The Palliative Care Friday Chalk Talks are a weekly, 20-30 minute, short-and-sweet, live audience, presentation and discussion, for the entire multidisciplinary Palliative Care team. A grassroots project involving Palliative Care programs globally; providing the opportunity to share knowledge, experiences, and lessons learned with other PC specialists. Presentations are focused on narrow topics meant to spark further interest and provide listeners with pearls of wisdom to impact their practice. We put an emphasis on the entire multidisciplinary team by having a diverse range of guest speakers (social workers, chaplains, nurses, physicians, pharmacists, fellows, ethicists, therapists, & more).
Created by Martin Bazelak & Rose Champagne in collaboration with our wonderful PC team in Milwaukee; and many PC colleagues and mentors throughout the US.
Co-hosts: Kristen Mathson-Holtz, Lee Ann Lau, Maureen Blaha, Rachel Gage, Patrice Fedel, Jesslyn McMahon, Caitlin Berry, & Eve Conversa.
Looking for more? This short is an excerpt from a much larger conversation about “healing” by Rabbi Yonason and Social Worker Jen. Enjoy! Link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-0Mfh1wfpqiE.htmlsi=v5g4uqJbXoAVJuqN
PubMed Links to Laura's 2 fabulous articles: Driggers KE, Keenan LM, Alcover KC, Atkin M, Irby K, Kovacs M, McLawhorn MM, Mir-Kasimov M, Sabbahi WZ, Sellman J, Johnson LS. Unintended Consequences of Code Status in the Intensive Care Unit: What Happens After a Do-Not-Resuscitate Order Is Placed? A Retrospective Cohort Study. J Palliat Med. 2024 Apr;27(4):508-514. pubmed.ncbi.nlm.nih.gov/38574337/ Driggers KE, Dishman SE, Chung KK, Olsen CH, Ryan AB, McLawhorn MM, Johnson LS. Perceptions of care following initiation of do-not-resuscitate orders. J Crit Care. 2022 Jun;69: pubmed.ncbi.nlm.nih.gov/35278875/
A discussion about the dilemma of psychedelic training: urldefense.com/v3/__www.ecstaticintegration.org/p/ethical-dilemmas-facing-psychedelic?;!!PrVBqlTvcBbYrqSF!BEBgh9__ky9BIWfo-OEINN_Byunitd-BZr3k4_COrCmQc4GO95UCtFkYUuxsa-0l4ktInbMMe5Qwce7h59y3$
Looking for more? This is an excerpt from a larger discussion on Kidney Palliative Care and dialysis access considerations. follow the link to the full interview: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-5la9pxAvjFo.htmlsi=SIHzfzrQlwSrYDyV
Looking for more? This is an excerpt from a larger discussion on Kidney Palliative Care and dialysis access considerations. follow the link to the full interview: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-5la9pxAvjFo.htmlsi=SIHzfzrQlwSrYDyV
Sam and Dirk. What an absolute pleasure. Thank you both for sharing your perspectives on KidneyPal and in particular on dialysis access considerations. We are all the better for having you joins us today!
Amy. We are so impressed by the wealth of your knowledge and experience on this topic. Thank you for a wonderful presentation and answering our questions. Admittedly, before your paper I understood very little about this topic, and your time with us has meant a lot. We wish you all the best on your third upcoming publication and your ongoing work. Cheers!
Michelle and David. Thank you for this enlightening conversation about the limited evidence we are working with when it comes to Octreotide and other Palliative Management of malignant bowel obstructions. We appreciate your time, your papers from 2015 and 2024, and your expertise.
Great question: “how can a nurse apply total pain theory of Sicily Saunders?” Nurses are present on the front lines and spend more time with their patients than anyone else in the hospital. They are perfectly poised to bring a therapeutic presence and a ‘sounding board’ and recognize in their patient that there may be more than just physical pain contributing to their suffering. And then they can advocate for getting the right folks involved to try to help address all those other aspects of pain. Thanks for the question.
Andy. What a pleasure to have you back and to hear your insights on this large and complex topic. And a big thank you to CAPC (Center to Advance Palliative Care) for collaborating with us on this episode.
I appreciate your perspective here. Long time peds palliative care SW here, (and shout out to Kenyon! Class of 80... your liberal arts education is showing to good effect). And this topic just came up in a recent training our EPEC-Peds group was conducting, and the question of moral conflict when admin prohibits disclosure, and ethical imperative to tell the truth or acknowledge error experienced by the clinician. Moral injury can result. Consequences of barriers to this seeking of, or offering of forgiveness perhaps?
Aldis. Thank you for your time and your depth of knowledge on this complex subject of forgiveness. We are grateful to have run into you. Good luck next year in your internship!
Im on methadone ive gotten myself down to 40 mg from 100mg in a month and now im trying to figure out how to safely switch to Suboxone. Unfortunately i live in DE and many clinics and physicians wont even take me until im on 30-40 mg and i have to be off for over 72 hours and unfortunately i have sooo many responsibilities along with a busy career i cant just withdraw for days ugh 😢
Cal. What a pleasure! Thank you for helping us appreciate the state of the literature and reinforcing how massage therapy can provide an level of expertise with a profound impact on therapeutic presence.
Michelle and Kristen. Thank you for your time and your expertise today to help us better understand how everyone's communication can impact these delicate times.
Dr Sarah Hull… thank you so very much for sharing your perceptive on the ethics of LVAD (and other life sustaining medical interventions) deactivation. We really valued your time and expertise today.
Janice. Thank you so very much for your time with us today. This was eye opening. The take-aways are that: Occupational therapists support participation in occupation (meaningful activity) across the lifespan. Many assume participation only equates to performance and dismiss occupational therapy for people who are dying and do not have rehab potential. But OT works across a range, from remediating lost function to accepting loss and modifying/adapting a person's occupations, to make the most of where the person is, support their engagement in living, and help them cultivate meaning and connection. OT and PC have so many opportunities to collaborate together.
Every medicine has its own unique risk and benefit profile. Each requires careful consideration. Methadone may not be for everyone, but there are absolutely patients out there for whom this is the difference to having their pain controlled and getting their life back. Every case is different.
Great question! Thanks for asking. The answer is that it depends. There are patients for whom methadone would be preferable to morphine and vice versa. Let me give you a real world example… Our bodies remove (metabolize) morphine primarily by our kidneys. So, for a patient who is on dialysis or has very bad renal function, Morphine would be contraindicated because their body wouldn’t be able to remove it so it would accumulate and be very toxic/harmful. Other opioids, like Methadone or fentanyl, that are not impacted by your kidney function might be a better choice. Every situation is case by case, and a complicated consideration of your body, its organ function, and other prescription (or non-prescription) medication’s that might interact. Opioid selection is a very complicated puzzle indeed.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-FBBoHYkT3hI.html
I trained with a physician, who made it a point to visit many of the surrounding rural communities so that when he would ask his patients where they were from, he would have a story unique to each of those communities that he could share that would help him earn a connection right from the start of the encounter. Self-disclosure in action.
Katherine. It is always a pleasure having you with us! Thank you so very much for your wonderful paper, your time, and sharing your experiences. We are all the better for it.
Looking for more? This short is an excerpt from a larger conversation about the role of Palliative Medicine in the family conference. Check out the link to the full conversation for more communication tips.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-FBBoHYkT3hI.html
A question from an outstanding hospital chaplain colleague: “…Is medicine a series of mechanical actions that the practitioner performs on the patient, or is medicine a mutual path of healing where both the practitioner and the patient have to invest themselves?…”. How can we not be human and cross some boundaries in medicine, so long as we are thoughtful and intentional in that process.
Joelle and Holland. What a pleasure! Thank you for talking about such an important topic and so that we can name it out loud and recognize our own biases in these situations.
Looking for more? This short is an excerpt from a larger conversation about the role of Palliative Medicine in the family conference. Check out the link to the full conversation for more communication tips.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-FBBoHYkT3hI.html
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-FBBoHYkT3hI.html
Additional food for thought: “… we are not advocating for self-disclosure to become a routine part of the communication toolbox. Rather, we see self-disclosures as inevitable. Some individuals are inclined to make more elective disclosures than others, and of course, patients/families often ask us for personal information (and if we summarily shut these bids for connection down, the therapeutic relationship may end before it begins). So rather than setting an unrealistic goal of never self-disclosing, to us it is more realistic to provide clinicians with a way to think about self-disclosures in order to minimize harm (which may include deciding not to self-disclose) and, when possible, actually promote treatment goals…”
Indrany and Josh... what an absolute pleasure. Thank you for the thought-provoking discussion, questions, and paper. We are all the better for having you with us today!!
Looking for more? This short is an excerpt from a larger conversation about the role of Palliative Medicine in the family conference. Check out the link to the full conversation for more communication tips.
Looking for more information on understanding and supporting grief in children and adults with developmental disability? This video is an excerpt from a larger conversation. Follow the link: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-FBBoHYkT3hI.html
Thank you for watching the video. The Palliative Care Friday Chalk Talks are lectures with a live medical audience, created by Palliative Care specialists for other Palliative Care specialists where we can learn from each other and share ideas. We record them, and post them, for our colleagues that are unable to attend live. We don't want to go down that "rabbit hole" where the comment section transforms into a place where we field medical questions, or give advice, or make diagnoses, etc. Good luck to you on your pursuit of knowledge.
Katie and Janet. Thank you so very much for your time with us today and sharing your wealth of experience on this important tool in our Palliative Care toolbox.
Looking for more information? This 'short' is an excerpt from a much larger discussion on Global Palliative Care and the disparities in that type of healthcare world-wide. Follow this link to the full conversation: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-dOglQcFnyIQ.html
Arlen, what an absolutely wonderful and enlightening presentation. We appreciate your time and look forward to the future research you are going to add to the topic. Thank you!
Thank you for the question. The Palliative Care Friday Chalk Talks are lectures with a live medical audience, created by Palliative Care specialists for other Palliative Care specialists where we can learn from each other and share ideas. This is not intended to be a place where we give medical information to the public (though we understand that the public may watch our videos). I would recommend you reach out to your father’s medical team. Good luck.
Looking for more information? This short is an excerpt from a much larger discussion on the previous 30-year history of Advanced Care Planning. You can watch it here: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-9VtPm-9qB94.html
