did you believe? Hospice is kind but misunderstood! If everyone truly understood what hospice is, how it helps, when you should have it, and when you want it but can't get it, the world would be a better place. There would be less suffering and I am all about helping people suffer less. Listen and see how many hospic…
 
Unfortunately our world has a lot of tragedies and people may reach out to you for help when they are dealing with hard things. Or you may be dealing with hard things in your own life. It can feel overwhelming and you may be unsure of exactly what to do to help. This week we discuss a 8-step plan for coping successfully when something really tough …
 
There are a lot of questions and myths on the topic of aromatherapy. Is it safe? Is there evidence of benefit? How exactly should we be using it? Dr. Ann Huntington, internist and expert in essential oils, will answer all those questions for us, and more. She also offers a course on the science of aromatherapy for physicians and has generously offe…
 
This episode features Dr Rachael Moss (Bradford Institute for Health Research, Bradford Teaching Hospitals Foundation Trust, Bradford, UK). What is already known about the topic: - The degree to which individuals access and use palliative and end-of-life care services varies across communities and countries. What this paper adds: - This study found…
 
When a parent gets seriously ill or has a significant decline in function, the care often falls on the children unevenly. This can create significant family conflict and fracture important sibling relationships. This week I talk about 5 things to suggest to your patient to help solve this sticky problem. Reach out anytime! Dr. C. Delia Chiaramonte,…
 
Welcome to The Integrative Palliative Podcast where we talk about integrative symptom management and physician wellbeing, because every physician deserves to have satisfying work and every patient deserves an effective and joyful physician! This week we are talking about what to do when the patient doesn't want to talk about their diagnosis. Should…
 
If you're a physician, or other clinician, you spend a lot of time supporting family members of seriously ill people. But what about when the family member is you? Everyone suffers when their family member is ill, but physicians (and other clinicians) may carry an extra burden when someone they love is sick. Listen this week for 8 things to do if y…
 
Physicians and other healthcare clinicians get freaked out when they have to talk to a patient about hospice. If your general approach is "well... nothing seems to be helping so I guess it's time for hospice," this episode is for you! You'll learn the 7 things to say to make a discussion about hospice feel more supportive and less heavy. Please sha…
 
This episode features Isabel Vandenbogaerde (End-of-life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Ghent, Belgium). What is already known about the topic: Involvement of family carers in advance care planning conversations is crucial for end-of-life decision-making. Family carers are willing to engage in advance care…
 
This episode features Dr Joyce Chung and Weilin Chen (School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China). What is already known about the topic: End-of-life communication can improve patients’ quality of life, ease the bereavement experience, raise care satisfaction and reduce the utilisation of aggres…
 
This episode features Suzanne Smith (Master of Palliative Care student, Flinders University, Australia; Victorian Paediatric Rehabilitation Service, Australia), Dr Megan Doherty (University of Ottawa, ON, Canada; Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada) and Dr Mostofa Kamal Chowdhury (BangabandhuSheikh Mujib Medical University, D…
 
I'm not a big fan of resolutions. Success, contentment and "happiness" aren't really about one big annual push, they are about repeated practice of concepts that are small but mighty! This week we'll chat about a 3-step path to living a contented life. If you practice this plan, you will change. I promise. And you don't even have to give up sugar! …
 
You will love Dr Mary Leung. She is a medical oncologist and hematologist who has a busy outpatient clinical practice. After too many nights getting home after 7:00pm with more charts to do at home, she got burned out and stopped loving her job. Join us to learn what she did to change her work life dramatically. She now loves her work again and lea…
 
Maybe you mostly talk to your mom on the phone and you haven't seen your aging parents in almost a year. Or maybe your dad just ended up in the hospital and you realize that mom might not be safe to stay at home alone. If this hasn't happened to you, it has almost certainly happened to some of your patients. People tend to feel totally overwhelmed …
 
This basic introduction to practical aromatherapy will give you one more safe and easy to use tool to help your patients manage stress and anxiety. You'll learn the down and dirty way to counsel your patients about WHAT aromatherapy is, WHY you should add it to your tool box and HOW exactly it can be incorporated into a stress management routine. R…
 
Life is BUSY! There is so much to do and I know you wish that you had just a few more hours in every day. The surprising truth is that you may be inadvertently making your time issues worse than they need to be. In this week's episode of the integrative palliative podcast, we'll discuss three of those ways - I know you'll see yourself in at least o…
 
Can you be empathetic and also have badass boundaries? Yes! Loose boundaries lead to overwhelm and burnout and they drain the empathy right out of you. This week I will give you the 3 steps that you need to gain control of your schedule so you can keep your cup full. Reach out any time! - Dr Chiaramonte P.S. Would you do me a favor? Please go to Ap…
 
If you have a loved one with dementia you must listen to this episode! Neuropsychologist Karen Sullivan, PhD is an expert in helping families navigate the complicated and challenging experience of having someone you love face dementia. You'll be struck by her deep compassion, hopefulness and highly practical tips for thriving as a family. Dr. Sulli…
 
Life can be hard. When our "cup" is empty hard things are harder. And when our "cup" is full, life is simply easier. This week you'll learn a simple but powerful technique for figuring out how to fill your unique "cup," and once you practice it for yourself you will have a powerful tool to use with your patients. This technique is especially valuab…
 
Have you ever hurt your back with just a small twist or after lifting up a light object? It can feel impossible to be injured from such an insignificant event. Dr. Mary Jo Fishburn is a physical medicine and rehabilitation physician with expertise in the integrative approach to musculoskeletal wellbeing. She will explain what predisposes us to inju…
 
The Patient Dignity Question (PDQ) is the best question that you will ever ask your patient. It will supercharge your doctor-patient connection and give you key information that you might otherwise have missed. Listen and try it out in your practice. If you have a colleague who would benefit from learning about the PDQ, please forward the episode t…
 
We all know that there is a tension between being the empathetic physician that you want to be and getting your charts done so you don't stay at the office until 9pm. We also know that patients hate it when their doctor never looks up from the computer. Is there anything we can do? We can't get rid of RVUs or fix the whole healthcare system (at lea…
 
Buprenorphine gets a bad rap. Many physicians aren't clear on how to use it and we tend to shy away from things we don't understand. But what if a patient comes onto your service who is taking buprenorphine? We really shouldn't turn our collective heads away from this potentially very useful medication. Instead, we should learn more and increase ou…
 
This episode features Dr Richard Green (University of Surrey, Guildford, UK). Multimorbidity is increasing substantially worldwide, is associated with greater use of healthcare services, lower quality and quantity of life, and rises with age. Older people with multimorbidity are expected to become the main recipients of palliative care in the comin…
 
This episode features Dr Andrew Page (Academic Unit of Palliative Care, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK). Cancer pain is common, extremely debilitating, and undertreated worldwide. We do not know if non-steroidal anti-inflammatory drugs (aka NSAIDs or “anti-inflammatories”) are effective in managing cancer pain of…
 
Physicians are suffering. Dr. Londono is one of the few LatinX female urologists, and she gets it. She became physically ill due to burnout. Twice! Not only did she find ways to lift herself up, she founded an organization to help other physicians who are suffering. Dr. Londono started Physician Coach Support, a free web-based support service for p…
 
Giving bad news well takes skill. Many physicians do an OK job at giving bad news but I encourage you to shoot much higher than just OK. Patients and families may remember that moment for the rest of their lives, and a physician who skillfully gives bad news can help relieve suffering for the patient and family. In today's episode of The Integrativ…
 
This week I'm sharing an interview that I did on Dr. Tolulope Olabintan's show. We chatted about how to approach the hard stuff - when a loved one has a serious illness. Our conversation ranged from how to hav enough conversations to the biggest mistakes that loved ones make to how to find happiness even when facing a serious illness. Come listen! …
 
Excellence in integrative symptom management is worth pursuing - for your patients and for yourself. It is a style of practice that is impactful and deeply meaningful. The 4 kept components are: 1) The mind-body-meaning-relationship approach 2) Seeking the symptom's underlying cause 3) Creating a bigger toolbox 4) Committing to keeping your own "cu…
 
You may think that you can't add an integrative approach to your practice because your patients visits are too short. This is a myth. While it would be great to have hour long visits with each patient, the integrative approach can be snuck in to any patient care visit, no matter how short. This week you'll learn 10 tips for creating an integrative …
 
Fibromyalgia is a challenging condition for both the patient and the physician. There is no quick fix and no magic medication that will fix fibromyalgia pain. With an integrative, multidimensional approach, however, people with fibromyalgia can absolutely feel better! Dr. Ziegenbein is a rheumatologist and expert in fibromyalgia. She shares her app…
 
Other people's strong emotions can be scary. If you're in the exam room and your patient is crying what should you do? Should you prescribe an SSRI? Sometimes, but do you know for sure when crying is depression and when it's not? If you prescribe an antidepressant, what else should you do? What if the patient is not depressed, but is struggling wit…
 
Cancer has a major impact on our society with approximately 1 in 3 adults in the U.S. diagnosed during their lifetimes. This program discusses the benefits of an integrative approach to health where health and quality of life are optimized and individuals are empowered. This includes integrative oncology where cancer care is evidence based and cent…
 
These have been hard times for all of us - patients, physicians, NPs, PAs, office staff - everyone. After more than 2 years of a pandemic everyone is stressed and tired. Physicians may feel stretched to the limit and patients may feel that they have to fight to get the care they deserve. The doctor-patient relationship is struggling. What can you d…
 
This episode features Dr James Downar (University of Ottawa, Canada). Early studies in the COVID-19 pandemic have suggested a high prevalence of severe grief symptoms, although most have used convenience or survey sampling methods which may bias the results, and most have assessed symptoms before pathological grief can be diagnosed (…
 
This episode features Dr Sofia Morberg Jämterud (Linköping University, Linköping, Sweden) and Anna Sandgren (Linnaeus University, Växjö, Sweden). Serious illness conversations promote patients’ possibility of receiving care that is in accordance with their wishes and priorities. Identifying patients for serious illness conversations remains difficu…
 
You must listen to this episode with special guest Dr. Weili Gray. Dr. Gray is a sleep physician and certified life planner who helps physicians create the life of their dreams through her practice daretodreamphysician.com. But for this episode she shared her recent and raw experience supporting her dad at the end of his life. She shares deep insig…
 
This week on The Integrative Palliative Podcast you'll learn 6 wisdoms that came directly from people near the end of their life. They share things that they want us to know so that we can best support them as they face their illness. Some of these came from my own patients, and some came from the loved ones of physicians who received 1:1 mentoring…
 
This week we have a special guest, Dr. Janice Brown. Dr. Brown is an integrative physical medicine and rehabilitation physician and she is also a life coach. She started out as a massage therapist, then went to medical school where she chose PM&R because she loved the whole person approach. She is an acupuncurist, is certified in functional medicin…
 
People with cancer face significant side effects - both from their cancer and their chemotherapy, immunotherapy or radiation treatments. They often seek out complementary or integrative approaches alongside their conventional medical treatments, but they may have to figure out what to use without any medical guidance. The ideal scenario would be fo…
 
"She's a fighter" "We don't want her to give up" "Mr. Amos is comfort care now" Are these helpful words for families facing serious illness? Not so helpful? Should you avoid the words "death" and "dying" when talking to families? Words matter. And when caring for palliative patients with cancer, heart disease and other life-limiting conditions, wor…
 
This episode features George Muishout (Department of History, European Studies and Religious Studies, Amsterdam School for Historical Studies, University of Amsterdam, Amsterdam, The Netherlands). To Muslims it is important that medical decisions are in accordance with Islamic values. In life-threatening illness, Muslims ask imams for religious adv…
 
This episode features researchers from the the University of Cologne (Germany) from the Faculty of Human Sciences and Faculty of Medicine, Graduate School GROW – Gerontological Research on Well-being, and also the Faculty of Medicine and University Hospital, Department of Palliative Medicine. The researchers are Helena Kukla, Angélique Herrler, Dr …
 
"Can I put coffee in my loved one's feeding tube?" "My dad won't eat and I don't know what to do" "She says food doesn't taste right anymore - what's going on??" We associate food with love so it can be very tough on a family when their seriously ill loved one can't, or doesn't want to, eat. This week I'll answer common questions about food and fee…
 
Patients, families, physicians and other clinicians are afraid of the "H word." Hospice got a bad rap and clinicians seem to get tongue tied when it is time to talk about it. But it doesn't have to be scary or depressing and it definitely shouldn't be seen as shameful or hope-stealing. In today's episode of The Integrative Palliative Podcast you wi…
 
You have got to meet Dr. Francis Yoo! He is a fascinating integrative physician with a huge tool box of skills. In his NYC practice he personally uses osteopathic manipulation, acupuncture, breath work and much more. Through his Whole Presence Laboratory he helps physicians achieve deep self-awareness and growth using diverse approaches such as enn…
 
One of the hardest things about being a physician, or other healthcare provider, is when we try our best to take great care of our patients but an adverse event happens anyway. We may not have a plan for managing the unpleasant feelings that show up and we may just try to power through. This is not the best approach. Listen to "When Bad Outcomes Ha…
 
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