EOLPodcast

Ep. 347 The Global Palliative Care Movement with Katherine Pettus

Learn about the status of palliative care in developing nations around the world and how IAHPC is working to increase global access.

My guest Katherine Pettus is the Senior Advocacy Director for The International Association for Hospice and Palliative Care. In this role she meets with delegates at the United Nations to increase the understanding of palliative care and to advocate for improved availability of opioids for patients needing pain relief. She is the author of Global Palliative Care: Reports from the Peripheries, which describes her visits to communities around the world to witness firsthand their utilization of palliative care. Learn more about the work of IAHPC at the website:

www.hospicecare.com

Listen here:

This episode includes:

  • Why 80% of the world’s population has no access to morphine
  • How Hospice Africa Uganda is utilizing powdered morphine for pain relief and also allows nurses to prescribe it in the field
  • Why palliative care teams are good at “sideways thinking” to solve problems that arrive in the moment
  • How caregiving is a crisis everywhere in the world right now (except Costa Rica that provides support for family caregivers)
  • Why the extended family is becoming a myth in developing nations
  • What is the “health poverty trap” and how lack of access to palliative care contributes to it
  • How the Western model of medicalized death is spreading to developing nations
  • Expanding palliative care helps medical systems and medical providers as well
  • How a “palliative care peace corps” could transform society
  • How COVID has affected the global palliative care movement

Palliative Care transforms everyone who participates in it.” 

Katherine Pettus in Global Palliative Care: Reports from the Peripheries

Links mentioned in this episode:

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.

End of Life, EOLPodcast, Grief, Hospice, Tragedy

Ep. 122 Top 10 “Game Changers” of 2017 for the Death-Positive Movement

Learn about my Top-10 picks for people, events and trends that have changed the end-of-life movement in 2017.

PodcastGameChangers

2017In this final episode of 2017 I take a look back at the previous year and share my thoughts on some of the events and people that I believe will have a big impact on how our society deals with the end of life.

Happy Holidays!

ANNOUNCEMENTS:

Patreonbecome2xYou can support this podcast by making a small donation of $1 or $2 at Patreon.com/eolu.

 

FEATURE PRESENTATION:

Here are my picks for the 2017 Game Changers in the Death-Positive Movement:

  • The documentary film “Extremis” was nominated for an Academy Award for Best Documentary Short. The film was also picked up by Netflix in 2016. It is a powerful depiction of end-of-life care in the ICU staffed by Dr. Jessica Zitter, which should serve as a wake-up call to people about the need to do end-of-life planning before a healthcare crisis occurs.
  • Dr. Jessica Zitter’s book Extreme Measures was also released this year. In addition she wrote an article for the N.Y. Times (“First Sex Ed Then Death Ed”) calling for death education classes for all high school students. This novel idea has the potential to change our society’s perception of death and dying by introducing the subject to young people. Dr. Zitter is truly a game changer!
  • In March and May of 2017 the organization The Dinner Party (a movement to provide community for millennials dealing with loss) convened meetings with business leaders from some prominent US corporations to discuss loss and the workplace. They emphasized the importance of developing workplace policies and protocols for managing bereaved employees and offering them assistance. These conversations are just the first step in changing how grief is recognized and supported in the workplace rather than being ignored.
  • In April 2017 the 1st International Death Doula Training was held in Maui for the purpose of teaching people from around the globe to serve others as death doulas. This event was a game changer because it validated the death doula movement, increased the number of qualified doulas who can serve their communities, and provided a networking platform for death workers, which helped strengthen and expand the movement. The 2nd International training will take place in 2018!
  • Also in Apri the National Rx Drug Abuse and Heroin Summit was held to address the epidemic of opioid addiction in this country. Measures have been taken to limit the number of pain pills that can be prescribed and dispensed at one time. This is an important and game-changing step to deal with the overwhelming public crisis of opioid deaths but caution is necessary. We must be vigilant to ensure that all hospice and palliative care patients have access to the medications they need for pain and symptom management.
  • On June 27, 2017 Jon Underwood, founder of Death Cafe, died suddenly and unexpectedly at a young age. Jon has been a game changer from the beginning by creating the Death Cafe platform for conversations about death that has spread around the world. But the tragedy of his death is also a potential game changer because of the powerful legacy Jon leaves behind and because of the potential for tragedy to inspire growth, creativity and healing. The entire death-positive movement is indebted to Jon for his inspiring and gentle leadership and may his death be a catalyst for transformation.
  • In July a new smart phone app named WeCroak was introduced. This app is a game changer because it helps people to think about death in a positive manner  by sending reminders (“You will die one day”) and quotes on their phones 5 times a day. Technology has the potential to revolutionize our approach to death and dying and this simple $.99 app is just one small step toward the change that is needed.
  • The film Coco was released in the US by Disney and Pixar in November. Coco tells the story of a 12-year old boy who is transported to the land of the dead on Dia de los Muertos. There he receives help from his departed great-great grandfather to return to his family in the land of the living. The film depicts joyful skeletons who dance and sing and it portrays a positive image of life after death. While it is a children’s movie Coco has a powerful message for adults and is likely to stimulate much conversation in families about death and departed ancestors. It is exciting to see Hollywood begin to address death in a positive manner and this film is a game changer that will hopefully lead to more such productions in the future.
  • In December the first EndWell Symposium, created by Dr. Shoshana Ungerleider and her foundation, was held in San Francisco. This groundbreaking symposium brought together thought leaders from healthcare, design and technology to share ideas on how to improve end-of-life care. The synergy of this collaborative event will have a ripple effect across the country and should lead to innovation and creativity around death and dying in the months to come. Dr. Ungerleider is a game changer for her forward-thinking generosity and ingenuity!
  • Also in December the Northpoint Expeditionary Learning Academy in Prescott AZ held a class for students in grades 9-12 on “Death and the Meaning of Life.”  School Director Charles Mentken taught the class, which provided a comprehensive look at death and dying from various cultural and religious perspectives. The elective class also introduced the students to options for hospice and palliative care, death doulas, home funerals, cremation, and traditional funeral and  burial services. This may be the first “pilot project” course of the type Dr. Jessica Zitter called for in her NY Times article and it is definitely a game changer. The students in the course have reported that their attitudes and fears about death have been totally transformed, as well as their approach to life, as a result of what they learned in the class. (I’ll be featuring an interview with Charles Mentken and 3 of his students on the End-of-Life University Interview Series in early 2018. Sign up if you’re not already on the list!)

I hope your holiday celebrations have been filled with joy and light and that you feel ready to embark on a brand new year next week! There will be a new episode on New Year’s Day where I will share my “wish list” for 2018.

Until then remember to ….

Face Your Fear            BE Ready           Love Your Life

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End of Life, EOLPodcast, Hospice

Ep. 104 Alternative Remedies for Pain

Learn about 10 alternative remedies that are helpful for chronic or terminal pain.

PodcastPain

In this episode I’ll share some insights about pain management from a recent blog I wrote in response to the opioid crisis in the U.S. I’ll cover 10 alternative remedies for pain that can be used alone or in conjunction with pain medication. Read the companion blog here (includes links to sources.)

ANNOUNCEMENTS:

If you missed “An Evening with Ira Byock MD” you can still sign up to listen to the replay. Just click here to submit your email address and you’ll receive the link to listen.

Patreonbecome2xThanks to all of my supporters on Patreon.com/eolu who generously contribute every month to help keep this podcast and the End-of-Life University Interview Series on the air! If you’d like to become a Patron for just $1 or $2 per month go to Patreon.com/eolu and join the fun! You’ll receive access to our monthly Hospice Happy Hour Q&A session, the Top 10 Interviews from EOLU, I’ll also promote your website, business, organization, book, etc. related to the end of life on this podcast.

In personal news, I’m busy preparing for my trip to Italy where I’ll be traveling for a month and writing a new book about grief. You can check out my travel plans on my Pinterest board and follow my journey on Instagram and Facebook.

FEATURED PRESENTATION:

The current opioid crisis in the U.S. has reached epidemic proportions and prescription drug-related deaths now outnumber traffic fatalities and gun deaths. This crisis has been  partly fueled by the pressure placed on physicians two decades ago to do a better job of treating pain. Since that time the trend has been for doctors to hand out prescriptions for powerful and addictive opioids for relatively moderate pain when those drugs should be reserved for intractable pain from serious or terminal illness.

As a response to this epidemic I discuss 10 alternative therapies which can help with pain management that can be used alone or in combination with medications. These remedies can decrease the need for drugs and will help improve wellbeing and decrease stress as well:

  1. Laughter
  2. Music
  3. Exercise and stretching
  4. Massage
  5. Guided imagery
  6. Coloring
  7. Deep breathing
  8. Loving relationships and sexual intimacy
  9. Prayer and meditation
  10. Emotional Freedom Techniques (E.F.T.)

I’ll discuss each alternative along with the science that supports its use. Hopefully we can learn to manage pain in ways that support overall health of the whole person.

Tune in next week for another episode! Until then …

Face Your Fear.                    BE Ready.                        Love Your Life.

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