Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Tracey Piparo, PA- President of Physician Associates in Hospice and Palliative Medicine PAHPM- PA for 24 years: started in ER, then became a hospitalist - 1st PA to work in specialty palliative care - Married to fire fighter with two children 15, 12- From Brooklyn New York, lives in New Jersey Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1) Story (theme) PAs have been around since 1967 and were an integral part of of the healthcare team during Dr. G’s medical school training: Performing CABG with Cardiothoracic surgeon, harvesting veins for coronary artery bypass graft CABG; Rounding independently in the CABG “cabbage” patch post op 2) Educate -Teaching points- PA Training: Follows same Medical model as MDs/DOs, graduating as generalists. - Name changed from physician assistant to associate AAPA https://www.aapa.org/about/history/- PA Education Association https://paeaonline.org/our-programs- National Commission on Certification of Physician Assistants (NCCPA) https://www.nccpa.net- Scope of practice is determined at the team level and with the collaborating physician. Fellowships available for advanced training. HPM Certification established in 2023. Core Values PRACTICE https://www.nccpa.net/about-nccpa/3) Empower -A valuable a resource https://pahpm.mypanetwork.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/BtLR3V9NtIw?si=z_j3kpKLihfK3X6H #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife #PAweek #physicianassociate #physicianassistant #PAsGoBeyond
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKen Gorczyca- Veterinarian and Death Doula- Artist https://kengorczyca.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. Ken’s work began during the AIDS crisis. He now brings Spirit to Veterinary medicine with the movement towards in-home euthanasia. He believes in the important sacred moment of releasing our beloved animal companions at the end of their short lives. Dr. G correlates some insights to hospice care but has anxiety about this topic as a pet parent. A Clinical Ethicist Reflects on the Life and Death of a Beloved Pet - Ryan J Dougherty - ehospice https://ehospice.com/editorial_posts/a-clinical-ethicist-reflects-on-the-life-and-death-of-a-beloved-pet-ryan-j-dougherty/2. Educate -Teaching point How in home euthanasia works. - Before: learn love story- During: sedation, favorite food, toys- After: ceremonial ritual to acknowledge love. Cremation vs burial 3. Empower -Valuable resources - Adopt an older pet https://muttville.org/ - A gentle rest https://www.agentlerest.com- Become a pet death doula https://learn.uvm.edu/program/companion-animal-end-of-life-doula-professional-certificate-online/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/5AF7YauCZmc?si=Flnph50F__qpbX0p#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #PetLoss #Euthanasia #Dog #Dogs #Cat #Cats
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestDavid Patrick Paget- Canadian moved to the USA as one of eight kids in 1960s - Previously a Coca Cola truck driver- Real estate experience from Rancho Cucamonga to French Valley in 1999- Enjoys wine touring in Temecula https://gogrape.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) David is on a fixed income as a senior citizen collecting social security, he supplements by hosting wine tours. Money matters during the late stages of life. Many seniors have a nest egg built by the equity of their family home, a portion is an asset for funding care. 2. Educate (Teaching points)- How to find brokerage- Timing 25-30 years (small or no mortgage) - Paid when house sells- Home equity is paid out by investors - Misconception you will loss your house - If married one spouse must occupy the property - Consider creating a living trust - Counseling required for senior citizens, before the process begins - Better than an equity line of credit3. Empower -A valuable a resource https://www.c2financial.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/ZtMP5Of5ZS4?si=Mr_eKRonOfM27aUl #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKevin D. Stuart, MD, MS, HMDC, AGAF- Owner and Founder of Partner For Care- Gastroenterologist- Palliative Care and Hospice Master of Science- Professional Study of Narrative Medicine - New Yorker Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Dr. Stuart while working in San Jose, then learned about the Partner for Care platform at the 2025 Annual Assembly of Hospice and Palliative Care in Denver. He cared for his own Dad with hospice 8 years ago and realized there is a gap in understanding even as a seasoned physician and son. Hospice pamphlets and binders have limitations. 2. Educate -Teaching pointsPartner For Care:- is customized for each hospice agency, regardless of size.- empowers family caregivers with information to navigate symptoms the patient may experience.- is an easily accessible resource hub to help provide care at home and can improve the experience of patients and family caregivers- could reduce hospice revocation rates- helps improve hospice nurses’ work flow since common info is easily accessible to caregivers. - Clarifies when to call the hospice nurse, what to expect from hospice medications, supplies- Symptom Management: breathing, pain, anxiety, constipation, nausea, vomiting, belching, hiccups3. Empower -A valuable a resource https://partnerforcare.com Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/NBx6cNpypsw?si=bcTGS8aaBI9A6ieF#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #CaregiverSupport #Caregiving #FamilyCaregiver
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Gabriela Brown, CSA- Certified Senior Advisor- Referral Agency Owner/Operator of Constant Companions since 2003- Previously worked Hospice Palliative HH - Texas Native Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. - 1. Story (theme) Gabriela started working with seniors since first job as nursing assistant before there was a certification. - 2. Educate -Teaching points- People typically look for home care after a CRISIS like a FALL and out of necessity during the LATE STAGES OF LIFE- Licensing for non-medical HOME CARE is governed by the California Department of Social Services https://www.cdss.ca.gov/inforesources/community-care/home-care-services to provide assistance with ADLs (Six activities of daily living)- Private pay $40-50/hour Veteran Aid & Attendance and Long Term Care Insurance - The Home Care Services Branch (HCSB)- Home Care Services Bureau ✔️Registered - Franchise or Private may be a factor - Previously minimum wage home care workers now demand more pay for their services - Going rate for homecare $35 $40-50 (split by company who vets home care workers)- 3. Empower -A valuable a resource https://constantcompanions.netWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/7dJsZh5DCg0?si=f16UQFNNBn9x1tab#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #HomeCare
Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Sonia Malhotra, MD,MS,FAAP,FACP,FAAHPM- CONGRATULATIONS on new FACP honor!- Wife & Mother of 3 sons- Works at Tulane School of Medicine: Assistant Professor of Internal Medicine; Associate Professor of Medicine and Pediatrics; Associate Section Chief, GIM, Geri, Palliative Medicine- Grew up in “The LBC” Long Beach, California ⚠️Deadline to claim CME is 05/06/2025 Standard registration Previous coverage: ACP IRL #IM2023 Highlights in San Diego https://open.spotify.com/episode/73mkY1QJuqpmaF4rj6FWjA?si=nv8XoSTDTT6j9iHJCekxCAIM2024 Highlights in Bostonhttps://open.spotify.com/episode/5BfBzhGGSpidGyrUu6kkxO?si=1RqhXBycQHOrfe_ZP36oJQMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G & Dr. Malhotra last saw each other in Denver at #hapc25 in February Dr. Sonia with the Palli session on Day1️⃣ “Care for the Medical Inpatient: When and How?” Symptom Management Communication, Emotional Support and Dr. G plans to join her for Mardi Gras 20262. Educate -Teaching points- Wednesday Emeril’s- Highlights: I attend updates- Thursday Professionalism in a Time of Crisis; Convocation process of fellowship; Chapter Award- Friday Hot Topics in Ethics (organ transplant) Plenary Networking Luncheon for Women Physicians JOMO is the Joy of Missing Out. Work-Life Balance, Integration or Rhythm? - Saturday Judging Med Student posters of interesting case reports - Mask at Wellness Center Love a humble life; Attitude of Gratitude 3. Empower -A valuable a resources: - American College of Physicians Combats Medical Misinformation https://www.acponline.org/about-acp/who-we-are-what-we-do/fighting-medical-misinformation-and-disinformation- SENIOR HEALTH https://www.cdph.ca.gov/Programs/CCDPHP/DEODC/Pages/Senior-Health.aspx Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/dyVdZB9QhSc?si=qy1P3EKCyz-5hSAO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife #IM2025
Happy National Healthcare Decisions Day 2025 and WELCOME TO SEASON 3!!!Season 3 Dedication💜 Dalyce “Momma Dee” Curryhttps://youtu.be/OesMd-2VilU?si=Np4FSMin8oV9CO2jMourning Dove Medical Presents Dr. G at the Heart of Healthcare Hosted by Mobile Concierge Physician, 2x Author, Healthcare Advocate, and newly honored Trailblazer Awardee by the American College of Physicians: Kaishauna Guidry MD, HMDCPodcast Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Heart Breaking News 💔Gene Hackman & family caregiver wife https://www.aarp.org/caregiving/health/info-2023/when-family-caregiver-cannot-work.html2. Educate -Teaching points - What is is a Healthcare RoadMap? Components DIAGNOSES & Medications(Functional, Nutrition, Cognitive Statuses) - Who needs a Healthcare RoadMap? People in the LATE STAGES OF LIFE must understand and share the destination of your health conditions. More specifically, know the diagnosis driving you to your final destination so that you may exercise your right to live, age, and die in BLISS.- Share Healthcare RoadMap with Adult children and/or family caregivers who may not have insight about your health since you have lived independently longer than raising children. - Platinum Rule: POA & surrogates should treat others the way THEY want to be treated. (As specified in THEIR advance directive)To Age & Die in Bliss:- 🛑STOP crashing into hospice care. (Learn the Real Deal About Hospice https://a.co/d/9VyHKsN Watch https://youtu.be/n-8hq5KF1oY?si=kSB96Cz4PBlZ_vIu) - 🩺🗺️ Get a Healthcare RoadMap (reverse engineered CTI-certification of terminal illness)- Advance Directives must be SPECIFIC (instead of awaiting capacity declarations and/or CRISIS to invoke end-of-life wishes) - Who will speak for you❓- Where will you live❓- Who will take care of you❓- How will your care be funded❓- 💵Who will control your money?- 💍Simplify home and belongings such as heirlooms.- 🚘Plan when you will retire from driving instead of a physician having to report you to DMV for revocation. It’s devastating. - 🏡Plan where you will live and who you will live with? children ? (Age limit to live alone?? 80-90)3. Empower -A valuable a resource The Conversation Project helps you be a conversation champion for your health and end of life wishes https://theconversationproject.org/nhdd/Website info https://mourningdovemedical.comVideo podcast https://youtu.be/1azmcZvVlMU?si=agBTLWIX5dsMaBwD #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #AdvanceCarePlanning #NHDD2025 #HealthcareRoadMap
2025 National Doctors Day Guide - NationalDoctorsDay.org https://nationaldoctorsday.orgShow notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Hosted by Kaishauna Guidry, MD, HMDC- Author of Dr. G’s H.O.S.P.I.C.E. Pocket Guide: 7 Things Hospice Physicians Need to Know to be Ready for Work https://a.co/d/j0HsZZp Guest Dr. Lauren Templeton, DO, FAAHPM, HMDC- Member of the Physician Council for the Pennant Group- Weatherbee Resources Physician Consultant - Multiple time podcast guest https://youtube.com/playlist?list=PLfn1iYrwn-DVzXetqbN8IcTQtICaRSXyo&si=BHJGKlpLY9r5lzJ8Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. Story (theme) Potential client complained about their Hospice Medical Director, Dr. G’s response “Because you allowed it” Non-clinical hospice agency owners can compromise clinical care we are obligated by CoPs to provide AND jeopardize the agency’s viability. Hospice Physician Compliance Conference - April 2025 https://education.hospicecompliance.com/products/hospice-physician-compliance-conference-april-2025Educate -Teaching points- Consumers: HCI, HVLDL, cold call the hospice to evaluate communication, ask PCP, check online reviews- Hospice Agency: PEPPER Report, LLOS, CAP, Audits- Physicians who want to be engaged in hospice (side gig or Pure Hospice physicians by way of HPM Fellowship) 3. Empower -A valuable a resource -Hospice Medical Director Certification Board HMDCB https://hmdcb.org/- Hospice Physician and Medical Director Manual, 4th edition https://learn.aahpm.org/content/hospice-physician-and-medical-director-manual-4th-editionWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/XZvF_ac4MvE?si=IEUjsLai4N_B2_dM #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #LateStagesOfLife #RealTalk #DoctorsDay
Show notesMourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestJulie McFadden, RN - Started nursing career in the ICU- Social media influencer “Alleviating the fear around death and dying”- NYT Best Selling Author of Nothing to Fear- Celebrating 9 years of sobriety TWELVE STEPS (years, months, days, hours)Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) The Annual Assembly of Hospice & Palliative Care is hosted by our professional organizations (AAHPM , HPNA) was in Denver, Colorado this year https://aahpm.org/education-events/annual-assembly/ Dr. G ran into Matthew Tyler, MD, FAAHPM and Hospice Nurse Julie in the halls of the convention center. First timer Julie shared a breakfast encounter with someone who was instrumental in her early career development: Dr. Ana Cartmel, DO2. Educate -Teaching points (favorite sessions or moments) - Opening reception: 🆕 book in print https://learn.aahpm.org/content/hospice-physician-and-medical-director-manual-4th-edition ; HPM fellows visited the HMDCB table - Thursday: 🇮🇹PalliCOVID dinner & GeriPal pub crawl 🍺 ☘️🇮🇪🇩🇪- Friday: IDG Business meeting 2025-2026 New Executive Committee President Arif Kamal. When patients express anger; 2nd dinner Italian restaurant Tavernetta 🇮🇹 with mentee- Saturday: Voices of HAPC 💥3. Empower -A valuable a resource https://www.hospicenursejulie.com/Website info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/DrpGsDbuJTw?si=gmoat2wcCH8218B0#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #LateStagesOfLife
Show Notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestsJennifer Proudian- Community Liaison for Nurse Next DoorAndrew Montoya- General Manager Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Jennifer and Andrew at POM networking group. Jennifer shared 8 year experience of being a caregiver for her grandmother, who lived with Alzheimer’s. Rest In Peace Sallee Proudian 12/31/20232. Educate -Teaching points- What’s a deathiversary? https://www.funeralbasics.org/9-ways-to-cope-with-a-loved-ones-deathiversary/- Fun Fact: Hospice Care bereavement lasts 1 year after patient death to support deathiversary. https://www.caringinfo.org/types-of-care/bereavement-care/-Nurse Next Door helped during The Late Stages of Life:- 2015 Jennifer became long distance caregiver while grandmother aged in place at home in Los Angeles; - 2017 Jennifer’s Grandmother hospitalized then moved to Independent Living in San Diego - After 1-2 years there was a fall (CRISIS) Grandmother moved into Jennifer’s home;- 2020 Jennifer needed help and hired private duty caregivers for up to 16hours daily.- Frequent hospitalizations 4x ED 5 days due to symptoms of pain, terrified by pandemic quarantine - Moved to Memory Care- Switched medical insurance to use a mobile physician. - Hospice Care3. Empower -A valuable a resource, home care agency http://www.nursenextdoor.com/locations/south-san-diego-ca/Website info https://mourningdovemedical.comVideo podcast https://youtu.be/4nCW_fk71gQ?si=T4x16p3uJRt4sIes #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #RealTalk #Deathversary #Deathiversary #GriefDuringTheHolidays #Grief #Alzheimers #MemoryCare #HomeCare #Caregiver #Caregiving #Homecare
Show notes-Happy November! Happy National Family Caregivers Month! 2024 theme is I Care…Happy Birthday to Dr. G’s Son Elisha Guidry!Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestKarla Thornton https://www.instagram.com/theoff_dutycaregiver?igsh=MzRlODBiNWFlZA==T-shirts https://www.instagram.com/teachshirtsandco?igsh=MzRlODBiNWFlZA==Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Karla is a previous guest of the podcast S1:E34. Last year she helped us to be mindful towards caregivers during the holidays https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs This year she is an off-duty caregiver reclaiming her identity as she grieves the loss of her mother. Rest in Peace🥰Yolanda “Yoli” Jones May 29, 1937 - May 20, 20242. Educate -Teaching points- Burdensome Cost of Caregiving 💵 - Grief & Relief: when loved one dies (distinction of grief for person before dementia)🕊️- Rebuilding marriage and career 💍 - Pets navigating loss: Maximus 🐾 - Truth telling: being kind to self 💜- The Holidays or Not! ❌🎄3. Empower -A valuable a resource https://www.caregiveraction.orgWebsite info https://mourningdovemedical.com#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #HOPE #FamilyCaregiver #Caregiving #Thanksgiving #ThanksgivingWithBlackFamilies #RealTalk #MikeTyson #NFCMonth2024 #Caregiver #NFCMonth #NationalFamilyCaregiversMonth
Show notes-It’s National Care at Home Month💜Happy Home Care & Hospice Month! Happy #NPweek ♥️New book available for preorder THE POCKET GUIDE FOR HOSPICE NURSE PRACTITIONERS: Vital Members of the Hospice Interdisciplinary Team”https://mourningdovemedical.com/nurse-practitionersMourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Jonathan Louis - CEO of Alpha Comfort Care, Inc., a hospice and home care agency in Atlanta, Georgia - Director of Business Development at Eprine Home Care, a position he has held since 2021 growth New York City and Long Island https://eprine.comMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. Story (theme) Met Mr. Lewis’ colleagues at ELEVATE during Hospice Action Week 2024 in DC.Educate -Teaching point “Agents of Change” in Home Care. This agency serves underserved populations such as minorities, those with disabilities, and/or funded by Medicaid. Empower -A valuable a resource https://www.comfortcarenow.comWebsite info https://mourningdovemedical.comVideo podcast https://youtu.be/IH3wlckGjHA?si=CWa-uUkiZV5HOMKV #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #NPweek #HospiceMonth #HomeCare #StrongerTogether
Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guests- Finly Zachariah, MD FAAFP FAAHPM FAMIAChris 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.aiWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/UEBVzi8txGI?si=TZd8vCdwmqlA6p9f #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #POLST #AdvanceCarePlanning #AdvanceDirective
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, pilotMission-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 Facility3. Empower -A valuable a resource https://goldenyearsseniorlivingadvisors.comWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/JTTe43_wHfQ?si=iUoSvbo1xGEkYjeP #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #SeniorLiving #AssistedLiving #MemoryCare
Las notas del programa/ Show notes-¡Feliz mes Nacional de la Herencia Hispana!/ Happy National Hispanic Heritage Month! https://www.hispanicheritagemonth.comhttps://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.html3. Empoderar/ Empower -A valuable a resource NHPCO CaringInfo en Español https://www.caringinfo.org/es/Website info https://mourningdovemedical.comHashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #HispanicHeritageMonth
Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare GuestsHitomi GonzalesFrank Velasquez, CFO1. 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.orgWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/g5UFtH4L0Lo?si=u3SY3zsLksqhbNIL#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CalAIM #Caregiving #Caregiver #SeniorLiving
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/2u3BXV3MNZBzhGPaQftlDsMission-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 SBARAssessment 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.comVideo podcast 🔗 https://youtu.be/3ZFXYcZqVhQ?si=CtJ4LJg1bUU_R7gg #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Delirium #Confusion #Agitation #Disoriented #Restlessness #Anxiety
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 herselfInstagram pagehttps://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.caWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/rcxx4MfRV5I?si=rZroca-Ek5kZ6tIO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Grief #Counselor #Bereavement #Olympics #Toronto #SocialWork
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
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