The purpose of this podcast is to increase your understanding of the principles and practices that facilitate high quality primary and specialty care in the ICU and review the existing evidence for specific approaches to integrating palliative care in the ICU.

MJHS Institute for Innovation in Palliative Care

Professor's Rounds: Integrating Palliative and Critical Care -- J. Randall Curtis, MD, MPH

 The purpose of this podcast is to analyze how polypharmacy can cause falls and other side effects in the elderly. 

A 75-year-old man with CHF, COPD, chronic kidney disease, and frequent falls after medication change -- Michael Zablow, MD

 The purpose of this podcast is to discuss the assessment, diagnosis, and treatment of frailty in the geriatric population. The presentation will use discussion of clinical cases to illustrate a practical clinical treatment approach aimed at improving the patient’s symptoms and quality of life. 

An 89-year-old woman with increasing weakness, declining function, and weight loss -- Michael Zablow, MD

The purpose of this podcast is to enhance the knowledge of primary care physicians and nurse practitioners in the palliation of a patient with chronic kidney disease (CKD)with symptoms of insomnia and dysthymia.

A 62-year old man with chronic kidney disease, insomnia and dysthymia -- Mara Lugassy, MD

The purpose of this podcast is to enhance the knowledge of primary care physicians and nurse practitioners in the palliation of cancer-related pain in a patient who has a history of IV drug abuse.

A 45-year-old woman with locally extensive cervical cancer, chronic pain, and a history of IV drug use -- Martin Grossman, MD

The purpose of this podcast is to understand the importance of symptom management and communication about prognosis and end-of-life care preferences in patients with advanced cancer and the role that palliative care can play in addressing these important aspects of cancer care. 

Professor's Rounds: Ensuring the Delivery of High Quality Care Throughout the Cancer Trajectory -- Jennifer Temel, MD

This palliative care podcast reviews the National Consensus Project Guidelines, 4th edition, released in 2018. 

2018 Update of the National Consensus Project for Quality Palliative Care: Process and Outcomes -- Betty Ferrell, PhD, MA, FAAN, FPCN, CHPN

We live in an aging nation and world. More people will experience serious illness, and it is possible to help people live well in the face of serious illness, get the care they want, and avoid the care they don't want. 

What Matters Most to Those with Serious Illness -- Amy Berman, RN, LHD, FAAN

This podcast focuses on aspects of care influenced by cultural values and beliefs. 

Cultural Sensitivity to Improve Patient-Family Experience -- Martin Grossman, MD

This podcast will describe the interdisciplinary assessment and management of a complex patient with advanced dementia and weight loss, who is facing a decision to withdraw or withdraw and restart artificial nutrition.

Interdisciplinary Case Conference: An 83-year-old woman with dementia and weight loss -- Russell K. Portenoy, MD, et al.

The purpose of this podcast is to provide education to clinicians on the frequency, clinical presentation, contributors, assessment, and management of delirium in the palliative care setting. 

Professor's Rounds: Screening, Diagnosis, and Management of Delirium in Palliative Care -- Eduardo Bruera, MD, FAAHPM

The purpose of this podcast is to describe the interdisciplinary assessment and management of a complex patient with advanced pulmonary disease and dementia, with a focus on the patient and family as the unit of care.

Interdisciplinary Case Conference: COPD, Dementia, and a Distressed Family -- Russell K. Portenoy, MD, et al.

At the end of this podcast, the participant will appreciate that advance directives are important, but not sufficient to change end-of-life care. Rather, complex interventions are needed that are aimed from the individual to the state government.

Professor's Rounds: Embracing the Complexity of End-of-Life Care: What Advance Directives Are Not Enough? -- Joan M. Teno, MD, MS

The purpose of this podcast is to describe the interdisciplinary approach to the assessment and management of chronic pain in a patient with an indolent cancer and a history of substance use disorder.

Interdisciplinary Case Conference: Pain and Substance Use Disorder in a Complicated “Survivor" -- Russell K. Portenoy, MD, et al.

This podcast aims to inspire nurses working in a palliative and hospice care system to take a leadership role in transforming care in the direction of the Quadruple Aim. Triple Aim includes a focus enhancing patient experience, improving population health, and reducing costs and is widely accepted as a compass to optimize health system performance. Yet nurses and physicians and other members of the healthcare workforce report widespread burnout and dissatisfaction, which are associated with lower patient satisfaction, reduced health outcomes, and possible increased costs.   

Nurses Transforming Hospice and Palliative Care -- Diana J. Mason, PhD, RN, FAAN

The MJHS Institute for Innovation in Palliative Care is a not-for-profit unit of MJHS health system, supporting community-based palliative care through education, research, and quality management.