Dr. G at the Heart of Healthcare

Show notes- 🇺🇸Happy National Nurses Week! https://www.nursingworld.org/ana-enterprise/nurses-week/ National May 6 - May 12 Theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest Kacie Gikonyo, RN -Wife and Mother of 3 -Graduated Kent State -Started nursing career in Philly, -Background as Director of Education and infection control disease preventionist during the COVID-19 global pandemic -INELDA certified doula https://inelda.org/learn/end-of-life-doula-training/ -Founded Death Doula School in 2024 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare 1. Story (theme) Working the front lines of COVID damaged us all, that started Nurse Kacie on a journey of transforming her nursing career to becoming the founder of a Death Doula school. 2. Educate -Teaching point Death Doula Kacie’s School has a “whole & complete” curriculum to create SUCCESSFUL end-of-life doulas! -How to open a business, marketing -What is Hospice? -How to collaborate with hospice agencies, educating families -Medical Aid In Dying MAiD, -Working with children, pets -Psychedelics -Self-care of the Death Doula -Final arrangement options (funeral, cremation, composting, etc) -Advance Care Planning 3. Empower -A valuable resource: Death Doula Kacie is helping people die better by changing the narrative around dying through her Death Doula School https://deathdoulakacie.com/ Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/ZUgFblhin_Y?si=wZtjXg6dYZ_WnclA #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice  #Nursesweek #NursesWeek2024 #NursesMakeTheDifference #NursesLightUpTheSky #NewSchool #Curriculum #DeathDoula

**In this podcast Dr. G summarizes her personal experience from the 2024 American College of Physicians ACP annual Internal Medicine meeting held April 18th-20th in Boston, Massachusetts ** Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare #IM2024 on X https://x.com/drmamakai/status/1781089516792504703?s=46&t=3gA5xIkblMI3-C6jInh53w Internal Medicine -The cornerstone of healthcare -Foundation of Adult Clinical Care Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Beautiful Boston! Hit the ground running after a Red Eye🛫😵‍💫 no time to explore. Recall Boston based movie settings: Equalizer with Denzel Washington; The Town by Ben Affleck; Historic Boston Marathon 2. Educate -Teaching points Thursday 18th Hit ground running❗️ - ACP logo photo - Badge ✔️ - Opening Ceremony Dr. Eric Topol out of San Diego, founded med school at Cleveland Clinic. AI CHANGE medicine - Early Career Physicians Networking Luncheon Friday 19th - Cardiology Update 🫀 Dr. Clyde Yancy NW Med🤯 Check out Summary new syndrome, CKM, PREVENT Equation https://professional.heart.org/en/guidelines-and-statements/prevent-calculator; Life’s Essential 8 https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 - Breaking New Plenary: Annals of IM Authors Time-restricted eating doesn’t matter - Lunch NY ACP #MedTwitter #SoMe friends “Bouncers” at Women Physicians - Narrative Medicine (Humanities, wellness) “Stories that Heal and Reveal: A Radical Listening and Reflective Writing Workshop” Rumi poem THE GUEST HOUSE - ACP California Reception: SoCal Regions 2&3 (Hawaii, Arizona, Nevada) - LA Girls unite! Saturday - Saved Best for Last: “Palliative Care for Hospitalized Patients” Dr. Janet Abramh https://www.vitaltalk.org - O’Connors Clam “Chada” & a Lobster Roll 🦞 3. Empower -A valuable a resource https://www.acponline.org/about-acp DEI shift ACP SoCal Region 3 https://www.thedeishift.com Treat of music 🎶composer Chris Dingman vibraphonist https://www.instagram.com/dingmanvibes?igsh=MzRlODBiNWFlZA== Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/ntrevfjLuSY?si=s5KmFRRHjlekCYXT #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #IMproud #IM2024 #Boston #MedTwitter #SoMe

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Tracy Nordbak retired in 2022 from California Hospital in Los Angeles, California. Managed volunteers as Director of Volunteer Services. Happy NATIONAL VOLUNTEER WEEK - April 21-27, 2024 - National Today! https://nationaltoday.com/national-volunteer-week/ 🇺🇸White House Proclamation https://www.whitehouse.gov/briefing-room/presidential-actions/2024/04/19/a-proclamation-on-national-volunteer-week-2024/ The theme for the April 21-27, 2024 National Volunteer Week is Celebrate Service – an opportunity to shine a light on the people and causes that inspire us to serve. Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G volunteered heavily before going to medical school Downey Regional Medical Center Emergency Department ER; Children’s school, PTA, Sports (ballet, soccer, football), Church, currently on nonprofit boards. 2. Educate -Teaching points -Volunteering is about caring for another human being with your presence. It’s a priceless gift of your time. -Volunteers are valuable in healthcare: HOSPITALS (NODA program https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9924648/ ) and HOSPICE agencies (see Code of Federal Regulations https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418/subpart-C/subject-group-ECFR74797288a614803/section-418.78) -Volunteers make a difference, meet needs of families. 3. Empower -A valuable a resource Become a Volunteer Hospice Foundation of America HFA https://hospicefoundation.org/Volunteer Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/HpGoYPyl6l8?si=eEkVo2ZqU4XCOVYG #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #NationalVolunteerWeek #NVW #HospitalVolunteer #HospiceVolunteer #PTA #Soccer #Football #EOLDoula

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Ashley Johnson - President of National End of Life Doula Alliance (NEDA) - Founder of Loyal Hands https://loyal-hands.com - TedX Speaker https://youtu.be/2gj9gGJiD4c?si=gNh0BTn2W6y-Vjq2 utm_campaign=tedspread&utm_medium=referral&utm_source=tedcomshare Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. - 1. Story (theme) EOLD/Death Doula World Training Day! They provide comprehensive care as a part of the care team of a terminally ill patient. Death Doula and End-of-Life Doula EOLD are interchangeable self-identifiers. Ashley started by reading obituaries as a child then grew up and helped her 27year old friend navigate an end-of-life journey caused by colon cancer. 2. Educate -Teaching points - EOLDs provide comfort, guidance, and advocacy for dying. -Steps in training, variability, diversity - Collaborate with Hospice agencies and Funeral Homes - International End-of-Life Doula Association (INELDA) https://inelda.org is a member of NEDA 3. Empower -A valuable a resource NEDA established ethical & practical guidelines for end-of-life doulas EOLDs and has 70 training organizations as members https://www.nedalliance.org Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #DeathDoula #EOLDoula

Show notes- This was a LIVESTREAM event on social media INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Happy National Healthcare Decisions Day 2024! https://theconversationproject.org/nhdd/ GUEST Interdisciplinary panel ready to discuss the nitty gritty specificity of advance care planning: Founder of NHDD Nathan Kottkamp, MA, JD https://www.williamsmullen.com/people/nathan-a-kottkamp#bio Helen Bauer, BSN, RN, CHPN The Heart of Hospice Podcast Host https://thewholecarenetwork.com/heart-of-hospice/ Jerry Fenter, Chaplain Harbor Healthcare System https://www.linkedin.com/in/jerrydfenter?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app Sharon Harris, LVN, CHPLN, EOLD Serenity End of Life Doula https://www.serenityendoflifedoula.com Lisa Pahl, LCSW The Death Deck co-creator https://thedeathdeck.com Kate (O'Rourke) DeBartolo The Conversation Project https://theconversationproject.org Christina Marquez POLST certified specialist Shores Hospice https://shoreshospice.com Kristine Swisher, MBA, CLTC Medicare and Long-Term Care Insurance Specialist Giving Tree Insurance https://givingtreeinsurance.com Podcast Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Dr. G watched a RomCom 2021 film “Queen Bees” on Netflix that has important themes for NHDD 2024 (widowhood, autonomy, senior living community, family dynamics, in absence of advance care planning) https://www.google.com/gasearch?q=queen%20bees&tbm=&source=sh/x/gs/m2/5#fpstate=vclbx 2. Educate-Teaching points History & Future of NHDD 2008 What’s important for individuals to know about NHDD?  “Conversations are about how you want to live your life until the end” Kate Advance Directive Importance https://www.capphysicians.com/articles/importance-advance-directive-cannot-be-overlooked Decision Making Capacity https://www.mypcnow.org/fast-fact/decision-making-capacity/ Surrogate stress https://pubmed.ncbi.nlm.nih.gov/37704184/ After Death Guide https://www.sevenponds.com/after_death_planning_guide/s/Overview/1 Faith Resources https://theconversationproject.org/faith 3. Empower -Valuable resources to help create an ADVANCE DIRECTIVE on your own terms, when you are NOT in a health crisis. NHPCO Caring Info Advance Directive in your state:  https://www.caringinfo.org/planning/advance-directives/ Death Deck The EOL Deck  https://thedeathdeck.com/pages/eol-deck The Conversation Project  https://theconversationproject.org/nhdd/  “What Matters to Me” A Workbook for People with Serious Illness Website https://mourningdovemedical.com VIDEO podcast 🔗 https://youtu.be/Bp0h1sDqPYs?si=9BLVQkeYYC6eX4D4 #hapc #PeaceOfMind #EducateAndEmpower #TheRealDealAboutHospice #NHDD2024 #NHDD

Dr. G will kick off season 2 on National Healthcare Decisions Day #NHDD2024 with a LIVESTREAM event you don’t want to miss! The Founder of NHDD, Nathan Kottkamp will be present, along with the folks from The Heart of Hospice podcast, The Death Deck, Harbor Healthcare System, The Conversation Project, Serenity End of Life Doula, Shores Hospice, and Giving Tree Insurance will discuss the importance of Advance Care Planning ACP and selecting the right surrogate decision maker. Throughout the season we will have leaders from all over healthcare to educate & empower! 💜 Visit YouTube to SUBSCRIBE https://youtube.com/@MourningDoveMed?si=CnVjMjpQfqgrZS5I. Bullhorn https://www.bullhorn.fm/dr-g-at-the-heart-of-healt FOLLOW on your favorite podcast app: APPLE PODCASTS https://podcasts.apple.com/us/podcast/dr-g-at-the-heart-of-healthcare/id1680843209 SPOTIFY https://podcasters.spotify.com AMAZON MUSIC https://music.amazon.com/podcasts/a0dee0a9-a588-4623-b500-a23340070fb4/dr-g-at-the-heart-of-healthcare?ref=dm_sh_cc6IJpWvo8UeM2MADS8ixSZ1n iHeartRadio https://www.iheart.com/podcast/269-dr-g-at-the-heart-of-healt-112277822?cmp=ios_share&sc=ios_social_share&pr=false&autoplay=true ENJOY daily engagement on Mourning Dove Medical social media platforms. TikTok X Threads Facebook LinkedIn Instagram Peace💜 Website info https://mourningdovemedical.com #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare HAPPY 1 Year Anniversary 🎉 #hapc24 was 03/20/2024-03/23/2024 and is The Annual Assembly of Hospice & Palliative Care with two professional organizations: AAHPM & HPNA https://aahpm.org/assembly/assembly Guest Erin Collins, MNE, RN, CHPN - Founder of nonprofit The Peaceful Presence Project (15 EOLDs, EOL plan, “endnotes” is a guidebook that helps create an end-of-life plan ) - Nurse for 17 years, started in oncology then EOL - Yogi since 1995 - Recents birthday 02/13 bday Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Annual Assembly at convention center in Phoenix, Arizona  2. Educate -Teaching points from our daily takeaways: - Wednesday was the Opening Reception, dinner with our people/tribe - Thursday: Presidential Citation Award to HMDCB https://hmdcb.org Opening Keynote “Compassionate Storytelling” Rakia Reynolds https://skaibluemedia.com/ Interprofessional Spiritual Care Education - Friday: Transdisciplinary Teamwork by Mary Lynn McPherson Pharm.D., PhD, BCPS, on receiving the 2024 HPNA Champion Award ; Decision-Making affected by different spiritual beliefs within families; EOL education needed in nursing education End-of-Life Nursing Education Consortium (ELNEC) https://www.aacnnursing.org/elnec - Saturday Congrats to newly minted fellows 🎉; Weight of Surrogate Decision Making; Palliative Care in Sickle Cell Disease to alleviate suffering 3. Empower -A valuable a resource https://thepeacefulpresenceproject.org We provide non-medical, thoughtful support to individuals and families facing serious and terminal illness. Guidebook End Notes (evidence based); EOLD serve families at other end of lifecycle ; best advice to non-medical EOLD/Death Doulas  Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/dyhDV1NE98o?si=EsWA0-muri3IjYaS #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #hapc24

Happy National Doctors Day! 🪽🩺 This year’s theme, “Wings & Stethoscopes: Healers of Hope,” reflects the idea that doctors selflessly and tirelessly work to lift up America’s families through two powerful symbols. https://nationaldoctorsday.org/celebrate/ INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest: Matthew Tyler, MD, FAAHPM -Born and raised in St. Louis, Missouri -Medical degree from the University of Cincinnati College of Medicine -Board Certified in Internal Medicine and Hospice & Palliative Medicine Northwestern Memorial Hospital in Chicago -Gamer who loves Nintendo Switch -Instagram https://www.instagram.com/howtotrainyourdoctor?igsh=MzRlODBiNWFlZA== Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G recently rewatched “Breaking Bad” https://m.imdb.com/title/tt0903747/ where the doctor character (with the mustard on his white coat) diagnoses the main character with inoperable lung cancer. The news is shocking, to say the least. 2. Educate -Teaching point “So many patients/caregivers tell me they never know what to ask their doctors - I want to change that. My goal is to empower patients/caregivers with questions, communication tips, and medical insight to be savvier navigators of the healthcare system.” https://x.com/pallidad/status/1611019774871437320?s=46&t=3gA5xIkblMI3-C6jInh53w Navigating Treatment options requires: -Healthcare literacy -Emotional stability -Community of support 🚫Issue: Gatekeeping that misunderstands PALLIATIVE CARE is needed alongside treatment. (Consult early❗️) SPIKES: a framework for breaking bad news to patients with cancer https://pubmed.ncbi.nlm.nih.gov/20682509/ - Setting scene - Perception of understanding - Invitation to share news - Knowledge - Express empathy - Summary “Train” your doctor by defining what’s important to YOU. Define treatment success by using Dr. Tyler’s tips. Do not wait for the doctor to identify your GOALS of CARE (GOC) and quality of life when dealing with an incurable illnesses. 3. Empower -A valuable a resource https://howtotrainyourdoctor.com/ Website info https://mourningdovemedical.com Video podcast 🔗 https://youtu.be/pDgWOcHMpXA?si=rLZFPfvn9uGmDmFT #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #DoctorsDay #Wings #Stethoscopes #HealersOfHope

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  March is Women’s History Month! Theme: “Women Who Advocate for Equity, Diversity and Inclusion” https://www.whitehouse.gov/briefing-room/presidential-actions/2024/02/29/a-proclamation-on-womens-history-month-2024/ Guest: Dr. Eva Beaulieu -Hospitalist in Atlanta Georgia -Ross University School of Medicine -Internal Medicine Residency at Medical Center of Central Georgia -2x Author (Amazon links below) -Wife of physician and Mom of 3 -World traveler -Haitian descent Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) PTO video explained schedule 7on7off schedule of a hospitalist that allows Dr. Eva the freedom to plan travels with husband, family time, exercise, etc. https://www.instagram.com/reel/C4GUbjpgtjo/?igsh=MzRlODBiNWFlZA== Dr. Eva enjoys life by balancing work, fabulousness, and family. She is an uplifting inspiration to Women! 2. Educate -Teaching point-American College of Physicians: Hospital medicine is a type of practice within internal medicine in which the clinical focus is caring for hospitalized patients. Internal medicine physicians practicing hospital medicine are frequently called “hospitalists.” http://ow.ly/FL9z50I1pC5 3. Empower -A valuable resource https://drevabtoday.com/ Links to Dr. Eva’s two books “Paging Doctor You: A Step-by-Step Guide to Becoming a Doctor” https://a.co/d/j4coFe6 “Tell Me Where Does It Hurt” https://a.co/d/37DZsjE Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/mKg1ekUCsz4?si=8LCLUT0F064CakSs #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #NationalHospitalistDay #Hospitalists #HospitalMedicine #IMproud #InternalMedicine #WomensHistoryMonth #Wife #Mother

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guests: Co-author Sharon Harris, LVN, CHPLN, EOLD 💕 https://www.serenityendoflifedoula.com - Member of NHPCO End-of-Life Doula Council https://www.nhpco.org/about-nhpco/committees-and-councils/end-of-life-doula-council/end-of-life-doula-council-roster/ Cardiologist Colleen Fearon, MD 🫀 https://www.newmanrh.org/colleenfearon/ - Studied Biological Sciences at Georgia State University - Doctorate received from Morehouse School of Medicine an HBCU - Board Certified in Internal Medicine - Cardiovascular Disease Fellowship completed at Loma Linda University Medical Center https://llu.edu INTRO February is American Heart Month https://www.nhlbi.nih.gov/education/american-heart-month The campaign focuses on prevention of heart disease with #HealthyHabits (lowering cholesterol, controlling blood pressure, managing diabetes, increasing exercise, reducing stress, obesity, quit smoking, etc.), raising awareness about gender effects #GoRedForWomen #WearRedDay and Hands-Only CPR training #NationOfLifesavers HOWEVER there is no information about the END STAGE of Heart Disease (irreversible damage to the heart). 💜People also need education and empowerment about the trajectory of chronic heart disease, from diagnosis to the end-of-life (terminal illness). 1. Story (theme) Palliative care patient suffering from a Congestive Heart Failure (CHF) exacerbation did not want to be hospitalized again. She was at a decision making crossroads (hospital or home hospice). This person told Dr. G “I trust my cardiologist” and wanted to get advice from the specialist. IMPORTANT to Get palliative Care for additional support with this serious illness and Advance Care Planning https://x.com/getpalliative/status/1759669479926051136?s=46&t=3gA5xIkblMI3-C6jInh53w 2. Educate-Teaching points Stages of Heart Failure https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/classes-of-heart-failure - End stages: Stage D Advance Heart Disease, NYHA Class 3 & 4 (symptoms: leg swelling, shortness of breath, chest pain, etc.) The short story of “Mr. Paul” ~ approx 70-80 years old - Married 50 years - on routine home hospice care for only 4 weeks - suffered 5 hospitalizations last 9 months of life for CHF exacerbations - He did not know about hospice care (challenge) 2024_US_Prevalence_CoronaryHeartDisease.jpg 3,333×3,333 pixels 3. Empower -A Valuable resource written by Dr. G and Nurse Sharon to help people recognize when it’s time for hospice care to improve the quality of life for terminally people: The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families by Kaishauna Guidry, MD, HMDC and Sharon Harris, LVN, CHPLN, EOLD https://a.co/d/aIm9QtL * Identity of patients and details surrounding care is fictionalized to conceal protected health information. Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/bY0QAGa1jHs?si=VZGCrddXHX_0f3Bt #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #HeartMonth #OurHearts #BlackHistoryMonth #BHM2024 #February #CardioTwitter #AdvanceCarePlanning #WearRedDay #NationOfLifesavers #HealthyHabits

Show notes- Happy February and Black History Month!💜🇺🇸 Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guests: David Turner, CEO of Heart’n Soul Hospice (Inaugural location opened in Nashville, Tennessee 2021) Nathan Yemane, MSW, LICSW Founder & Executive Director of Heart’n Soul Hospice in King County, Washington Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) February is Black History Month in the United States of America. HOSPICE IS UNDERUSED IN THE US? “only 27% of Americans knew what hospice care was and what it entailed.” https://www.partnerplusmedia.com/latest-news/why-is-hospice-underused-in-the-us History is being made TODAY by the founders of Heart’n Soul Hospice. Dave’ s quote from an NHPCO 2023 feature mentioned increasing access and utilization of hospice in the Black Community https://www.linkedin.com/posts/nhpco_todays-black-history-month-leadership-feature-activity-7034224431094747136-1V8r?utm_source=share&utm_medium=member_ios    2. Educate-Teaching points (Familiarity is Education) Heart’n Soul Hospice fulfills its mission to improve access to all by “in-reaching” the underserved community of Certificate of Need (fewer options, limited access) states. Helps ensure ALL folks, regardless of socioeconomic status and racial background, have full access to information about quality end-of-life care. Heart’n Soul Hospice has a special focus on the underserved and underrepresented African-American community. SevenPonds article: Dr. G discussed Bridging Gaps in end-of-life care with education, after adequately appreciating diversity within the Black Community of the United States of America https://blog.sevenponds.com/professional-advice/racial-disparities-in-end-of-life-care-bridging-the-gap-through-education 3. Empower -A valuable a resource Heart’n Soul Hospice currently serving in Nashville, Tennessee and Seattle, Washington https://www.heartnsoulhospice.com/  Website info https://mourningdovemedical.com Video podcast https://youtu.be/3pKe1fK07Ac?si=CRr5VsjxhZ0Z9DTW #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #DetroitLions #SuperBowl #BlackHistoryMonth #BHM2024 #February #Aquarius

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest: Donald Moore, MD Founder and Medical Director of EUMORIA Health - MAiD specialist  - Board certified in Family Medicine - Hospice & Palliative Medicine Fellowship trained - Classically trained upright bass player - Educated in Neuroscience, Music Performance and Philosophy - EMT in New York before moving to San Francisco to participate in AmeriCorps Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) A person on hospice care was suffering from uncontrolled symptoms over a holiday weekend, sought MAiD resources from Dr. G. Goals of Care (GOC) conversation issue (hospice plan of care), communication failure on the part of the hospice agency because their patient did not know about 24/7 availability. Ep 36 https://youtu.be/k7xIezN47sM?si=wGEqmLTzEwDlCBYh discussed Medicare Hospice Care Compare Family caregiver survey rating questions: GETTING TIMELY HELP and HELP FOR PAIN AND SYMPTOMS 2. Educate-Teaching point Dr. Moore educates local hospice agencies about MAiD, called EOLOA in California SB 380 https://www.cdph.ca.gov/Programs/CHSI/Pages/End-of-Life-Option-Act-.aspx?TSPD_101_R0=087ed344cfab200091f98ac317c6402d168edea39115a58fe438c14251ec2d4bc72f0269396480150808d36e1c143000e87d39b3b207ad9990b00cdd8687b1947c9a32c1e53fee28dedbce1c9f00693c8c51538ae67a34cfd4e77073b0a3f484 MAiD has specific criteria (not legal in all USA) - NOT for everyone, not required to ingest if obtained. - Available in 10 states and D.C. - State residency requirement except Vermont & Oregon - A terminally ill adult with 6 month prognosis AND Decision making capacity to exercise autonomy - Able to self-ingest medication, NOT euthanasia like animals - Experiencing immeasurable suffering - Not depressed or suicidal Consider limitations and interventions that could improve terminally ill patient’s quality of life. - Cognitive impairment precludes i.e. dementia - Neuro degenerative disease (i.e. ALS) - Family support If not eligible for MAiD, may be able to participate in VSED-Voluntarily Stopping Eating and Drinking https://www.compassionandchoices.org/our-issues/vsed MAiD Steps (California) - Written Request - 2 visits from attending physician, 2 days apart - 1 visit from consulting physician - Obtain medications (minimum 4 days) - Self-Ingest 1 minute - Death approx 5-10 hours Medical Aid in Dying: A guide for patients and their supporters. – American Clinicians Academy on Medical Aid in Dying https://www.acamaid.org/patientbooklet/ Compassion & Choices Our Issues Medical Aid in Dying https://www.compassionandchoices.org/our-issues/medical-aid-in-dying Death With Dignity | End-Of-Life Advocacy and Policy Reform https://deathwithdignity.org NHPCO https://www.nhpco.org/accordions/submission-outline-3-copy-3-copy-copy-2-2-copy-copy/#header-1592533384935 MAiD Bereavement resources https://www.nhpco.org/wp-content/uploads/MAID-Bereavement-resources.pdf 3. Empower -A valuable a resource for people facing the end-of-life is Dr. Donnie Moore, MD, MAiD specialist committed to providing compassionate care with a dedication to the well-being of his patients and their families https://eumoriahealth.com Website info https://mourningdovemedical.com Video podcast https://youtu.be/jR-8sERzAh8?si=s7pxHOQBC2BEWqJY #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #MAiD #DeathWithDignity #Eumoria #EndWell #Ethics

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest -Retired Hospice Nurse Gerard Soucy -Previous guest of podcast Ep 19 discussed caregiving of wife who had Alzheimer’s disease. She was also a nurse educator https://youtu.be/s5Q-P9Vze5s?si=TxUj-Z3RckqrP5hj -Approaching Deathversary 01/14/2016 compounded with challenges many people have over the holidays. We discussed the impact of grief during Holiday Season bonus Ep 35. Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Person from a hospice Facebook group said “my team was awful” Advised to report issues on CHAPS Survey. Hopefully this episode is preventative. NYT Quote about importance of choosing a quality hospice agency https://archive.nytimes.com/newoldage.blogs.nytimes.com/2014/06/17/how-to-choose-a-hospice/#more-16969 🚩red flags AL/MC says “we use this hospice” this gives up your power as a consumer; chaos and lack of continuity of care, (follow gut felling) staff in distress during visit; visits delayed; not enough staff, case managers doing admissions, after hours coverage issues; changing ownership 2. Educate -Teaching point “5️⃣Five Simple Steps to Find and Choose the Best Hospice” (🤓Demo on YouTube https://youtu.be/K9XNnARH5-A?si=AiuDEWW8OExybxkm) -Step 1 💻 Use Hospice Care Compare Medicare website, enter zip code (create short list considering not for profit) -Step 2 ⭐️⭐️⭐️Pick minimum 3 Star ratings and evaluate other Characteristics (size, location of care, medical conditions, length of time in business) - Step 3 📲Check out hospice agency’s website (staff listed?) and other social media (Facebook, Instagram, YouTube, Twitter X), yelp, indeed - Step 4 ☎️Call hospice and/or set up visit to verify information gathered in the previous steps (Sign consents only if aligned with your goals and preferences) ask about staff availability, IDT members, RNCM case loads - Step 5 ✅📋Choose One, have a plan B (transfer) 3. Empower -Valuable resources: Medicare website Find Healthcare Providers: Compare Care Near You | Medicare https://www.medicare.gov/care-compare/?guidedSearch=Hospice&providerType=Hospice can print search results. Handout available for download on our website. 🆕 The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families https://www.amazon.com/Real-Deal-About-Hospice-Highlighting/dp/B0CMP3JSJW?nodl=1&dplnkId=bbcec693-6f5f-4f23-bfb8-3fe29a89ac57 Website info https://mourningdovemedical.com Video podcast https://youtu.be/k7xIezN47sM?si=oV-8tne0t0qKVo9w #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guests- Lauren Templeton, DO, HMDC, FAAHPM Karla Thornton, Caregiver influencer https://www.instagram.com/damnu_dementia?igshid=OGQ5ZDc2ODk2ZA== Holiday Movie Picks- Dr. Templeton: Fried Green Tomatoes https://m.imdb.com/title/tt0101921/ Dr. G: Best Man Holiday https://m.imdb.com/title/tt2083355/ Healthcare Holidays in December 12/01 World AIDS Day Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme-Regret) PRIME Original movie “Maxine’s Baby” a documentary about entertainment mogul Tyler Perry who shared one regret from being with his mother’s bedside while she was dying “Okay baby, okay” https://www.imdb.com/title/tt28796100/ 2. Educate -Teaching points Nurse Barbara Karnes, author of “Gone from my sight”, (Episode 30 guest) provides guidance while waiting at bedside of a dying person “What are some things we can do in the days to hours before our special person dies?” https://www.linkedin.com/posts/barbarakarnesrn_hospice-endoflife-endoflifecare-activity-7139711467850788865-RTxs?utm_source=share&utm_medium=member_ios Karla Thornton-BE MINDFUL, Caregivers want a normal day and to survive the holiday season 12/06/2023 Instagram page “Damn U Dementia” which documents life taking care of mother with Alzheimer’s disease https://www.instagram.com/reel/C0g8RCxujPy/?igshid=MzRlODBiNWFlZA== Purchase T-Shirt 🔗 https://www.instagram.com/p/C1DeVegAjKH/?igsh=MzRlODBiNWFlZA== Song “If We Make It Through December” by Holly Cole https://open.spotify.com/track/2hZ9HmWOmA20tDlHC2vrMz?si=7YFsMy_xRtCPzj03dIOqkw Do NOT do this to caregivers!!! Avoid little comments that add layers of difficultly: https://www.instagram.com/reel/C0rVI9HP-HP/?igshid=MzRlODBiNWFlZA== Consider Legacy projects during holidays… https://www.instagram.com/p/Cz5vw72s9cI/?igshid=MzRlODBiNWFlZA== This is your legacy life videos https://instagram.com/thisisyourlifelegacyvideos?igshid=MzMyNGUyNmU2YQ== Advance Care Planning tools: Talk about dying to avoid regrets “Inviting the Elephant in room” Death Deck’s EOL Deck can help the necessary conversations flow https://thedeathdeck.com/pages/eol-deck The Conversation Project https://theconversationproject.org/ Consider “estate planning of the heart” during the holidays. Take a pause to listen to parents share EOL wishes to gain insights to what people want from hard conversations (NHDD 2023 Episode 2) The Hospice Doctor’s Widow ”Griever's Guide to Major Days“ https://mailchi.mp/260e91dc9bf0/grievers-guide-to-major-days NHPCO #GriefDuringTheHolidays series on all social media platforms. A blog post Ten Years Later, Am I Still Grieving Appropriately? Elyssa Katz https://nhpco.blogspot.com/2023/12/ten-years-later-am-i-still-grieving.html?m=1 Help Texts “7 Things your grieving friend wants you to know during the holidays” #12DaysOfGriefmas series https://www.instagram.com/p/C0hIQD4MbM0/?igshid=MzRlODBiNWFlZA== 3. Empower- A valuable a resource NEW BOOK The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care for Patients and Families https://a.co/d/5yVZkcd January 2024 bonus episode educate & empower listeners about 5 steps to find and select the best hospice agency. Website info https://mourningdovemedical.com Video podcast https://youtu.be/LWBP2ijGXMw?si=u0lT8HFPKkKisPeh #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #GriefDuringTheHolidays #TheDeathDeck #AdvanceCarePlanning #Caregiving

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Guest: Jennifer A. O'Brien, MSOD - 35 years in healthcare - Author of award winning book “The Hospice Doctor’s Widow: A Journal” an art journal she kept as a form selfcare during her late husband's 22-month illness - Previous practice management consultant to physicians, served as CEO for two large medical practices, and held administrative positions in three academic medical centers - Authored 50+ articles in professional publications and peer reviewed journals Happy National Hospice and Palliative Care Month (HAPCM) Theme- Courageous Conversations: engaging in “meaningful dialogue on dying a good death” https://www.nhpco.org/nhpco-recognizes-national-hospice-and-palliative-care-month-2/ End Well 2023 “It’s About Time” Live Stream Replay 11/16/2023 https://youtu.be/MyzQyvWJGtc?si=cdsmEWOmqMgHU84K Imagine being in a room full of people who are sick and tired of the healthcare system not doing death well and they said I’m gonna do something about it and they did, they each did something HUGE. That’s what End Well was. Former first lady Rosalynn Carter, wife of the 39th president and advocate for mental health, has died. She was 96. abcn.ws/3MQg8CG National Family Caregiver’s Month #NFCMonth Theme: Caregivers Connect #CaregiversConnect Caregiver Action Network CAN https://www.caregiveraction.org/national-family-caregivers-month Administration for Community Living https://acl.gov/news-and-events/events-and-observances/national-family-caregivers-month-2023 November is National Alzheimer's Disease Awareness Month https://www.alz.org/events/nadam (See Episode 19 https://anchor.fm/kaishauna-guidry-md/episodes/EPISODE-19--Alzheimers-disease-A-Husband-Navigates-the-Caregiver-Lifestyle-as-a-Nurse-e27orfr) In this podcast episode we will learn: Courageous Conversations help people use their Precious Time to End Well💜 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Dr. G won Jen’s book at NHPCO ALC opening key note in Little Rock, Arkansas 10/01/2023 and was most struck by the job description (correlated with anxiety and fatigue of residency’s PGY-1 experience of in hospital on-call life) of family caregivers and their two identity transitions over 4.9 years (average): Life sustaining work to End-of-Life caregiver. Compassion & Empathy by healthcare professionals can save EOL care, perhaps motivate timely Courageous Conversations about dying a good death. Position Description of Family Caregiver: https://mailchi.mp/68c81a8b78db/family-caregiver-position 2. Educate -Teaching point Jen’s late husband would say “You are into PRECIOUS Time” which has a dual meaning for patients and family caregivers: “death is likely, if not imminent” AND “when you say what you need to say and don’t say the things you will later regret” “Precious Time Implementation Guide” is an excellent resource for healthcare professionals who want to be more effective in communicating the reality of the end-of-life situation to patients and their families. Get yours here: https://mailchi.mp/c24fe6fef197/precious-time-implementation-guide 3. Empower -A valuable a resource https://www.hospicedrswidow.com Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/1FUz9AVXFhw?si=LH6pisMlhBuTJ-Ky #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #PreciousTime #EndWell #HAPCM#CourageousConversations #NFCMonth #CaregiversConnect

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Dr. Renee Drolet, MD, MA - Founder of Drolet Psychiatry, holistic mental health services. A new outpatient private practice in the Bay Area specializing in psycho-oncology; concierge-level mental health care; medication management and psychotherapy. - Her mission is to expand access in California to patients Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Former Oncology nurse told Dr. G the work was depressing, and she “felt more like a nurse” once working with hospice. For the patient DISTRESS can occur anytime during a cancer journey: Pre-diagnosis (biopsy, imaging), Treatment (surgery, chemotherapy, radiation), Post-treatment, Remission (new identity), Survivorship (guilt), End-of-Life (existential) 2. Educate -(Teaching point) Dr. Drolet is a psychiATRIST not a psychOLOGIST. Her specialty is psycho-oncology which is collaborative with oncology and palliative care to provide mental healthcare for patients with cancer. Pre-diagnosis can cause initial trauma. Patients can suffer from ANTICIPATORY ANXIETY when a lump is found in the breast or after receiving abnormal mammogram results. The language physicians use can cause “Medical trauma” and PTSD. Battle language has an effect on the psyche of patients. EVERYONE does not respond to treatment or cancer is found at a late stage. When they get to Dr. G they’re often exhausted and frustrated with the healthcare system, many times express feeling abandoned by PCPs and oncologists. PSYCHOLOGY TODAY https://www.psychologytoday.com/us EOLA in California 🔗 https://www.cdph.ca.gov/Programs/CHSI/pages/end-of-life-option-act-.aspx 3. Empower -A valuable a resource: Dr. Drolet’s mission to expand access to psycho-oncology, “mental health care for patients from cancer diagnosis, through treatment, and into survivorship.” https://www.droletpsychiatry.com Website info https://mourningdovemedical.com Video podcast https://youtu.be/60K40OssObs?si=sV_U2wtL3EX1v0iI #hapc #EducateAndEmpower #PeaceOfMind #WomenInMedicine #October #BreastCancerAwareness #BreastCancerAwarenessMonth #PrivatePractice #Motherhood #Healing #Psychology #Psychiatry

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest Barbara Karnes, RN - RN established in 1962 - Started 1st hospice in Kansas City 1970s - American pioneer in hospice - Award winning End-of-Life educator - Author of the blue hospice book “Gone From My Sight” - Newly widowed after 62 years of marriage to Jack Karnes who died at home surrounded by family, dog and cat 09/18/2023 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G found her copy of the “Gone From My Sight” booklet inside of her “Being Mortal” book, but didn’t realize who wrote it until recently. On 08/18/2023 Barbara posted “The medical profession will not be able to cure or ‘fix’ everyone” Dr. G invited her to discuss this topic. Mr. Karnes died the week of originally planned discussion about the physician’s role in fixing our healthcare system, as it affects people during the end of life. 2. Educate -Teaching points for Physicians: Take care of the PERSON who has the disease; Touch personhood of the patient by not getting caught up with ‘medicalese’ make sure they understand what you are saying; connect to personhood, touch, eye contact; Documentation/the computer: get somebody else to do it! 😅 This is HEALING! 3. Empower -Valuable resources from Barbara Karnes, RN https://bkbooks.com/pages/end-of-life-booklets-for-hospices-the-blue-book-bk-books 8nnI Website info https://mourningdovemedical.com Video podcast https://youtu.be/MMb0iviNhlE?si=cMatkzngDUnSDH2l #hapc #EducateAndEmpower #PeaceOfMind #WHPCDay23 #Widowhood #PhysicianEnrichment #Touch #Personhood #Listen

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare💜 Happy World Hospice and Palliative Care Day!!! Guest- Sharon Harris, LVN, CHPLN, EOLD - President of California Association of LVNs - Certified in Hospice & Palliative Care - EOL Doula, NHPCO EOL Doula Council - Community Educator What is World Hospice and Palliative Care Day (WHPCDay23)? http://www.thewhpca.org/world-hospice-and-palliative-care-day/about Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1.Story (theme) 🎉 Celebrating#CompassionateCommunities Thank you to all of the season 1 guests https://www.linkedin.com/posts/mourning-dove-medical_whpcday-compassionatecommunities-educateandempower-activity-7117477379496710144-sU2V?utm_source=share &utm_medium=member_ios Dr. G and Nurse Sharon of Serenity EOL Doula services have come a long way since our first sideways IG LIVE on NHDD 04/16/2023 https://www.instagram.com/tv/CrHY1f4o8Zh/?igshid=MzRlODBiNWFlZA== We highlighted the valuable resources of The Conversation Project https://theconversationproject.org NOW we are taking education & empowerment to next level to provide peace of mind BEFORE you need hospice care. Today on #WHPCDay23 we teamed up to address a broader community who deserves quality end-of-life care. Bad news affecting people: - 76% of people who need HAPC are in developing countries - 57 million need palliative care at the end of life each year - 18 million die in unnecessary pain and distress each year 2. Educate -Teaching point In the United States of America we have the Medicare Hospice Benefit MHB “Why is hospice underused in the US?” https://www.partnerplusmedia.com/latest-news/why-is-hospice-underused-in-the-us In Episode 1️⃣ we discussed it: people are afraid of death and lack information about hospice https://anchor.fm/kaishauna-guidry-md/episodes/EPISODE-1--The-H-Word-Hospice--is-NOT-a-bad-H-word-e221ic2 Remember: Hospice is Healthcare at Home! The IDT supports patients and families through this sacred time in the circle of life🦁. Drumroll 🥁 3. Empower -Dr. G co-authored a surprise valuable a resource! The Real Deal About Hospice: Short Stories Highlighting the Advantages of Hospice Care. AVAILABLE for Pre-Order NOW! Walk through the stories of common diseases of organ systems at the end stage. After reading this book readers should know the advantages of hospoice care AND which diseases are most commonly covered by the MHB. Appreciate a high level summary of the disease state so you will understand WHEN it is time to seek hospice care. New Research Shows the Value of Hospice in Medicare, and for Patients and Families https://www.nhpco.org/hospiceworks/ “No other area of healthcare delivers such high value for patients and for Medicare.” The Real Deal About Hospice combats misconceptions, hospice is not a scary H- word, our message is not mysterious and scary. This book is approachable and cool😇 No better time to announce it than World Hospice and Palliative Care Day! With all of the sensational articles, in-fighting about for profit, nonprofits, private equity involvement, the PEOPLE need help. Patients and families are desperately being left out of the spotlight are missing out on important healthcare during a critical time. The PEOPLE need answers! They need to SEE what’s needed to navigate the healthcare system. This book is for them, this is for you. It’s a wonderful world 💜🌎🌍🌏💕 Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #PeaceOfMind #WHPCDay23 #CompassionateCommunities #TheRealDealAboutHospice #Serenity #EOLDoula #WonderfulWorld #Action

Show notes- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest- Sheri Harvey, CEO Owner of Comfort Keepers San Diego Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) The Eagles soared on the Rams last Sunday. Coincidentally both Sheri & Dr. G attended the game. 💙🐏💛 🦅 2. Educate -Teaching point: When a senior’s needs HOME CARE, it is not sadness, gloom, and doom. Comfort Keepers helps seniors live life to the fullest. They get assistance with cooking, cleaning, gardening, etc. For Seniors who are Aging in place, keeping all of the things that bring joy all the way until the end of life. Signs a senior needs HOME CARE for help with ADLS & iADLs, custodial care? -Had a fall or surgery? -A senior living alone, isolated and able to get outside of the home into the community -Suffering from memory loss and needing support in the home. Home care provides an opportunity to keep people at home, safe, well, and joyful for the continuum of care needs: Home Health, Palliative Care, Hospice. 3. Empower -A valuable a resource: COMFORT KEEPERS is private pay in-home care by rigorously well-trained caregivers 😇 Dr. G calls them angels. Sheri said they’re beautiful souls that “give their day to help someone” https://www.comfortkeepers.com/offices/california/san-diego/?fbclid=PAAaaNuBVVkOkZu_UpiItFl7e_ZKksB1S6Jr_aK1evq6MwadjjHEpGABi94Us_aem_AebMHr43O70FuUUcW0eac5H9FwNJePFtGUrNlFyDmiYNO5W1AjMbkh7pOmukiKwHlNw Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #PeaceOfMind #CustodialCare #Caregiving #ADLs #MemoryLoss #Isolation #Seniorcare #Joy- INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest- Sheri Harvey, CEO Owner of Comfort Keepers San Diego Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Eagles soared on my Rams 💙🐏💛 🦅 Home Care is not sadness, gloom and doom. Live life to the fullest, get help with cooking cleaning gardening, with assistance. Keeping all of the things that bring you joy all the way until the end. Aging in place. 2. Educate -Teaching point Fall can be the driver or surgery ; family member isolated not getting our; Memory loss support in the home. Opportunity to keep people safe, well, and joyful at home. Continuum of care. Let’s do things together, coaching, 3. Empower -A valuable a resource: https://www.comfortkeepers.com/offices/california/san-diego/?fbclid=PAAaaNuBVVkOkZu_UpiItFl7e_ZKksB1S6Jr_aK1evq6MwadjjHEpGABi94Us_aem_AebMHr43O70FuUUcW0eac5H9FwNJePFtGUrNlFyDmiYNO5W1AjMbkh7pOmukiKwHlNw Private pay (In-home care that elevates the human spirit) custodial care for ADLS; well trained angels. Hands on & rigorous. Comfortable and safe. PT/OT; source of information ; beautiful souls that give their day to help someone. Website info https://mourningdovemedical.com Video podcast https://youtu.be/xpY7DlpRWqs?si=qhRt46x9FACTTKeU #hapc #EducateAndEmpower #PeaceOfMind #CustodialCare #Caregiving #ADLs #MemoryLoss #Isolation #Seniorcare #Joy

INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest- Jared Rubenstein, MD https://www.jaredrubensteinmd.com -Associate Professor of Pediatrics Baylor COM -Program Director of Pediatric HPM fellowship  -Pediatric Palliative Care Physician at Texas Children’s   - Dispels myths and misconceptions about palliative care with 2 min animated videos 🔥🚒 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Dr. G saw Dr. Rubenstein’s first animated video on Twitter. It was about Calling the fire department to a fire but not mentioning fire 🤔 (the iconic chin rub😆) This was the beginning of a now 60 video library of advocacy. 2. Educate -Teaching point “Hard things” are children suffer from cancer, genetic diseases and face death and dying. Parents and children need a palliative care consult the same as any patient needs a cardiology or nephrology consult for heart and kidney disease. We don’t dare bring children into this? Why are people afraid to address pediatric palli? Goals of Care Article https://jamanetwork.com/journals/jamapediatrics/article-abstract/2805544 Hospice News article https://hospicenews.com/2023/10/06/keys-to-discussing-hard-realities-in-pediatric-advance-care-planning-conversations/?utm_campaign=fb,li,tw&utm_source=facebook,linkedin,twitter&utm_medium=Hospice+News,hospicebusiness&utm_content=1696871922 3. Empower -A valuable a resource Dr. Jared Rubenstein the Animator https://youtube.com/@DrJRubenstein?si=c79I4JbpPYs1BU31 Website info https://mourningdovemedical.com Video podcast https://youtu.be/Z_qkvKkt3Lc?si=ScxjL207M1yu10eL #hapc #EducateAndEmpower #PeaceOfMind #Pediatrics #Children #fire #death #hospice #PhysicianEnrichment

Show notes Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest- Lauren Templeton, DO, FAAHPM, HMDC https://www.weatherbeeresources.com s/p National Hospice and Palliative Care Organization Annual Leadership Conference NHPCO #ALC2023 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G and Dr. Templeton FINALLY met in person after virtual Weatherbee Webinars and two podcast episodes (9/10, 20). Travel has us discombobulated but the conference has us invigorated! Press release: https://lnkd.in/e-3pYDDp 2. Educate -Teaching point: HIGHLIGHTS special thanks to VITAS Healthcare https://www.vitas.com for sponsoring Dr. G’s travel 3. Empower -A valuable a resource https://www.nhpco.org Website info https://mourningdovemedical.com Video podcast https://youtu.be/tIA6sJkzrZU?si=NglKysevy7aqCugC #hapc #EducateAndEmpower #PeaceOfMind #ALC2023

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  LIVE Season Finale 10/14/2023 8am PDT/11am EDT https://www.eventbrite.com/e/dr-g-at-the-heart-of-healthcare-tickets-720072114077?utm-campaign=social&utm-content=attendeeshare&utm-medium=discovery&utm-term=listing&utm-source=wsa&aff=ebdsshwebmobile Special guest Jackie Lleverino https://www.linkedin.com/in/jackie-l-174a553 - New Yorker of Dominican descent - Chief Growth Officer at Parentis Health - Caregiver of 89 year old mother - 2 decades of work predominantly in hospice and other facets of healthcare along the spectrum of life for seniors Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G recently presented to NISP about the late stages of life: the last 2-10 years of life depending on illness burden. How do we prevent CRISIS MODE and create smoother transitions of care? EDUCATION of referral sources (ex. hospitals, case managers, fiduciary associations https://pfac-pro.org/ ) and the public about optimal discharge plans to maintain a sense of PURPOSE in the lives of seniors. 2. Educate (Teaching point) What is the CONTINUUM OF CARE? It is beyond the end of life, consider PRIOR to that: Aging in place at home, or move to RCFEs, home care, mobile physicians, transportation, home health for physical therapy (after a fall and hospitalization), palliative care, hospice. Seniors want to stay at home. Unique models like Parentis Health can catch the time BEFORE seniors go into the hospital, by providing a FULL spectrum of care from very beginning, for stability. This continuum of care or “Umbrella” of services gives seniors 55 & older purpose IN THEIR HOME, prevents crises, mitigates caregiver burnout. 3. Empower -A valuable a resource https://parentis-health.com “A Better Standard of Care Parentis Health is your one stop shop for high-quality senior care in Orange County. Our unique model puts patients and families first, enabling them to get the best possible care. It also provides a smooth transition from one level of care to another along their healthcare journey.” Website info https://mourningdovemedical.com Video podcast https://youtu.be/Qqu1LpR05-c?si=k7nv_pj9vfcQq2g9 #hapc #EducateAndEmpower #PeaceOfMind #CaregiverBurnout #HomeCare #Fiduciary #Education #Outreach #IndependentLiving #SeniorCare #HomeHealth #hospice #CommunitySupport #Purpose #BabyBoomer

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  National Assisted Living Week #NALW ALF week September 10-16, 2023: "Season of Reflection" https://www.ahcancal.org/Education-Events/Pages/NALW.aspx Special guest- Gus Fernandez pharmacist owner and administrator of La Jolla Senior Care Homes Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Gus & Jennifer at community event, discussed families often in CRISIS MODE. Decision point comes quickly due to an illness. Discussed ways to prevent the crisis, hold their hand, educate on milestones of declining health of seniors and when to consider placement at a Board & Care. “Be prepared, study landscape” 2. Educate -Teaching point what is an RCFE? Residential Care Facility for the Elderly. A “home-like setting” with 24hour caregivers. Next best thing to home, 6 residents, “personalized and boutique” compared to a large Assisted Living community. RCFEs are heavily regulated on the State level by Title 22 in California https://www.cdss.ca.gov/inforesources/letters-regulations/legislation-and-regulations/community-care-licensing-regulations/residential 3. Empower -A valuable a resource lajollaseniorcarehomes.com Website info https://mourningdovemedical.com Video podcast https://youtu.be/8iIeoHGiOCU?si=fDVTQUgrOvb-ZkRD #hapc #EducateAndEmpower #PeaceOfMind #SeniorCare #BoardAndCare #NALW

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest Jason Swisher Physical Therapist & Owner at Coastal Mobile Therapy https://www.coastalmobiletherapy.com Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G’s NFL son is receiving physical therapy PT after a surgery. 2. Educate -Teaching point PT is also an important component for seniors during the late stages of life. Beneficial for individuals with loss of ADL independence and at risk of falling. Hospice CoPs § 418.72 Condition of participation: Physical therapy, occupational therapy, and speech-language pathology. Physical therapy services, occupational therapy services, and speech-language pathology services must be available, and when provided, offered in a manner consistent with accepted standards of practice” https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418 ; ARTICLE “Assessment of the effects of a multicomponent, individualized physiotherapy program in patients receiving hospice services in the home” https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/assessment-of-the-effects-of-a-multicomponent-individualized-physiotherapy-program-in-patients-receiving-hospice-services-in-the-home Bottom line “It certainly informs this author’s continued practice to allow physiotherapy referrals for incoming hospice patients for whom rehabilitative activities are an important part of maintaining quality of life for as long as possible.” 3. Empower -A valuable a resource https://www.coastalmobiletherapy.com Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #PeaceOfMind #PhysicalTherapy #Physiotherapy #EOL #ADL #Fall #NFL #LARams#SeattleSeaHawks

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest-Jason McDonald Executive Director of ActivCare Bressi Ranch https://activcareliving.com/activcare-locations/bressi-ranch-carlsbad-ca/ - Specifically memory care only - Community structured with consideration for continuum of care as disease progresses - Respite stays available for 30 days Podcast Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) What if you made a promise to never move your husband, wife, mother, father, sister, brother to a “facility” HOWEVER they’ve been diagnosed with mild cognitive impairment MCI or a form of dementia AND their current home is not serving them anymore? Caregivers are faced with making a challenging decision for their loved one. 2. Educate -(Teaching point) A Memory care provides a safe environment for continued socialization and enjoyment of the late stages of life by individuals suffering from MCI or dementia. It is BEST to make the decision in a timely manner. Hints that it may be time to move home to a memory care: disease progression to symptoms affecting activities of daily living ADLs, severe sundowning, wandering, falls, forgetfulness, etc. 3. Empower -Valuable a resources: Mild Cognitive Impairment defined https://www.alzheimers.gov/alzheimers-dementias/mild-cognitive-impairment# UCSF https://memory.ucsf.edu/dementia/mild-cognitive-impairment PHYSICIANS Dementia Care Aware CME will help you complete an important CHA~Cognitive Health Assessment so patients can take advantage of resources due advance care planning https://www.dementiacareaware.org Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/3CuIbOfhNSY?si=pYLJAFiTCSHU4JtK #hapc #EducateAndEmpower #PeaceOfMind #Dementia #MemoryCare #SeniorLiving #SeniorCare #Caregiver #Caregiving #Alzheimers #MildCognitiveImpairment

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest- Diane Logan NEW Regional Director of Operations at Mission Healthcare https://www.homewithmission.com - Almost 3 decades of experience in Home Health transformed by 14 months working as Director of Patient Care Services for a local hospice agency. -She learned the advantages of hospice care for patients and families who choose this type of palliative care sooner. Mission of this podcast- Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Diane was new to hospice and would say, “I don’t know hospice, I am a home health nurse.” Now in her new role in home health leadership, she shares how working in hospice equipped her to educate home health nurses about hospice care. 2. Educate (Teaching point) It may be time for a new level of care that will support a dying patient and family more effectively. It takes listening and good communication skills. Nurse Diane’s bedside clues to recognize Hospice Readiness: - Missing or resisting treatments that are no longer working. - Rehospitalization rates “keep going back in” for symptoms like shortness of breath, pain, nausea, vomiting, etc. - Declines in physical, nutritional, and mental status; - Loss of hope “I don’t want to do this anymore”; family resistant - Recurrent infections; - Check scores for objective data: PPS/KPS; FAST scale, ECOG performance status. 3. Empower -Valuable Resources THE CONVERSATION PROJECT https://theconversationproject.org Communication Skills Clinical Training for PHYSICIANS- CAPC Communication Skills https://www.capc.org/training/communication-skills/ EVERYONE The EOL Deck https://thedeathdeck.com/pages/eol-deck Website info https://mourningdovemedical.com Video podcast https://youtu.be/-7HspaWca4o?si=2ikWyq0uDJWbU-bk #hapc #EducateAndEmpower #PeaceOfMind #HomeHealth #hospice #Nursing #Conversation #CommunicationSkills #EOL

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest Craig Dresang, CEO of YoloCares an affiliate of the CHN https://www.cahospicenetwork.org - Dr. G met Craig Drasang at ELEVATE in Chicago where he was a panelist - YoloCares recently in Hospice news YoloCares Breaks Down Barriers to Equitable Access Among Underserved Tribal, Rural Communities - Hospice News https://hospicenews.com/2023/08/11/yolocares-breaks-down-barriers-to-equitable-access-among-underserved-tribal-rural-communities/ Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Craig was a panelist at Hospice News ELEVATE in Chicago 2022, he discussed the industry and made a call of action for MHB reform (length of stay LOS example of Alzheimer’s patient who weighed 70lbs) and unification between for profit and non-profit hospice agencies to serve patients needs. MediCare Hospice Compare https://www.medicare.gov/care-compare/?redirect=true&providerType=Hospice 2. Educate -Teaching point (civil rights origins of hospice)CHN article https://spotlight.newsreview.com/california-hospice-association/community/dying-with-dignity-the-case-for-non-profit-hospices-and-the-makings-of-a-movement/ 3. Empower -Valuable a resources https://yolocares.org Weatherbee Resources https://www.weatherbeeresources.com Website info https://mourningdovemedical.com Video podcast https://youtu.be/0zRJxzuC2jg?si=WT345tns2BQp4KMs #hapc #EducateAndEmpower #PeaceOfMind #NonProfit #hospice #palliativecare #civilrights

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special returning guest Lauren Templeton, DO, FAAHPM, HMDC is here to help Demystifying GOC. (previously on EPISODES 9 & 10) - Hospice Medical Director of Hendrick Health https://www.hendrickhealth.org/services/hospice-care/ - Consultant of Weatherbee Resources https://education.hospicecompliance.com This episode is for Caregivers, Patients, and Clinicians 💜 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) TGIF! Dr. G told Dr. T about series curating resources for caregivers and revisiting their myth busting video https://youtu.be/H08LUtdSj2U Dr. T mentioned a term "energy conservation" and we wanted to learn more. Dr. Templeton coined the term to define a goal-oriented mindset that aligns with the patient’s wishes. 2. Educate (Teaching point) Goals of Care GOC is prioritizing what matters most, it’s shared decision making, choosing what creates the BEST quality of life for the limited time remaining. It is a new identity, pivoting to symptom-based management with the support of hospice care. Examples discussed: - Dialysis 3-5years pop - AICD/Pacemaker deactivation - Medication deprescribing—simplify - Monitoring devices: pulse ox, frequent BP monitoring, finger sticks 3. Empower- Valuable a resources FOR CLINICIANS: Article “Perceptions of Barriers and Opportunities to Discussing Advance Care Planning with Hospice Patients and Their Families” https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/barriers-to-acp CAPC Symptom Management is FREE training https://www.capc.org/training/symptom-management/?utm_source=Center+to+Advance+Palliative+Care&utm_campaign=25504941a6-Symptom+Management+7.24.22&utm_medium=email&utm_term=0_31106acbde-25504941a6-378863377 5 courses for better symptom management in seriously ill patients: Anxiety, Constipation, Depression, Dyspnea, Nausea FOR CAREGIVERS: NHPCO CaringInfo https://www.caringinfo.org/planning/caregiving/ SYMPTOM MANAGEMENT INFO: CAPC Get Palliative Care https://getpalliativecare.org Great articles on the home page and “Disease Types” tab to help understand symptoms of various diseases that can benefit from palliative care https://getpalliativecare.org/whatis/disease-types/Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/LxYfid3xZ3Y #hapc #EducateAndEmpower #PeaceOfMind #GoalsOfCare #SharedDecisionMaking #Caregiving #Caregiver #Mindset #Simplify #Pivot

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest Gerard Soucy, RN, CHPN 😂Joke: A nurse and doctor went to a bar… Nurse Gerald a husband and caregiver shares personal experience from 5 years caring for wife who suffered from Alzheimer’s disease. She was the most important patient he had. Jeanne Soucy lived February 18, 1946-January 14, 2016 “The happy heart is true” She was a nurse educator, wife, and mother. Insights from our conversation: Caregiver may have constant anxiety and self doubt - Suffer from Loneliness - Caregivjng comes at Great Costs: Emotional, Financial, Physical. Many challenges occur with healthcare system, even to healthcare professionals. Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) “Please don’t…” conversations between a loving husband and wife was documented in an Advance Directive form MOLST in Boston, Massachusetts. Timeline - 2010 diagnosed with Mild Cognitive Impairment MCI -Advance Directive MOLST -Jeanne attended adult day program and Nurse Gerard attended a support group. - Jeanne died peacefully at home while receiving hospice care January 10, 2016 (same week as David Bowie) -Green burial 2. Educate (Teaching point) 🍦 Functional decline measured with ice-cream; decision points for full-time caregiving needs and decision point for hospice care are crucial. As Alzheimer’s disease trajectory continued, Nurse Gerard’s wife’s health declined to need hospice care, and she had a peaceful death at the age 69. 3. Empower -Valuable a resources: 05/01/2017 “A death I nursed” Death Nurse Blog http://www.deathnurse.com/2017/05/a-death-i-nursed.html?m=1 Center to Advance Palliative Care CAPC Dementia Designation https://www.capc.org/training/best-practices-in-dementia-care-and-caregiver-support#:~:text=CAPC%20Designation,-Take%20all%20seven&text=Designation%20can%20be%20added%20to,best%20practices%20in%20dementia%20care. BOOK “The Story of Nursing and Its Power to Change Our World” by Sarah DiGregorio https://a.co/d/4ww58Ab Chapter 5 'Endings' includes Gerard Soucy Taking Care: Website info https://mourningdovemedical.com VIDEO podcast https://youtu.be/s5Q-P9Vze5s #hapc #EducateAndEmpower #PeaceOfMind #Alzheimers #Dementia #Caregiver #Caregiving #mandateCAPC #Nurse #Spouse #Husband #Wife

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest Aisha Adkins, MPA, CNP  * Storyteller. Care partner. Thought Leader  * Atlanta based  * Mother Rosetta Linda Adkins passed away 07/07/23 @ 7pm * 10 years caregiving INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.  1. Story (theme) Millennial Caregiver shifting identity, grief changing shape. We honor your mother’s memory and value the lessons learned from some of the challenges faced while navigating the caregiver lifestyle. 2. Educate: Teaching point Frontotemporal Dementia (https://medlineplus.gov/ency/article/000744.htm actor Bruce Willis in the news)  3. Empower -A valuable a resource https://aishaadkins.com Website info https://mourningdovemedical.com VIDEO podcast 🔗 https://youtu.be/tD-ZLZJaUBg #hapc #EducateAndEmpower #PeaceOfMind #MillennialCaregiver #FrontotemporalDementia #Daughter #Grief #Mother #Anticipatory #Therapy #Legacy

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guests https://www.journeyfoundationfc.org/ourteam JFFC Founding Board Members: Ricky Del Rosario, ASN, RN & Board Executive Erin Del Rosario; MSN, RN & Board President Amber Ford, Ed.D., LCSW & Board Executive Meagan DeGuzman, BA & Board Executive Jennifer A. Parga, MSW & Board Vice President Not present: Martin DeGuzman, BA & Board Executive JFFC a non- profit organization, whose mission is aimed at enhancing the wellbeing of caregivers of chronically and terminally ill patients through community engagement, education, advocacy, and philanthropy. - Caregiver Relief Program CRP - Fundraising (consider a donation today https://www.journeyfoundationfc.org) INTRO Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Caregiver CRISIS everywhere❗️”Caregiver’s don’t need breaks” was a myth busted during podcast EPISODE 10 https://youtu.be/H08LUtdSj2U ; Mother’s Day Instagram LIVE 05/07/2023 https://www.instagram.com/tv/Cr9czTYIhje/?igshid=MzRlODBiNWFlZA== and Father’s Day BONUS podcast EPISODE 11 guests discussed the life altering stressors of caregiving and the process of grief. Learned so much about the struggles of The Sandwich Generation during July’s podcast EPISODE 15. 2. Educate: Teaching point What’s available for caregivers? UCSD Center for Mindfulness (instant) https://cih.ucsd.edu/mindfulness/guided-audio-video “RESOURCES” section of Caregiver Connection Newsletter; article “Self-Care Isn’t Selfish: How to Care for Yourself Too” Written by Amber Ford, Ed.D, LCSW 1. Engage in Self-Care 2. Increase your social Network 3.Accept Support From Others 3. Empower -A valuable a resource! Consider donating to the non-profit Journey Foundation For Caregivers JFFC https://www.journeyfoundationfc.org 💜 Website info https://mourningdovemedical.com VIDEO podcast 🔗 https://youtu.be/s23sd1-gLEU #hapc #EducateAndEmpower #PeaceOfMind #Caregiver #Mindfullness #Selfcare #Respite

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest Brenda-Lee Smith - recently celebrated 5 year anniversary serving the Coastal San Diego region of Southern California 🥳 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) How we met: Mixer at a new ALF La Marea Senior Living, then reconnected at Silverado Memory Care 25th anniversary party. Collaborate concierge physician services before senior clients are moving home. Clients need a 602 form completed by a physician. 2. Educate (Teaching point) When is it time to call Oasis? Paperwork in order? Five Pillars for Successful Aging at Home: - Nutrition - Health & Wellness - Housing - Transportation - Financial National Aging in Place Council https://ageinplace.org KNOWLEDGEABLE AGING https://youtu.be/CKnBZPjzaBw 3. Empower -A valuable a resource to Age with Joy. Home changes to meet your needs https://www.oasissenioradvisors.com/about-us Website info https://mourningdovemedical.com VIDEO episode available on our YouTube channel: https://youtu.be/of3xCu9iA5M #hapc #EducateAndEmpower #PeaceOfMind #SeniorCare #SeniorLiving #MemoryCare #IndependentLiving #Aging #AgeInPlace #Home

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest Sandra Williams Director of Business Development at Essence Hospice Care https://essencehospicecare.com - -19 yrs in Healthcare Industry -Mother of 4 boys -Passion for Hospice Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Sandra & Dr. G are both Football Moms who sent their first born sons to college- an EMOTIONAL Life Transition similar to receiving news about a terminal disease. 2. Educate -Teaching point: The Essential Care Programs is free “Guided Care Management” for coordination of care, education, time to process what’s happening to patients with a serious condition and/or a terminal illness (not ready to choose hospice care). When making LIFE CHANGING DECISIONS, people seek peace of mind. Most people are afraid of the h-word, hospice, even when they are eligible. The Essential Care Program is similar to a community palliative care program, providing an extra layer of support for people with serious illness: https://hospicenews.com/2023/07/05/how-palliative-care-fits-in-to-cmmis-enhancing-oncology-model/ 3. Empower -A valuable a resource CAPC Center to Advance Palliative: Find a Palliative Care Team in your area https://getpalliativecare.org/howtoget/find-a-palliative-care-team/ Website info https://mourningdovemedical.com VIDEO episode available on our YouTube channel: https://youtu.be/tb37Innwt8s #hapc #EducateAndEmpower #PeaceOfMind #CommunitySupport #CareManagement #StudentAthletes #FootballMoms

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special Guest Yvonne Murray, CEO owner & patient advocate of “Sandwiched in California” newly rebranded GAWA Services https://www.gawaservices.com Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (Theme tearful primary caregiver/adult child “no plan for seniors as they age and become ill”) Who do you call when you find yourself caring for aging parents and your own children?? 2. Educate -Teaching point What is the sandwich generation? Forbes https://www.forbes.com/sites/jackkelly/2023/02/24/the-sandwich-generation-is-financially-taking-care-of-their-parents-kids-and-themselves/ 3. Empower -Valuable resources for the Sandwich Generation: U.S. Department of Health and Human Services (HHS) https://lnkd.in/gbHiEhv9 CALIFORNIANS: CDA California Department of AGING, a California Health and Human Services Agency https://aging.ca.gov/Programs_and_Services/ Riverside County Office on Aging https://rcaging.org Website info https://mourningdovemedical.com VIDEO episode available on our YouTube channel: https://youtu.be/wYDtKJbgUTE #hapc #EducateAndEmpower #PeaceOfMind #Caregiver #Caregiver #SandwichGeneration #PatientAdvocate #ElderCare #SeniorCare #Aging #Resources #Elderly #Hope #Help

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare  Special guest: Dr. Ben W. Thompson, MD, creator of HAPC Virtual Didactics, a FREE virtual training of expert level content of lectures for CME and ABIM MOC. He is passionate about improving the quality of educational initiatives for hospice and palliative medicine for fellows from around the country. - Program director of the hospice and palliative medicine fellowship at Prisma Health / University of South Carolina - 4th year as a palliative medicine fellow - Recently named Division Chief of hospice and palliative medicine for four local hospitals. Social media highlight #MedTwitter https://twitter.com/benwthompson/status/1673319021184253953?s=46&t=3gA5xIkblMI3-C6jInh53w Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) How to prepare new HPM fellows for fellowship: Set the stage for SUCCESS! What hospice & palliative care is and what it is NOT. Orientation to TEAM WORK- The Interdisciplinary Team (IDT). HAPC brings everyone together to provide excellent person-centered care. 2. Educate -Teaching point: How to prepare for home hospice rotation. Tweet: #HAPCdidactic - home hospice brings hospital-like palliative care into the home to support people who want to die at home💜 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/7HifjnS What H.O.S.P.I.C.E. physicians do: Home Visits On-Call Sign Stuff Prognostication IDT (interdisciplinary team) CTIs (certification of terminal illness) Engagement 3. Empower -A valuable a resource HAPC Virtual Didactics YouTube channel https://youtube.com/@hapcvirtualdidactics8202 Website info https://mourningdovemedical.com VIDEO episode available on our YouTube channel: https://youtu.be/SaUylL1kM6c #hapc #EducateAndEmpower #PeaceOfMind #HAPCdidactic #HPM #Fellowship #MedTwitter #CME #ABIM #MOC #PCHETA

Show Notes Special Guest- Dr. Michelle Ouellette, MD, a newly graduated 3rd year Chief Resident of Internal Medicine at the University of South Florida, is starting a Hospice and Palliative Medicine fellowship #HPM at Beth Israel Deaconess Medical Center in Boston, Massachusetts. Social Media Highlights #MedTwitter @DrMamaKai https://twitter.com/drmamakai?s=21&t=3gA5xIkblMI3-C6jInh53w @BurgartBioethix Bioethicist and pediatric anesthesiologist at Stanford Med- Dr. Alyssa Burgart, MD call to action for Attendings to lead with empathy and mentorship as the new Interns arrive https://twitter.com/burgartbioethix/status/1667170946644312068?s=46&t=3gA5xIkblMI3-C6jInh53w @SammyWineMaker Samantha Winemaker, a Canadian colleague tweeted about infusing palliative care EARLY https://twitter.com/sammywinemaker/status/1668228474807484416?s=46&t=3gA5xIkblMI3-C6jInh53w Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Dr. Michelle Ouellette, MD 03/22/2023 and created Team Poutine! during the first-timer reception of the AAHPM Annual Assembly in Montreal (See Podcast Episode 3). Poster presentation: “Impact of Organized Palliative Didactic Curriculum on Internal Medicine Resident Comfort with Topics in Palliative Care” (Download pdf on our website) Three key content areas of palliative care didactic: - What is palliative care & hospice care? - Structure of goals of care GOC conversation. - How to identify legal decision maker? (Synonyms: proxy, surrogate, POA, DPOA) ***Mini Palliative Care Didactic Workshop 7:50*** 2. Educate -Teaching points ACGME Residency Program Requirements IV.B.1.e).(2) Residents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-life goals. https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/ “Code Status Discussions Between Attending Hospitalist Physicians and Medical Patients at Hospital Admission” An article review, MSPC Fellowship Journal Club Devjit Roy, MD Jun 20, 2023 https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/code-status-discussions - Bottom Line: More practice changes will be needed on how to systematize with whom and how CPR is discussed during hospital admission. The impact and effectiveness of any practice change needs to be rigorously studied. CAPC- The Value of Palliative Care https://www.capc.org/the-case-for-palliative-care/ CAPC- Learning Pathway Communication about SERIOUS ILLNESS https://www.capc.org/training/learning-pathways/communication-skills-conversations-about-serious-illness/ 3. Empower - Valuable a resources for Competency in discussing life and death: CAPC Designation in Communication Skills https://www.capc.org/training/communication-skills/ NHPCO CaringInfo https://www.caringinfo.org/ Hospice News Article Mourning Dove Medical CEO Dr. Kaishauna Guidry: Physicians Need a Framework for Understanding Hospice - Hospice News https://hospicenews.com/2023/05/08/mourning-dove-medical-ceo-dr-kaishauna-guidry-physicians-need-a-framework-for-understanding-hospice/ VITAS hospice app https://vitasapp.vitas.com/ZW6g will help you clarify when Hospice Care is beneficial to patients. You’ll see common hospice eligible diseases and pertinent data of clinical decline as patients reach the end stages of those diseases. It starts with physicians! Dr. G was a guest on McBee CareThreads Podcast EPISODE 20: Empowering End-of-Life Care https://mcbeeassociates.com/insights/podcast/mcbee-carethreads-empowering-physicians-and-driving-quality-end-of-life-care/ Website info https://mourningdovemedical.com VIDEO available on our YouTube channel: https://youtu.be/7pdU1S8JkCE #hapc #EducateAndEmpower #PeaceOfMind #MedEd #Intern #ACGME #Resident #Residency #mandateCAPC #PGY1 #Prognostication #CommunicationSkills #PCHETA

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Happy Father’s Day! Special Guests: -A daughter: Riva Z. Robinson, MD http://rivawellness.com -A son & father: Javelin M. Guidry https://www.linkedin.com/in/javeling Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) FACEBOOK Anonymous post “Grief. What’s normal?” Hospice & End of Life Care Group 2. Educate - Give space and grace for grief (see poem). There is no hierarchy of emotions. Keep lines of communication open. Feel your feelings and respect varying perspectives of grief, i.e. Widowed Father’s can suffer from ill effects of loneliness Social Isolation and Loneliness as Medical Issues by Julianne Holt-Lunstad, Ph.D., and Carla Perissinotto, M.D., M.H.S. https://www.nejm.org/doi/full/10.1056/NEJMp2208029 “Talking to Grief” by Denise Levertov http://www.poetryfoundation.org/bio/denise-levertov “Ah, grief, I should not treat you like a homeless dog who comes to the back door for a crust, for a meatless bone. I should trust you. I should coax you into the house and give you your own corner, a worn mat to lie on, your own water dish. You think I don’t know you’ve been living under my porch. You long for your real place to be readied before winter comes. You need your name, your collar and tag. You need the right to warn off intruders, to consider my house your own and me your person and yourself my own dog.” 3. Empower - Valuable resources: DAUGHTER- Riva’s valuable resource The Good Goodbye: How to Navigate Change and Loss in Life, Love, and Work: Ato Psy.D., Gladys: https://www.amazon.com/Good-Goodbye-Navigate-Change-Loss/dp/099946910X SON - Javelin’s valuable resource: He honored his father’s legacy by writing a book on parenting: Warrior Parent Playbook: Utilizing Sports to Empower Children to Live in Greatness: https://www.amazon.com/Warrior-Parent-Playbook-Utilizing-Greatness/dp/1735931403 Website info https://mourningdovemedical.com VIDEO available on our YouTube channel: https://youtu.be/Leiqdutm7wM #hapc #EducateAndEmpower #peace #Grief #FathersDay

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest expert: Lauren Templeton, DO, HMDC, FAAHPM - Hospice Medical Director of Medium sized Rural hospice agency in Abilene, Texas https://www.hendrickhealth.org/services/hospice-care/ - Consultant Weatherbee Resources https://education.hospicecompliance.com - 2023 Fellow of the American Academy of Hospice and Palliative Medicine https://aahpm.org/membership/faahpm-list#T AAHPM Forum expert, people want her input from all of the hospice questions! - HMDCB Fellow Certificant https://hmdcb.org - NHPCO regulatory committee member https://www.nhpco.org/regulatory-and-quality/regulatory/ Hospice cares for patients and families. Hospice definition (revisit EPISODE 1) Team based Healthcare care in the home, medical care brought to you when you have a limited prognosis and you are no longer seeking curative treatments for a terminal disease. - Medicare Hospice Benefit MHB https://www.medicare.gov/coverage/hospice-care - CODE OF FEDERAL REGULATIONS Title 42 Chapter IV Subchapter B Part 418 Hospice care https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418 - NHPCO https://www.nhpco.org/hospice-care-overview/ Regulatory & Compliance Center https://www.nhpco.org/regulatory-and-quality/regulatory/ Hospice Myth Busting 101, part 2 6. Hospice care has limitations, you can get kicked out of hospice. 7. High level Hospice care happens. 8. Hospice is NOT only for the last days of life. Hospice patients are not only prescribed Morphine. 9. Must be religious to use chaplain services. 10. Caregivers don’t need breaks. Valuable resources 1. Dr. Templeton’s FULL video will be on our YouTube channel Wednesday 06/21/2023 SUBSCRIBE & Share! https://youtu.be/H08LUtdSj2U 2. How to find a good hospice? There is publicly reported data on Hospice CareCompare https://www.medicare.gov/ Key is HVLDL. 3. NHPCO Info for Patients and Family caregivers https://www.caringinfo.org Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #HospiceCare #Myth #RegulatoryCompliance #Medicare #Quality

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest expert: Lauren Templeton, DO, HMDC, FAAHPM - Hospice Medical Director of Medium sized Rural hospice agency in Abilene, Texas https://www.hendrickhealth.org/services/hospice-care/ - Consultant Weatherbee Resources https://education.hospicecompliance.com - 2023 Fellow of the American Academy of Hospice and Palliative Medicine https://aahpm.org/membership/faahpm-list#T AAHPM Forum expert, people want her input from all of the hospice questions! - HMDCB Fellow Certificant https://hmdcb.org - NHPCO regulatory committee member https://www.nhpco.org/regulatory-and-quality/regulatory/ Hospice cares for patients and families. Hospice definition (revisit EPISODE 1) Team based Healthcare care in the home, medical care brought to you when you have a limited prognosis and you are no longer seeking curative treatments for a terminal disease. - Medicare Hospice Benefit MHB https://www.medicare.gov/coverage/hospice-care - CODE OF FEDERAL REGULATIONS Title 42 Chapter IV Subchapter B Part 418 Hospice care https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418 - NHPCO https://www.nhpco.org/hospice-care-overview/ Regulatory & Compliance Center https://www.nhpco.org/regulatory-and-quality/regulatory/ Hospice Myth Busting 101 1. No hospice referral, no problem. 2. You can keep your primary care doctor when you choose hospice care. 3. Hospice is not jail. 4. If you’re able to travel go! 5. Some patients graduate from hospice care! 6-10 next week! Valuable resources 1. Dr. Templeton’s FULL video will be on our YouTube channel SOON 2. How to find a good hospice? There is publicly reported data on Hospice CareCompare https://www.medicare.gov/ Key is HVLDL. 3. NHPCO Info for Patients and Family caregivers https://www.caringinfo.org Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #HospiceCare #Myth #RegulatoryCompliance #Medicare #Quality

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Healthcare Celebrations: -Men’s Health Month https://nationaltoday.com/national-mens-health-month/#:~:text=U.S.,and%20working%20to%20prevent%20disease. -Married men live longer https://fortune.com/2023/01/13/why-are-married-men-healthier-on-average-women-gender-research/amp/ CONGRATS Dad vow renewal; post-COVID new lease on life https://www.acc.org/About-ACC/Press-Releases/2023/02/22/21/23/Lifelong-Bachelors-Face-Poorest-Prognosis-with-Heart-Failure -Alzheimer’s and Brain Awareness Month https://www.alz.org/alzheimer_s_dementia -CNA Certified Nursing Assistants Week: June 15-21, 2023 Nursing Assistants Day: June 17, 2023 https://www.census.gov/newsroom/stories/nursing-assistants-day-week.html Today we are discussing an essential but non-core member of the interdisciplinary team (IDT), the HOSPICE AIDE. They are either CNA or CHHA by licensure. Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) The “nonverbal, disengaged” man lit up! Hospice Aides are the eyes and ears for the IDT. 2. Educate -Teaching point Hospice Aides are ESSENTIAL trained professionals for personal care. A good hospice includes them in the interdisciplinary team meeting. 3. Empower -A valuable a resource to read Federal Regulations for yourself https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418#418.70 Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #IDT #HospiceAide #CNA #CHHA #HomeHealthAide

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare IDT = Interdisciplinary Team Social Media & Healthcare Celebrations - EMS Week 05/21-27 Where Emergency Care Begins” https://www.acep.org/administration/ems-resources/emsweek - May is National Stroke Awareness Month: FAST Face Drooping; Arm Weakness; Speech; Time to Call 911 AHA TWEET https://twitter.com/american_heart/status/1657370160729128961?s=46&t=3gA5xIkblMI3-C6jInh53w - Wrap up May: Mental Health Awareness Month NHPCO CaringInfo Getting Grief and Loss Support https://www.caringinfo.org/planning/grief-and-loss/getting-grief-and-loss-support/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month2 - “Our care continues” Gentiva: “Hospice is for patients and their families, so our care continues even after a loved one passes. We offer up to 13 months of bereavement care to help family members through the grieving process“ See LinkedIn Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) revisit poem read during Mother’s Day special “Ah, grief, I should not treat you like a homeless dog who comes to the back door for a crust, for a meatless bone. I should trust you. I should coax you into the house and give you your own corner, a worn mat to lie on, your own water dish. You think I don’t know you’ve been living under my porch. You long for your real place to be readied before winter comes. You need your name, your collar and tag. You need the right to warn off intruders, to consider my house your own and me your person and yourself my own dog. “Talking to Grief” by Denise Levertov http://www.poetryfoundation.org/bio/denise-levertov 2. Educate -Teaching point chaplain discussed graduating from grief support/bereavement services. How: Articulate issue and recognize patterns… accepting, retraining brain for new narrative EOL University Podcast Ep. 342 The Grieving Brain: The Science of Love and Loss with Mary-Frances O’Connor PhD “Grief, Loss and Social Stress (GLASS) Lab, which investigates the effects of grief on the brain and the body. She discusses her book The Grieving Brain that highlights her research on the changes that occur in the brain during the grief process and how we can go about restoring a meaningful life while grieving.” https://eolupodcast.com/2022/03/14/ep-342-the-grieving-brain-the-science-of-love-and-loss-with-mary-frances-oconnor-phd/ 3. Empower -A valuable a resource Tomorrow SUNDAY, May 28, 2023 12noon PST Dr. G on Instagram LIVE with Chaplain Lamont Johnson as we wrap up our series on the Hospice IDT Core Members ICYMI 🔗 https://www.instagram.com/tv/CszIq-3qc4T/?igshid=MmJiY2I4NDBkZg== Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #IDT#Bereavement #Grief #Chaplain

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare IDT = Interdisciplinary Team Healthcare Celebrations: -National Hospital Week ended 05/13/2023 https://www.aha.org/ahia/get-involved/national-hospital-week (we were focused on nurses😇) ICYMI Instagram LIVE with Nurse Shelley, ICU/Emergency Room/Trauma Surgery nurse turned Hospice nurse. https://www.instagram.com/tv/CsMmRekowJv/?igshid=MmJiY2I4NDBkZg== -National Women’s Health Week: ACP post https://twitter.com/acpimphysicians/status/1657808065347956736?s=46&t=3gA5xIkblMI3-C6jInh53w #NationalWomensHealthWeek is a great reminder for women to focus on their health goals and to schedule an annual well-woman visit with an #InternalMedicine physician. #NWHW ❗️USPSTF Breast Cancer updated recommendations- new draft recommendations https://www.uspreventiveservicestaskforce.org/uspstf/ -May is Mental Health Awareness month. Tweet “This is the age of emotional healing. People are having the courage to process, break the cycle, and create a life they don’t need to escape from.” Psychologist Dr. Nicole LePera https://twitter.com/theholisticpsyc/status/1657344877875826688?s=46&t=3gA5xIkblMI3-C6jInh53w The Homecoming Podcast with Dr. Thema https://twitter.com/drthema?s=21&t=3gA5xIkblMI3-C6jInh53w president of APA https://youtube.com/@TheHomecomingPodcastwithDrThem -World Family Doctor Day: American Academy of Family Physicians AAFP & World Organization of National Colleges Academies and Academic Associations of General Practitioners/Family Physicians WONCA 05/19/2023 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) last week during the IG LIVE with hospice nurse Shelley said “it’s not the like a social worker you see on TV that’s coming in to take the kids” they do so much more: 2. Educate -Teaching point: Briefly touched on in book 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/5XWsGak Chapter 3 SIGN STUFF letter of capacity, FMLA paperwork, Letters, Utility forms, etc. (MSW is really helpful with this) ; help with placement, provide resources to family POLST, after death checklist, final arrangements (mortuary list), my fav family meeting/GOC https://www.vitas.com/hospice-and-palliative-care-basics/the-hospice-care-team/what-do-hospice-social-workers-do#:~:text=In%20hospice%2C%20a%20licensed%20medical,patient%20and%20spouse%20living%20alone. 3. Empower -Valuable a resources NHPCO CaringInfo I Need Help Now https://www.caringinfo.org/need-help-now/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month; Getting Grief and Loss Support https://www.caringinfo.org/planning/grief-and-loss/getting-grief-and-loss-support/?utm_medium=social&utm_source=social&utm_campaign=mental-health-month2 Lisa Pahl, LCSW https://www.linkedin.com/in/lisa-pahl-lcsw-89669070 BLOG The ultimate gift you can give your family, grappling with grief https://www.grapgrief.com/stories/the-ultimate-gift-you-can-give-to-your-family/?fbclid=IwAR2WaD9hVTZXOuK8yC2mbNUZrWWZlfXcWv5s0yfXEVIoHV2E3j7NTrTG8i4 ; EOL Death Deck! The E•O•L Deck! The E•O•L (End of Life) Deck is a tool used by families, caregivers, and healthcare providers to help facilitate conversations about end-of-life wishes. With a casual tone, multiple-choice and open-ended questions, the E•O•L Deck makes starting conversations about what matters most a little easier. https://thedeathdeck.com Sunday at 12noon we will dive deeper into the social worker’s role on the IDT and hear the story of how their partnership came about. Link to recording of Sunday Special Guest Instagram LIVE https://www.instagram.com/tv/CshHRjJIaha/?igshid=NzJjY2FjNWJiZg== Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower #EOL #DeathDeck #MSW #SocialWorker #IDT

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare IDT=interdisciplinary team Dr. G is DrMamaKai on Twitter https://twitter.com/DrMamaKai Mother’s Day liberty: 🎓Congratulations SDSU Summa Cum Laude #Graduate Kailah Grace Guidry! https://www.linkedin.com/in/kailah-guidry-85ba17247 ICYMI- 05/07/2023 Special Sunday Afternoon IG Live with Author & Animator (Disney, Nickelodeon) Shay Stone for Mother’s Day https://www.instagram.com/tv/Cr9czTYIhje/?igshid=MzRlODBiNWFlZA== HAPPY National Nurse’s Week! https://nationaltoday.com/national-nurses-week/ BEST Nurse’s Week observances on Social Media: - Dr. Jared Rubinstein Tweet https://twitter.com/drjrubenstein/status/1655744837021310977?s=46&t=3gA5xIkblMI3-C6jInh53w - Weatherbee Resources Instagram post https://www.instagram.com/p/Cr_SJELxngp/?igshid=MzRlODBiNWFlZA== What is the IDT? - The letter “I” in Dr. G’s H.O.S.P.I.C.E. Pocket Guide: 7 Things Hospice Physicians Need to Know to be Ready for Work 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/fzURWNy - Defined by NHPCO https://www.nhpco.org/accordions/submission-outline-3-copy-3-copy-copy-copy-4-5/ - Medicare https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-418#418.56 Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) “We fixed her!” This is rewarding work, “I’m so happy..”🥰 2. Educate -Teaching point we treat reversible conditions of hospice patients. In addition to common symptoms https://medlineplus.gov/ency/patientinstructions/000467.htm [Dyspnea & Cough, Nausea & Vomiting, Pain, Constipation, Anorexia, weight loss, & cachexia Fatigue, Sleep disturbance, Anxiety, Depression, Pruitis.] we treat UTIs, pneumonia, cellulitis, even shingles, provide wound care, most common issues any primary care physician would treat. Misconceptions perpetuated and easily accepted due to fear of death. Hospice News Article featuring Dr. G https://hospicenews.com/2023/05/08/mourning-dove-medical-ceo-dr-kaishauna-guidry-physicians-need-a-framework-for-understanding-hospice/ 3. Empower -Valuable a resources Medicare Hospice Benefit MHB https://www.medicare.gov/coverage/hospice-care “Tip for Hospice nurses” Shelley Henry, RN, CPHRM, CHPN Instagram page is filled with great education for the IDT skill set of hospice nurses https://instagram.com/forhospicenurses?igshid=MzRlODBiNWFlZA== President of Amity Group Main https://www.amitystaffing.com/ PRESERVING THE ART OF NURSING https://hospicenursesurvey.com Instagram LIVE Saturday Supplement 05/13/2023 1pm PT with Amity’s own Shelley Henry, RN, CPHRM, CHPN https://instagram.com/forhospicenurses?igshid=MzRlODBiNWFlZA== video will be saved in Instagram Reels. We are here to provide peace of mind in healthcare, website info https://mourningdovemedical.com Hashtags #hapc #nursesweek#NursesWeek2023 #Nursing #MothersDay #Graduation2023

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare IRL= In real life ACP in addition to Advance Care Planning (see Episode 2) stands for the AMERICAN COLLEGE OF PHYSICIANS, “We are the cornerstone of comprehensive health care.” https://www.acponline.org/ **correction ACP SoCal region 2, not 5** Healthcare Celebrations since last episode: -Administrative Professionals Day 04/26 -May is Mental Health Awareness Month -Nurses Week started 05/06/2023 next episode will cover their IDT role Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (Reunions highlight education JOURNEY-theme) My Los Angeles high school- Susan Miller Dorsey High School Green Sauce https://www.dorseygreen.com Article https://www.kcrw.com/news/shows/greater-la/small-business-japanese-internment-real-estate/dorsey-green-sauce?fbclid=IwAR3TQe_1fRT2haz1E2e7TXUh7GSjifeuacKPvCZAgtfKjriebvFFTAtW6jA EPIDEMIC OF LONELINESS #Connect2Heal 💐Social Connection, a garden — Current Priorities of the U.S. Surgeon General https://www.hhs.gov/surgeongeneral/priorities/connection/index.html?utm_source=osg_influencer&utm_medium=osg_influencer&utm_campaign=osg_connect2heal 2. Educate -Teaching point: The Journey of Chronic Diseases leads to EOL care. The trajectory has an end which is death. Even though it’s difficult to talk about our mortality, we must. Why is it difficult? ALL Humans are susceptible to “existential distress” CLUBHOUSE Replay link https://www.clubhouse.com/room/m3YoebRG?utm_medium=ch_room_xr&utm_campaign=BukRQDSfEFj5JiRgME5G_Q-704339 RETHINKING AGING https://boomertechtalk.com/rethinking-aging-club-thursday-alliance-rooms/ 3. Empower -Valuable a resource for Physicians to sharpen communication skills with patients and families to improve healthcare outcomes Center to Advance Palliative Care CAPC https://www.capc.org/training/communication-skills/ Valuable online resources for non-physicians to learn about the diseases affecting your health https://my.clevelandclinic.org/health OR https://www.mayoclinic.org/diseases-conditions OR https://medlineplus.gov Mother’s Day Special Guest Author & Animator Shay Stone 05/07/2023 INSTAGRAM LIVE link: https://www.instagram.com/tv/Cr9czTYIhje/?igshid=NTc4MTIwNjQ2YQ== Website info https://mourningdovemedical.com Hashtags #IM2023 #InternalMedicine #IMproud #SeasTheDay #MentalHealthAwarenessMonth #Update #Reunions #mandateCAPC #SocialConnection #Journey #Loneliness #hapc #NursesWeek

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare The Annual Assembly was WONDERFUL❕ Access to conference platform ends 04/30/2023 11:59pm Friendly reminder to complete the surveys to claim your CME/CE American Academy of Hospice and Palliative Medicine https://aahpm.org HPNA Hospice & Palliative Nurses Association https://www.advancingexpertcare.org Greetings & Celebrations - Earth day 04/22/2023 Earth Day 2023 https://nationaltoday.com/earth-day/ - National Death Doula Day 04/20/2023 https://www.huffpost.com/entry/end-of-life-doulas_l_642c6405e4b00c9517549091 - Happy Volunteer Week! 04/16/2023 https://nationaltoday.com/national-volunteer-week/ Let’s SEE: 1. Story (theme)- “It’s your tribe” Hot topic became a Highlight in my small group during the opening Plenary WHAT’S GOING WELL Author Greg Bell, JD https://www.gregbellspeaks.com/ Brené Brown 2010 TED Talk “Power of Vulnerability” https://brenebrown.com/videos/ted-talk-the-power-of-vulnerability/ DEFINITION Toxic positivity PSYCHOLOGY TODAY https://www.psychologytoday.com/us/basics/toxic-positivity USA TODAY https://www.usatoday.com/story/life/health-wellness/2022/11/18/toxic-positivity-what-is-how-its-harmful-and-how-avoid/10671100002/ ☯️We are whole hearted in the work we do! 2. Educate -Teaching points are my highlights) What went well for me? CONNECTEDNESS Hot topics - Hospice HOMEROOM “Death rattle” Terminal Congestion treatment vs repositioning. https://youtu.be/waaRYBjnQnk (YouTube video Hosparus Health) 3. Empower- NEW HPM ARTICLE Core Roles and Responsibilities of Physicians in Hospice Care: A Statement by and for U.S. Hospice and Palliative Care Physicians | Journal of Palliative Medicine https://www.liebertpub.com/doi/10.1089/jpm.2023.0194 #hapc23 #CME #CE #vulnerability #hapc23 Website info https://mourningdovemedical.com Hashtags #hapc #EducateAndEmpower

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare NHDD info https://nationaltoday.com/national-healthcare-decisions-day/ NHDD FOUNDER Nathan Kottkamp Guest on The Heart of Hospice Podcast episode 154 during week 04/13/2023 https://podcasts.apple.com/us/podcast/the-heart-of-hospice-podcast/id1139992713?i=1000608890355 Advance Care Planning promotes Hope & lessens anxiety-RCT 2015 J Pain Symptom Management https://pubmed.ncbi.nlm.nih.gov/25542552/#:~:text=Results%3A%20A%20total%20of%20200,slightly%20in%20the%20Intervention%20group. Educate & Empower in three parts, help listeners ‘SEE’ what’s needed to navigate the healthcare system. Let’s SEE: 1. Story (theme)-Napa Valley wine bottle lantern 🍇🍷https://www.caymus.com “Nothing was left unsaid” helped by resident conversation champion Dr. G 2. Educate - The Conversation Project TCP uses the saying, “It always seems too soon, until it’s too late.” Be your own conversation champion on NHDD! 3. Empower -Valuable resources TCP FREE GUIDES https://theconversationproject.org “Conversation Starter Guide” and “What Matters to Me Workbook” MOURNING DOVE MEDICAL Physician-led family meetings CONTACT US https://mourningdovemedical.com Advance Directive forms NHPCO CaringInfo website https://www.caringinfo.org/planning/advance-directives/ NHDD Advance Directive process on Facebook Live with Serenity End Of Life Doula, LLC--Owner/CEO Sharon Harris of https://serenityendoflifedoula.com 🔗INSTAGRAM LIVE due to technical difficulty https://www.instagram.com/tv/CrHY1f4o8Zh/?igshid=MzRlODBiNWFlZA== #Educate #Empower #hapc #AdvanceCarePlanning #ACP #NHDD #ConversationChampion

Show notes- Mourning Dove Medical Presents Dr. G at the Heart of Healthcare -Podcast format explained: ’Educate & Empower in three parts, help listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme)-Origin of the Mourning Dove Medical logo. https://mourningdovemedical.com 💜🩺🕊️ 2. Educate -Hospice is the Heart of Healthcare. The ‘Circle of Life’ includes death. 🦁 https://m.imdb.com/title/tt0110357/?ref_=ext_shr_lnk Hospice definition: Team-based Healthcare care brought into the home, it is medical care for patients with a limited prognosis, no longer seeking curative treatments for a *terminal disease. What does the hospice interdisciplinary team IDT do for patients dying from terminal diseases? Medicare Hospice Benefit https://www.medicare.gov/coverage/hospice-care Hospice Eligible Diagnoses (skip to “Disease Specific Guidelines”) Local Coverage Determination (LCD) Hospice Determining Terminal Status https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=34538 3. Empower -Valuable resources Amazon link to book “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/e1g0CVT Hospice Medical Director Certification Board website info https://hmdcb.org for physicians and employers who prioritize quality hospice care. Hospice CareCompare is a public quality check on hospice agencies. Great question to ask: Who is the hospice physician/medical director? https://www.medicare.gov/ #hapc #hospicecare #Educate #Empower