Dr. G at the Heart of Healthcare

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest- Rick Topete has served families at Silverado since 2011

https://www.linkedin.com/in/rick-topete?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) When facing MCI Mild Cognitive Impairment there are many care options available if disease progresses to dementia. https://www.alzheimers.gov/alzheimers-dementias/mild-cognitive-impairment In your estate planning, consider selecting a place to live (home) that meets your healthcare needs.

2. Educate -Teaching point

• ​Nexus program (connections) Socialization and living with purpose while disease progresses
• ​Clinical model: medical director and 24/7day nurses
• ​Social model: in house support groups
• ​Care planning with cognitive exercises
• ​Enrich lives Educate & Encourage

3. Empower -A valuable a resource Silverado Memory Care https://www.silverado.com/nexus-at-silverado/nexus-living/

Website info https://mourningdovemedical.com

Video podcast link 🔗 https://youtu.be/gNn8in1tqBQ?si=vPSPy2FsdFq6nyQ2 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #MemoryCare #EstatePlanning

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guests-

Finly Zachariah, MD FAAFP FAAHPM FAMIA

Chris Halsema

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. ​ Story (theme) Dr. G joined the Empower Hope platform to complete (Advance Care Planning) POLST with palliative care patients. This secures healthcare wishes online.
2. Educate -Teaching point

-POLST: Physician Orders for Life-Sustaining Treatment forms, integrated seamlessly into electronic health records (EHR) systems, making them accessible to healthcare providers when needed. -VIDEO https://www.empowerhope.ai/polst-portable-medical-orders-patient-education-video/

3. Empower -A valuable a resource https://www.empowerhope.ai

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/UEBVzi8txGI?si=TZd8vCdwmqlA6p9f #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #POLST #AdvanceCarePlanning #AdvanceDirective

Show notes

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest

Jessica Guthrie, M.Ed

- Lives in Fredericksburg Virginia

- One of 53 million caregivers for a decade

- Her mother, Constance Guthrie, is living with end stage Alzheimer’s disease and is receiving home hospice care.

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Jessica is a leader in the Instagram family caregiver community https://www.instagram.com/careercaregivingcollide?igsh=MzRlODBiNWFlZA== Jessica lived in Dallas, Texas before sacrificing her career to care for her mother over 10 years ago.

2. Educate -Teaching points

Tips for Physicians:

- Center the Caregiver

- Slow down & Be Curious

- They have a story, build trust with the family, have empathy

- Be proactive in communicating with the family about trajectory of disease during the late stages of life.

-Share information about the continuum of care Home Health (PT, OT, ST) Palliative Care, Hospice Care.

3. Empower -A valuable a resource https://www.jessicacguthrie.com You are doing the BEST you can! Keep showing up! Give Dignity and respect to your loved one! Experience Joy, Laugher, Love while navigating your priorities

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/895RPlJhaWc?si=ukkjrXA3ad0574M9 #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #FamilyCaregiver #Thrive #Alzheimers #Daughter #Joy

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

James Jones

- Concierge Senior Living Advisor

- 20 years of experience helping people find a new home

- San Diego native

- Originally from Puerto Rico

- Musician, pilot

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Dr. G met James at POM networking group. He transferred skills as realtor to be a guide for seniors needing a new home in a senior community. No home maintenance activities; Meals provided; socialization, surrounded by peers; better quality of life

2. Educate -Teaching points

- Senior Living Advisor exist:

- Assess & Tour senior living communities

- Listen to needs

- Understanding

- Living Options: Independent Living, Assisted Living, Memory Care Center, Board and Care Home, Respite Care Center for Retired, Skilled Nursing Facility

3. Empower -A valuable a resource https://goldenyearsseniorlivingadvisors.com

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/JTTe43_wHfQ?si=iUoSvbo1xGEkYjeP #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #SeniorLiving #AssistedLiving #MemoryCare

Las notas del programa/ Show notes-

¡Feliz mes Nacional de la Herencia Hispana!/ Happy National Hispanic Heritage Month! https://www.hispanicheritagemonth.com

https://www.whitehouse.gov/briefing-room/presidential-actions/2024/09/13/proclamation-on-national-hispanic-heritage-month-2024/#:~:text=NOW%2C%20THEREFORE%2C%20I%2C%20JOSEPH,as%20National%20Hispanic%20Heritage%20Month.

Mourning Dove Medical presenta a Dr. G en el corazón de la asistencia médica

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest-

Lisa Muller, DNP, FNP-BC, ACHPN, PMHNP-BC, PMGT-BC

- Grew up in Downey, California

- UMass

- Dr. Lisa is working with the 🆕Essence Palliative Care team https://essencehospicecare.com Previously discussed on podcast Season 1 EPISODE 15 Essential Care Program https://youtu.be/tb37Innwt8s?si=m2VIUe5-FlqzwlFl

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. ​ Historia/ Story (theme) Dr. Lisa shared how challenging it was to be the only English speaker while her grandparents were facing end of life. https://hospicenews.com/2024/02/28/bilingual-patient-navigation-can-improve-palliative-care-outcomes-for-hispanic-patients/?euid=cb6408ccb4&utm_source=&utm_medium=email&utm_campaign=82daa9d9a6&mc_cid=82daa9d9a6&mc_eid=cb6408ccb4
2. ​Educar/Educate -Teaching points

- ¿Qué es hospice?/ What is hospice? ¿Para quién es el cuidado de hospice?/Who is hospice care for? ¿Cuáles son los condiciones comunes?/ What are common conditions? 

- ¿Es el cuidado de hospice cubierto por el seguro?/ Is hospice care covered by insurance? 

- ¿Cuándo es el momento de inscribirse en hospice?/ When is it time to sign up for hospice?

- ¿Qué es cubierto por el cuidado de hospice?/ What is covered by hospice care?

- ¿Qué pasa si no estás listo?/ What if not ready? Palliative care

- ¿Cómo encontrar la mejor agencia en tu zona?/ How to find the best hospice agency in your area?

- Information about diseases: Enciclopedia médica: MedlinePlus en español https://medlineplus.gov/spanish/encyclopedia.html

3. Empoderar/ Empower -A valuable a resource NHPCO CaringInfo en Español https://www.caringinfo.org/es/

Website info https://mourningdovemedical.com

Hashtags #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #HispanicHeritageMonth

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guests 🎭

Erin Whalen

- Professional actor, retired standardized patient

- Founded Compassionate Coaching in Fall 2020, signature offering is Playback Theater https://www.compassionatecoaching.org/blog/what-is-playback-theatre

- Sister’s death 2016 taught her about anticipatory grief

John A. Johnson

- Native Washingtonian

- B.A in theater form the University of the District of Columbia

- 2024 Artist in Residence at the Honfleur Art Gallery in Washington DC. Artist Fellow of the DC Arts Commission.

- Founder and creator of Verbal Gymnastics Theater Company

- Poet/Playwright: written and produced six plays

- Published author of a book of poetry called “Love for Her"

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. ​Story (theme) Dr. G worked with standardized patients like Erin & John. They use their acting skills to help medical students learn clinical reasoning skills to diagnose & treat once they become physicians.
2. ​Educate -Teaching point

- SELF CARE after workday “Don't let a difficult day at work negatively impact your time at home. If you work in the end-of-life field, you might be emotionally drained at the end of your work day. Listen to our 5-minute Transition Routine to help you transition from emotional overwhelm to peaceful presence.”

- Hospice Leadership: Consider COMPASSIONATE COACHING for your team to combat burnout😓

3. Empower -A valuable a resource https://www.compassionatecoaching.org

Video podcast 🔗 https://youtu.be/TbBkVcW9R8I?si=Y300dAVxUCDDJxQz https://mourningdovemedical.com

#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Burnout #Mindfulness #Compassion #Compassionate #Empathy #Stories

Show notes-

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guests

Hitomi Gonzales

Frank Velasquez, CFO

​1. Story (theme) Dr. G met Hitomi at a senior living event at Surnrise or Aegis. They recognize there is diversity among insurance plans and everyone does not have luxury ALF in their budget, others desire to age in place at home with support of caregivers.

​2. Educate -Teaching point CalAIM “CalAIM is a once-in-a-generation opportunity to improve care and outcomes for millions of Medi-Cal enrollees. It’s also complicated, given its incredible scope and reach and the fragmented system that it strives to improve. Over a span of five years, CalAIM will introduce a myriad of new programs and make important reforms to many existing programs. CHCF’s CalAIM Explained series provides an overviewof CalAIM’s goals, explains its importance, and breaks down the key changes and timeline for implementation.” https://www.chcf.org/resource/calaim-in-focus/calaim-explained/

​

3. Empower -A valuable a resource Coast Care’s brand promises fulfill “Caregiving reimagined“ https://coastcare.org

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/g5UFtH4L0Lo?si=u3SY3zsLksqhbNIL#hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #CalAIM #Caregiving #Caregiver #SeniorLiving

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Guest- Favorite Retired Hospice Nurse Gerard Soucy, RN, CHPN

- BOSTON based

- Previously on Season 1 EPISODE 19 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs

- BONUS EPISODE 36 https://open.spotify.com/show/2u3BXV3MNZBzhGPaQftlDs

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. ​Story (theme) Family Caregiver/Daughter reported to the hospice nurse that her mother is “sundowning.” Sundowning = DELIRIUM is cyclic, waxes & wanes and is REVERSIBLE. Can happen in different settings. Confusion Assessment method for the ICU (CAM-ICU) https://www.icudelirium.org/medical-professionals/delirium/monitoring-delirium-in-the-icu

1. ​Educate -Teaching points

- Fast Fact #1 Diagnosis and Treatment of Terminal Delirium | Palliative Care Network of Wisconsin https://www.mypcnow.org/fast-fact/diagnosis-and-treatment-of-terminal-delirium/

- New nurses advice: expect, prevent, manage environment, instruct family

- Caregivers advice: Manage environment

- Risk factors: illness, disrupted routine, sensory deprived (glasses, hearing aids), sleep disturbance, substance withdrawal, UNtreated PAIN

- Nurse Gerards tips: step in early, prevention is the best treatment

- Sedate or fix problem, AVOID disinhibiting benzodiazepines

- Hospice Comfort kits have haloperidol, an antipsychotic for terminal delirium. Consider as recommendation in delirium SBAR

Assessment tools

-RASS like temperature calm restless agitated very agitated combative ….use same language ; Richmond Agitation-Sedation Scale (RASS) https://www.mdcalc.com/calc/1872/richmond-agitation-sedation-scale-rass

-Nursing Delirium Screening Scale (Nu-DESC) quick can be done from door https://www.jpsmjournal.com/article/S0885-3924(05)00053-9/fulltext 

1. ​Empower -A valuable a resource

“Delirium in Advanced Disease” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600115/

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/3ZFXYcZqVhQ?si=CtJ4LJg1bUU_R7gg #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Delirium #Confusion #Agitation #Disoriented #Restlessness #Anxiety

Mourning Dove Medical Presents Dr. G at the Heart of Healthcare

Kristen Lew-Byrne, RSW

- Founded “Growing in Grief” 1 year ago 🥳 HAPPY Anniversary!

- Lives in Hamilton, 1 hour west of Toronto, Canada

- Provides 1:1 Grief & Loss counseling

- Experienced in clinical consulting as social worker long-term care LTC facility,

- Previous hospice agency manager of bereavement

- Education & Support Groups “Honoring our grief as healthcare practitioners”

- Artist, utilizes artistic modalities for grief counseling

- Former fashion designer, Kristen drew logo herself

Instagram page

https://www.instagram.com/growing.in.grief?igsh=MzRlODBiNWFlZA==

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

1. Story (theme) Fashion Designer for 7 years until maternal grandfather died and grandmother needed to live with Kristen and Mother. During grandmother’s health decline, gaps in care became evident. “Aha moment in life” happened when a 16-month fast track Social Services gerontology program “filled her cup. “

2. Educate -Teaching points

- A Definition of Grief: “When love meets loss”

- What do we grieve? Defined personally: job, relationship, not just death https://www.ncbi.nlm.nih.gov/books/NBK518989/

- Stages of Grief: experts Dr. Elisabeth Kubler-Ross and David Kressler shock, denial, anger, bargaining, depression, testing, and acceptance. Bottom line, grief is NOT linear. One becomes a whole new person with new identity after grieving process. https://www.medicalnewstoday.com/articles/grieving-process

- Creative approach to processing grief: water color, finger prints, seeds, transplanting pieces of garden.

- Feeling Stuck? Wherever you’re at is okay💜 It’s okay to NOT BE OKAY💜

3. Empower -A valuable a resource https://www.growingingrief.ca

Website info https://mourningdovemedical.com

Video podcast 🔗 https://youtu.be/rcxx4MfRV5I?si=rZroca-Ek5kZ6tIO #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #Hope #Grief #Counselor #Bereavement #Olympics #Toronto #SocialWork

Show notes-


Mourning Dove Medical Presents Dr. G at the Heart of Healthcare


Guest- Penny Smith, BSN, RN, CHPN

- Started nursing career as an LPN

-40 years young started nursing school

- Currently works as Hospice quality nurse

- Lives in Washington State

- Tik Tok Queen uses it for teaching about dying, death, end of life care https://www.tiktok.com/@hospicenursepenny?_t=8otVRsZMTNb&_r=1

Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system.

Story (theme) Dr. G met Nurse Penny in person ‘End Well 2023’ Hospice Table Talk https://youtu.be/MyzQyvWJGtc?si=xKX3fqw8YmlUe5p1


​ Educate -Teaching points

- Death anxiety is common in our society. It’s IMPORTANT to have conversations about healthcare options as health changes. JAMA Internal Medicine article published online November 6, 2023 “Talking About Dying” https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2811178?utm_source=linkedin&utm_campaign=content-shareicons&utm_content=article_engagement&utm_medium=social&utm_term=110723

- Penny helped raise money for a dying 25 year old named Amanda in 2022 (with bestie Hospice Nurse Julie) https://www.tiktok.com/@justsomecancerkid?_t=8nnfTcQDoHD&_r=1

​- Strong emotional boundaries are needed for death workers to continue providing care for those in need.


​ Empower -A valuable a resource

https://www.hospicenursepenny.com

Website info https://mourningdovemedical.com Video podcast https://youtu.be/9lOTgcgT9RI?si=QFyUMRD0F7lpUPto #hapc #EducateAndEmpower #PeaceOfMind #Hope #TikTok #death #dying #HospiceNursePenny