In the serious illness space, regret is rampant. 

Caregivers often regret what they did or didn't do when caring for their loved one with cancer, dementia, or other life-limiting illness. Physicians and other clinicians may regret the goals of care conversations that we meant to have but didn't get around to.

Regret is terrible and its negative impact can linger long after the ill person has died. One of the key tasks in serious illness care is to help everyone involved avoid regret.

This week I discuss four steps that we can all use to help us, our loved ones, and our patients to avoid regret.

Dr. Delia
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Emergency Medicine physicians face life and death situations as part of their normal work day. They train for that! But what about when an ailing person with a very advanced cancer comes to the ED without an advanced directive? What if half the family wants aggressive care and half the family wants to let the patient die peacefully at home?

This week's guest is Dan Morhaim, MD who is an accomplished emergency medicine physician, legislator, and so much more. He has focused his teaching and research on advanced directives because he saw how important they are when an emergency hits the family.

You will love this conversation.

Thanks for joining us on the integrative palliative path.
Dr. Delia
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Holidays can be joyful times that bring you together with the people that you love. But what if someone is missing? 

Maybe your loved one has died, or maybe someone important to you can't join you for the holidays this year. How do you balance grief with expectations of holiday joy?

This week I discuss how to cope with the holidays when someone you love won't be with you.

In support and gratitude,

Delia
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

We've just had a big election and many people have strong feelings about the result. Some people are happy about the outcome, and others are feeling deeply distressed.

In palliative care we are experts at helping people cope with highly unwanted outcomes. We can use some of our palliative care skills to help people cope with their feelings right now.

What other tips would you suggest?

#meded #hospice #election

Delia
Delia Chiaramonte, MD
www.integrativepalliative,com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Can you define cisgender? Transgender? Intersex? Gender non-conforming?

Do you know the difference between sex and gender? Have you heard of a 'dead name?'

Do you know why using "Sir" and "Ma'am" can cause you to be inadvertently hurtful to your patients? 

Providing gender affirming care is important but you may not have learned this in school. Join us this week for a primer in the basics of gender affirming healthcare.

What did I miss? Reach out and let me know.
Delia
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Sarah Freeman Smith is a blind inspirational speaker and author, former HR/recruiting leader and disability advocate. She went blind in midlife and in this week's episode of The Integrative Palliative Podcast she shares her journey, the tech that she uses to increase her independence, and guidance for physicians and clinicians to help their visually impaired patients.

Rayban Meta smart glasses have been a game changer for her!

Sara has many resources for the visually impaired and you can find them on her website www.urgems.com. 

October is World Vision Awareness month. 

If you like the podcast be sure to subscribe!
Delia
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Many patients are embalmed or cremated after death, but this isn't the only option. Embalming and cremation have a negative impact on the environment, and other, more eco-friendly, options are becoming popular.

Options such as green burials, human composting, and reef balls give people options for how to handle their loved one's body after death.

Do you think that accepting, and even facilitating, decomposition of a body after death helps us engage in "circle of life" coping? Or are standard funeral services more helpful?

Let me know what you think!

If you like this podcast, please subscribe!

Delia 
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Many physicians, and other clinicians, are wiped out and burned out. They may wonder if they should stay in medicine, or if there is another path that would make them happier.

Yet running away from unhappiness isn't a great strategy because sometimes the unhappiness follows you to your next destination.

Dr. Heather Fork is a dermatologist and physician career coach who guides physicians to a career, and life, that makes them happy.  Sometimes her clients decide to remain in clinical practice and sometimes they find non-clinical positions, but either way Dr. Fork helps them to create happier lives for themselves and their families.

You can find more information about working with Dr. Fork at https://doctorscrossing.com/.

You deserve to be happy!
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Sometimes patients or family members express their stress with anger. And when the anger is directed your way you may get defensive or annoyed and it can put a pall on your day.

Listen to this week's episode for clear guidance about what to do when your patient gets angry so that both of you leave the visit feeling calm.

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/

Don't be afraid to talk about dying.

We don't learn to talk about dying and so many people are afraid because they don't know what to say. Here are four key topics to bring up with people who have advanced illness such as progressive metastatic cancer. In patients with Alzheimer's disease or other kinds of dementia, it is important to have these conversations early in the disease course.

Today we'll discuss:

• Fear of death
• Need for connection and closure
• Life review 
• Legacy or Love projects

What kind of legacy would you like to leave?

In gratitude,
Delia Chiaramonte, MD
www.integrativepalliative.com

Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Without Losing Yourself is available here: www.copingcourageously.com

Please review this podcast wherever you listen and forward your favorite episode to a friend! And be sure to subscribe!

Sign up to stay connected and learn about upcoming programs:
https://trainings.integrativepalliative.com/IPI-stay-in-touch

I'm thrilled to be listed in Feedspot's top 15 palliative podcasts!
https://blog.feedspot.com/palliative_care_podcasts/