Literature Review

Innovations in serious illness care with Bree Owens Teleios Collaborative Network (TCN); podcast by Chris Comeaux; 2/19/25 In this episode of TCNtalks, host Chris Comeaux interviews Bree Owens, a licensed clinical social worker and co-founder of The Holding Group.  They discuss Bree’s journey in the healthcare field, particularly in Palliative Care. Bree shares insights on learning the importance of meaningful conversations with patients and their families about care options, which led her to the unique model of The Holding Group.  Her organization has created space, hence the name The Holding Group, for a patient-centered approach, helping patients and their families find the right care at the right place and at the right time.  Bree emphasizes the significance of informed consent and the role of social workers in facilitating these discussions to enhance patient outcomes and satisfaction.

Top news stories of the month January 2025 Teleios Collaborative Network; Chris Comeaux with Cordt Kassner; 2/5/25 In this episode of TCN Talks, Chris Comeaux and Cordt Kassner, PhD, publisher of Hospice & Palliative Care Today and CEO and Founder of Hospice Analytics, begin a new format for the “Top News Stories of the Month.” ... Chris and Cordt explore key trends in Hospice news, challenges in reimbursement, competition, workforce issues, and the impact of technology on the field.  They also touch on demographic trends, regulatory issues, and predictions for the future of Hospice Care. Their dialogue highlights the challenge of filtering vast information and the excellent service provided to Hospice and Palliative Care leaders.  This podcast and Hospice & Palliative Care Today are for the leaders in the Hospice and Palliative Care field.

TCN podcast: The need for innovation with Meg Pekarske Teleios Collaborative Network (TCN); hosted by Chris Comeaux; 1/22/25 In this episode of TCNtalks, host Chris Comeaux interviews Meg Pekarske, a partner and head of the Hospice and Palliative Care Practice Group at Husch Blackwell.  They discuss Meg's extensive expertise in Hospice Care, the significant challenges, and promising opportunities for growth and diversification.  Meg makes it clear that strategic planning is essential.  Adapting to shifts in the payer market and implementing legal restructuring to support new care models are critical to success.  The conversation boldly addresses the need for innovation and collaboration to navigate the ever-changing landscape of Hospice and Palliative care.  It also touches on surprising facets that reveal Meg's unique approach—she is not your average attorney.[Teleios Collaborative Network is a sponsor of our newsletter.]

Palliative care for mental illness: A podcast with Dani Chammas and Brent KiousGeriPal Podcast; by Eric Widera, Alex Smith, Dani Chammas, Brent Kious; 12/19/24We’ve talked a lot before about integrating psychiatry into palliative care. Still, we haven’t talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this week’s podcast, we talk with two experts about palliative psychiatry. We invited Dani Chammas, a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious, a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses.

Watch: ‘Going It Alone’ — A conversation about growing old in AmericaKFF Health News; by Judith Graham; 12/11/24 KFF Health News’ “Navigating Aging” columnist, Judith Graham, spent six months this year talking to older adults who live alone by choice or by circumstance — most commonly, a spouse’s death. They shared their hopes and fears, challenges, and strategies for aging solo. Graham moderated a live event on Dec. 11, hosted by KFF Health News and The John A. Hartford Foundation. She invited five seniors ranging in age from 71 to 102 and from across the country — from Seattle; Chicago; Asheville, North Carolina; New York City; and rural Maine — to talk candidly about the ways they are thriving at this stage of life.

The change leadership strategy that costs nothing Forbes; by Jane Sparrow; 12/5/24 ... [Often] the most successful strategies for change management are the easiest ones to implement. And one strategy, in particular, is in every leader’s gift. I’m talking, of course, about leading with kindness. I was speaking recently during my podcast to Andrew Moultrie, the CEO of BBC Studioworks, about the one thing he would advise leaders to focus on when going through change. There was no hesitation. Andrew said: “Underlined, kindness is the fundamental tenet of every emotional state that people can commit to. And if your actions are coming from a position of kindness, then your ability to manage change will be far more effective and fulfilling for those people you’re managing. ..."

Top News Stories of the Month Nov 2024 - TCN Podcast Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Mark Cohen; 12/4/24 What if the future of Hospice and Palliative Care depends on understanding the intricacies of industry integration and regulation?  Join us for an insightful journey through November's most compelling stories that have captured the attention of Hospice and Palliative Care Today's readership. Our conversation reveals the significant impact of national events, from elections to regulatory changes, on shaping news cycles and industry priorities.  Also, rising workforce demands and political changes, such as immigration restrictions, paint a concerning picture for the future labor pool in Hospice Care. We provide a comprehensive analysis of the month's key themes that may have been missed, like tackling issues from CMS payment cuts to the Justice Department's stance on UnitedHealthcare Group's acquisition of Amedisys. This episode is a must-listen for those seeking a deeper understanding of the critical yet often overlooked issues in Hospice and Palliative Care today, and Mark delivers another excellent masterclass on creating compelling headlines. 

Mother, doctor, CEO: one woman’s journey to reshape health care [podcast] MedPage Today's KevinMD.com; podcast by KevinMD; 11/16/24 We dive into the powerful story of a physician-mother whose world changed with the onset of COVID-19. Our guest, Arian Nachat, a palliative and emergency medicine physician, shares her journey through the pandemic, balancing the demanding roles of mother and doctor. From navigating childcare crises and homeschooling to reimagining her career beyond the confines of traditional health care, she sheds light on the struggles faced by frontline workers. Listen as she reveals how these challenges inspired her to reshape her path, create a health care company addressing critical system gaps, and advocate for a patient-centered, physician-led approach to medicine.

Educating patients and clinicians on end-of-life care and discussions CancerNetwork - home of the journal Oncology; by Kelley A. Rone, DNP, RN, AGNP-c CancerNetwork® sat down with Kelley A. Rone, DNP, RN, AGNP-c, to discuss the importance of speaking compassionately and ensuring patient awareness when leading end-of-life discussions among those with gastrointestinal (GI) cancers. The discussion also focused on combating burnout in the clinic, using opioids to help manage pain and other symptoms, and educating all members of a multidisciplinary team on initiating end-of-life conversations with their patients. ... As part of leading these end-of-life conversations, Rone emphasized the necessity of addressing the discomfort patients tend to feel when talking about the fact that they may die from their cancer. ... When working with other members of a multidisciplinary care team, Rone illustrated the challenge of having physicians understand that their treatments may fail in younger patients and helping other oncologists become more experienced in speaking about death with patients. ...

Physician explores family's end-of-life journey in new podcast: "There were so many places that we ran into unexpected obstacles" MedPage Today; by Rachael Robertson; 11/4/24 As host of the TED Health podcastopens in a new tab or window, Shoshana Ungerleider, MD, is no stranger to podcasting. But now, the internist turned the mic on herself to explore death and mortality through the lens of her own experience losing her father to pancreatic cancer. Her eight-episode show is called "Before We Go" and is available on all podcast platforms (Spotify, Apple) with new episodes each week through early December. ... Ungerleider: My father died from pancreatic cancer in the spring of 2023. In my experience as an internist and as someone who is an expert on end-of-life through my work with End Well, there were so many things that kind of shocked me along the way. Despite the fact that I had the knowledge, the expertise, and the resources to provide him with a good end-of-life experience, there were so many places that we ran into unexpected obstacles. I wanted to share my story, really, with the goal of helping other people who might be facing the same kind of journey, and how to find the balance between being a doctor and being a daughter.  ...

A moral code: Ethical dilemmas in medicine — three physicians face crossroads in patient care MedPage Today; podcast by Genevieve Friedman, Perspectives Editor; 10/25/24 We are back for another episode of our medical podcast, which we hope isn't really a podcast about medicine, but a podcast about life, death, dilemma, the challenges, and sometimes the joys of medicine. ... Now, medicine is complicated because a lot of times there aren't hard and fast rules ... One treatment isn't always right or wrong for someone. One surgery isn't always successful or unsuccessful, and one diagnosis isn't always correct. Decisions aren't black and white, they're varying shades of gray. So we come up with principles to help handle this -- codes if you will. But even those get a bit marred by complexity at times. As you'll hear in this episode of Anamnesis with the theme of "A Moral Code: Ethical Dilemmas in Medicine," one of our biggest codes is "do no harm." But what is harm? Who decides what harm is, what happens if we disagree?

[Podcast] Ethics teaching and learning: How can dying be healthy?AMA Journal of Ethics; by Helen Stanton Chapple; recorded 9/28/22Dr Helen Stanton Chapple joins Ethics Talk to talk about teaching health professions students and trainees about acknowledging and realizing dying in a healthy way.

[Podcast] Health by law: What should clinicians and students know about the legal landscape of advance care planning?AMA Journal of Ethics; by Thaddeus M. Pope; 10/7/24Dr Thaddeus M. Pope joins Health By Law to discuss updates to the Uniform Law Commission’s Health-Care Decisions Act.