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HPM TALK

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HPM TALK

NHPCO's MyNHPCO Physician and Advanced Practice Provider Community

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HPM TALK is the podcast of NHPCO's MyNHPCO Physician and Advanced Practice Provider Community. This podcast connects you with leaders in the field to discuss issues pertinent to our practice and to bring you the voices of other physicians and advanced practice providers who will share their experiences in the field. A rotating team of hosts will address topics of interest to the hospice medical director, hospice physician, advanced practice provider in hospice and palliative care and the pal ...
 
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GeriPal

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GeriPal

Alex Smith, Eric Widera

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A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith.
 
In this podcast series Eleanor Haley and Litsa Williams, the two mental health professionals behind the grief website What's Your Grief, seek to leave no stone unturned in demystifying the complicated and sometimes crazy experience of living life after loss. One digestible topic at a time, Haley and Williams distill topics ranging from grief theory to coping. Grievers and grief professionals alike will find their approach practical, relatable, informative and engaging. Grief is sad and confu ...
 
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show series
 
We take a close look at the insurance that allows you to stay in your own home. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGuide.…
 
Utilizing every discipline on the hospice interdisciplinary team helps to ensure the best outcomes and quality of care. Here 's why. Each member of a hospice team brings unique skills along with specialized training to the care of a seriously ill patient, and their caregivers, too. Nurses (RNs, LVNs/LPNs), doctors, and nurse practitioners manage th…
 
Randy Curtis, a paragon of palliative care research, was diagnosed with ALS in March. Randy is in a unique position as someone who studies and cares for people living with serious illness, who now shares his reflections on being on the other side, to reflect on the process of living with serious illness. His reflections are illuminating and inspiri…
 
Barbara Karnes, author of the iconic hospice guide “the little blue book” Gone from My Sight, talks with Jerry and Helen about ritual, self care wisdom, and thriving as end of life workers. We’re honored to feature our third discussion with Barbara about what she’s seen during the last year. As a hospice RN, Barbara understands how important it is …
 
This week, Hans and Robby go over social security survivor benefits, and what all that entails. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more a…
 
There’s a lot to process when a hospice patient dies. Grief emotions along with business decisions can make it complicated. Today we’re talking about what a hospice death events looks. Death is common in hospice care, and interdisciplinary teams are highly skilled in caring for patients and families when it occurs. Nurses, social workers, chaplains…
 
alliative care has a diversity problem. The workforce of palliative care looks nothing like the patient population that we care for in the hospital and in our clinics. For example, in 2019-2020 academic year only 4% of Hospice and Palliative Care fellows identified as black, compared to 12% of the overall US population using the most recent census …
 
This week, we're talking the seventh worry, standard deductions on income taxes. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGuide…
 
One of the major milestones in serious illness occurs when a patient stops eating and drinking. We're talking about why it happens, how to cope with it, and what it means. When someone with a serious illness moves toward death, he might begin to have difficulty taking in food or fluids. It's a hard thing for those who love them to watch. Patient mi…
 
Much has been written in geriatrics and palliative care about anticipatory grief, about the grief of caregivers, and even the grief clinicians experience following the deaths of their patients. Krista Harrison, in a Piece of My Mind essay in JAMA, writes about something different. She writes about coping, as an academic hospice and palliative care …
 
Linda Bryce has worn many hats in her career: attorney, advocate for the elderly, ordained minister, bedside singer, author, and end of life doula. The culmination of all her experiences has been collected into her book, The Courage to Care: Being Fully Present With the Dying. She has been a hospice vigil volunteer and has sat at the bedside of hun…
 
We're talking Medicare without supplemental insurance this week. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGuide.com. Find us on…
 
When you want to support someone who’s going through grief, loss, or a difficult life transition, a carefully curated care package from Beyond Words Co. is the perfect way to say you care. Founder Catherine Hinz realized through her own grief experience how much we need thoughtful care. Through the specially chosen products of a care package from B…
 
Today’s podcast is on academic life hacks, those tips and tricks we have seen and developed over the years to succeed in academic medicine in fields that are somewhat generalist in nature. While the podcast is meant for fellows and junior faculty, we hope some of it applies to the work that all of our listeners do, even in non-academic settings. Wh…
 
Avoid a long-drawn out process and learn how to bypass probate. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGuide.com. Find us on …
 
How long does the patient have? It’s probably the hardest question for the hospice team to answer. Patients and families have different motives for asking. Sometimes it’s as simple as needing to know how much time to ask off from work, or when to schedule FMLA. The motive for asking the “time question” might be more complicated, related to caregive…
 
“Loneliness is different than isolation and solitude. Loneliness is a subjective feeling where the connections we need are greater than the connections we have. In the gap, we experience loneliness. It’s distinct from the objective state of isolation, which is determined by the number of people around you.” - Vivek Murthy, two time (and current) Su…
 
Author Jill Johnson-Young knows a thing or two about grief. She shares her deep, funny, irreverent wisdom in an interview with The Heart of Hospice. Jill is a social worker based in California, owner of Central Counseling Services and is the author of The Rebellious Widow, an insightful look into managing grief on your own terms. After losing two s…
 
Hans and Robby talk about charitable giving and how to map out a plan to maximize your donations. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more…
 
There’s a great virtual learning opportunity from the National Hospice and Palliative Care Organization at the IDC 2021! The Interdisciplinary Conference 2021 brought together by NHPCO will offer some highly valuable education to hospice and palliative care professionals on September 20-22, 2021. It’s all virtual this year, eliminating the cost of …
 
Hans and Robby go over the seven opportunities to level up your retirement plan. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGuide…
 
Document, document, document! Documentation is vital to how hospice works, but how can we keep it from disrupting patient care? Even though it seems to be a nuisance and takes a lot of time, it’s crucial to the care of seriously ill patients to document everything we do for our patients. Medical records are created from our documentation. It’s how …
 
It always seems too early until it’s too late. We’re talking advance care planning, grief, and life lessons with Jon and Michelle Braddock of My LIfe and Wishes. With us for his second interview, Jon shares how My Life and Wishes got started after their experience with the death of Michelle’s dad. My Life and Wishes provides an online platform for …
 
Bereavement care is part of the care a hospice team provides to the patient’s family. Chaplains are often the ones who provide those bereavement interventions. Regulations require hospice agencies to follow families (whoever the patient identified as family) for at least 12 months after their loved one dies. To prepare for bereavement needs, the ho…
 
On June 7th, 2021 FDA approved the amyloid beta-directed antibody aducanumab (Aduhelm) for the Treatment of Alzheimers. This approval of aducanumab was not without controversy. Actually, let me restate that. The approval of aducanumab was a hot mess, inside a dumpster fire, inside a train wreck. After the approval, three members of the FDA advisory…
 
Medicare enrollment comes with a lot of deadlines and timelines paired with penalties and taxes if you miss these. There is no reason to fear Medicare penalties, and we can assist to determine if your group coverage is creditable. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on…
 
A hospice interdisciplinary team provides enhanced support at the time of a patient’s death - and that includes care from the hospice chaplain. The chaplain, or spiritual counselor, is there to encourage those who are grieving, to provide comfort and guidance during what hospice professionals call a “death event”. Along with other team members (nur…
 
Cannabis use by older adults has increased substantially over the last decade, a trend that has paralleled the legalization of its use for medical and recreational purposes. In that same time, there has been a decreased perceived risk associated with cannabis use in older adults as noted in a recent study published in JAGS. On today’s podcast we ta…
 
Hans and Robby discuss the seven factors that go into planning for Social Security. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-535-8261. Learn more at CardinalGu…
 
Once the Initial Spiritual Assessment is completed, a hospice chaplain will make routine visits that are used for life review, legacy projects, encouragement, faith discussions, or whatever the patient says is important. Typically the chaplain (also known as the spiritual counselor) will see a stable patient once or twice a month, and when there’s …
 
You’ll find more information about hospice and how to get the best out of your end of life experience at theheartofhospice.com. Need a speaker for your next company event or conference? Send an email to host@theheartofhospice.com to book Jerry Fenter or Helen Bauer to encourage and inspire your audience. You’re not alone in your hospice journey - w…
 
In a new study in JAGS, Matthew Growdon found that the average number of medications people with dementia took in the outpatient setting was eight, compared to 3 for people without dementia. In another study in JAGS, Anna Parks found that among older adults with atrial fibrillation, less than 10% of disability could be explained by stroke over an a…
 
In the second episode of our hospice chaplain series, we’re talking about the Initial Spiritual Assessment, why it’s necessary, and what it includes. Mandated by Medicare, the Initial Spiritual Assessment is completed within 5 days of a patient’s admission to hospice. There’s a lot of information to collect, including details about belief systems, …
 
Older adults often turn to institutional settings like nursing homes when they need more help than they can get at home. However, since the 1970s, there has been a program that allows older adults to receive nursing home-level care outside of nursing homes. That model of care is known as the Program of All-inclusive Care for the Elderly, or PACE. O…
 
Begin with the end in mind. Hans and Robby go over the difficult, but necessary topic of life insurance for retirees. Don’t forget to get your copy of “The Complete Cardinal Guide to Planning for and Living in Retirement” on Amazon or on CardinalGuide.com for free! You can contact Hans and Cardinal by emailing hans@cardinalguide.com or calling 919-…
 
Chaplains, or spiritual counselors, are one of the core members of a hospice interdisciplinary team. What's their role in the care of seriously ill patients and their families? In this series, we'll talk about how a spiritual counselor comes alongside patients and caregivers to provide supportive spiritual care. Due to outdated beliefs and myths, m…
 
We have made remarkable progress in reducing the use of feeding tubes for patients with advanced dementia. This has been due to the leadership of people like Susan Mitchell and Joan Teno, among others. One might hope that this reduction in use of feeding tubes has been in part due to advance care planning discussions that helped align care and trea…
 
Author Larry Indiviglia shares the incredible story of "126 Days 11 Minutes: Our Love Story" in his interview with The Heart of Hospice. Revealing his heart and vulnerability, Larry tells the story of his brief but deep connection to his partner Gayle as she deals with stage IV breast cancer. Gayle's passion for life and the Argentine tango along w…
 
It can be a challenge to care for someone you love at home during a serious illness. We’ve got some tips to help you to do it successfully. There are a lot of things to consider - finances, wellness of the caregiver, acuity of the patient, and safety of the home are just some of the items that need to be discussed before someone takes on the caregi…
 
While palliative care most traditionally grew up with a strong association with cancer care and end-of-life care, more and more evidence is coming out about how to integrate palliative care into a variety of serious illnesses from heart failure to chronic lung conditions. Another emerging field is the integration of neurology and palliative care, s…
 
027 - Don't Miss this Diagnosis #2 Dr Baumrucker discusses Hypertrophic Pulmonary Osteopathy a rare but important syndrome palliative medicine caregivers are likely to encounter in their careers, References: Pourmorteza M, Baumrucker SJ, Al-Sheyyab A, Da Silva MA. Hypertrophic Pulmonary Osteoarthropathy: A Rare But Treatable Condition in Palliative…
 
Most medical mistakes happen during care transitions. Helen and Jerry have some tips on improving those crucial moves between care providers and settings. Care transitions are changes in a patient’s care setting or care provider. Patients may move from living at home to residing in a facility, or make a transition from home health to hospice care. …
 
What if there was a tool that could break down a neighborhood’s socioeconomic measures, like income, education, employment and housing quality, to give us a sense of how those factors influence overall health, and maybe even inform where to target health resources and social interventions. On today’s podcast we talk with Dr. Amy Kind from the Unive…
 
A home funeral can be a rich and meaningful experience. The National Home Funeral Alliance offers guidance to help make it happen. Our special guest today is Dani Lavoire, former president of the National Home Funeral Alliance. Dani is a birth midwife who made a connection between the experiences of birth and death. The team at the National Home Fu…
 
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