moral injury – End of Life University

Learn about an innovative program to provide end-of-life care to people living on the streets and in shelters in Toronto.

My guest Dr. Naheed Dosani is the founder of PEACH, a mobile outreach program that provides palliative care to the homeless on the streets and in the shelters of Toronto. His model led to the development of Journey Home Hospice, Toronto’s first hospice for the homeless, which opened in May 2018. He’ll share how and why he started PEACH and inspire all of us to be more aware of and active in dealing with the issues of homelessness and health inequities in our communities. Learn more about PEACH at this webpage:

http://www.icha-toronto.ca/peach-covid-19-palliative-care-resources-for-physicians-and-frontline-workers

Follow Dr. Dosani:

Instagram: https://www.instagram.com/naheedd/
Twitter: https://twitter.com/NaheedD
TikTok: https://www.tiktok.com/@dr.naheedd
Clubhouse: @naheedd

Listen here:

This episode includes:

What inspired Naheed to create a palliative care program for homeless people
How PEACH functions and provides care for patients on the streets and in shelters
Why there is a great need for palliative care for the homeless population
Health issues faced by homeless people and their shockingly low life expectancy
How to replicate PEACH in other cities and countries
Trauma-informed care and why it is needed for all patients, including those who are homeless
Why we need systemic change in medicine to provide more equitable care to all people
Dealing with grief, compassion fatigue and moral injury for healthcare providers
Why we’re facing a global pandemic of grief due to COVID-19

Links mentioned in this episode:

Register here for Laughter Yoga Webinar (now scheduled for March 10, 2121; get the replay if you can’t attend live)
Canadian Grief Alliance
Sign up for the 2021 online reading group A Year of Reading Dangerously at this link
Support your local bookstore by buying my books on Bookshop and Indiebound: 7 Lessons for Living from the Dying and The Journey from Ego to Soul
Subscribe to this podcast on Apple, Google, Spotify, iHeart Radio, Stitcher Radio
Check out the Series I’ve recorded in the past here
Join the team at Patreon.com/eolu and get access to the EOLU mug: “Mind if we talk about death?” (only Patrons can purchase it). PLUS get our new bonuses: the monthly EOL News Update, movie reviews from 2 Doctors and a Movie, and automatic access to A Year of Reading Dangerously!

If you enjoy this content please share it with others and consider leaving a review on iTunes! Thanks again to all supporters on my page at Patreon.com/eolu! Your contributions make all the difference!

Learn how video tech is revolutionizing advance directives and about special training for death doulas to become ACP educators.

My guest Dr. Fred Mirarchi is an emergency medicine physician and the principal investigator of the TRIAD Research Series (The Realistic Interpretation of Advance Directives.) He’ll discuss how his research has confirmed that there is a nationwide patient safety risk due to confusion surrounding living wills, DNR and POLST orders. We will also talk about MIDEO, which is a video advance directive and physician’s medical order that improves both the quality and safety of advance care planning, AND his initiative to provide doulas with training to become ACP educators. Learn more at these websites:

www.mideocard.com

www.institutehcd.com

Listen here:

Improving Advance Directives by Using Video Technology

This episode includes:

Significant problems with living wills and POLST orders revealed by TRIAD research
- poorly understood by patients
- misinterpreted by healthcare workers
- forms not properly completed
Poor communication and lack of education create problems with advance care planning
“Effective” living will document differs from “Active” living will, which is triggered by a terminal event
Why video is more effective than a paper form for documenting patient wishes
How MIDEO works for creating video directives
Training physicians, doulas and other healthcare providers to help patients create video directives
How COVID-19 is currently affecting advance care planning
Moral injury is occurring for healthcare providers making difficult decisions during COVID-19

Links mentioned in this episode:

Get the book here: 7 Lessons for Living from the Dying
Doula training program on ACP and MIDEO
Learn about MIDEO here
Join the team at Patreon.com/eolu and get access to the EOLU mug: “Mind if we talk about death?” (only Patrons can purchase it). PLUS get our new bonuses: the monthly EOL News Update, movie reviews from 2 Doctors and a Movie, and automatic access to A Year of Reading Dangerously!

If you enjoy this content please share it with others and consider leaving a review on iTunes! Thanks again to all supporters on my page at Patreon.com/eolu, especially my newest Patron: Marnie McCourty. Your contributions make all the difference!