Tag: technology and EOL

EOLPodcast

Ep. 397 Talking About Death with ChatGPT

kwyattmd

Learn how the AI language model ChatGPT can be used as a resource for information about death and dying and when caution is required.

My special “guest” this week is ChatGPT an AI language model that can understand and respond to human language. Chat has been trained on a wide range of topics, including end-of-life care, hospice, palliative care, grief and bereavement, and advance care planning, among others. I conducted a written “interview” with Chat to test its knowledge and in this episode I report on my findings. In addition, I’ve compiled all of our correspondence into a book titled Conversations on Death with ChatGPT, which you can access now in ebook format. I hope you enjoy hearing about my adventures with Chat!

Get the book

Watch on YouTube

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This episode includes:

  • What an AI language model consists of and how to interact with it
  • The amazing depth and breadth of content and resources that ChatGPT was able to generate in a matter of seconds
  • What I learned about euphemisms for death from Chat
  • What Chat got wrong about for-profit hospice
  • How Chat needed better information about talking to children about death
  • Chat’s creative ideas for promoting advance care planning in predominantly Black communities
  • Chat’s thoughts about the 5-stages model of grief
  • A haiku Chat wrote about grief
  • How Chat helped me deal with guilt over my father’s suicide death

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, especially my newest patrons Susan Mackey and Colleen Bracken, and to Laura Srygley for buying me a coffee and Fabricio Vasconcelos de Lima for donating on Paypal! Your contributions make all the difference.

EOLPodcast

Ep. 383 The Good News of 2022 with Karen Wyatt

kwyattmd

Learn some of the positive developments around end-of-life issues that took place in 2022.

This is the last episode of 2022 and I’m sharing some of the best “good news” stories I’ve seen this year about progress we’ve made around care at the end of life. Every month I curate end-of-life news stories for my supporters on Patreon and I’ve made note of some encouraging developments that I present to you today. Watch this on YouTube if you’d like to see slides or enjoy listening to the audio. Meanwhile, farewell to 2022 and best wishes for a Happy New Year!

Watch on YouTube

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This episode includes:

  • The Lancet Commission on the Value of Death calls for a global paradigm shift on death and dying
  • NHPCO works to improve equity in death and dying and decrease racial disparities in care
  • Studies document inequities in end-of-life care
  • Plan to train community workers to do outreach in underserved areas
  • Recognizing the emotional and spiritual aspects of the dying process
  • Federal legislation to create a national strategy on grief and to expand advance care planning
  • Studies on caregiver stress and model for paying family caregivers
  • Best and worst places to die in the US
  • Studies on use of psychedelics to decrease anxiety at end of life
  • Virtual reality similar to psilocybin in reducing anxiety
  • “Death Tech” and media coverage of death both on the rise
  • Human composting now legal in 5 states

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 and to those who have made a donation through Paypal or bought me a coffee! Your contributions make all the difference.

EOLPodcast

Ep. 332 Technology Advances for End-of-Life Care with Jeremy Powell

kwyattmd

Learn about exciting new technology that promises to help more patients be referred for hospice and palliative care in a timely manner.

My guest Jeremy Powell is the Founder and Chief Executive Officer of Acclivity Health Solutions, a company that aims to transform the management of advanced illness while honoring the patient’s dignity, goals and values. He discusses how technology can help us solve some of the greatest challenges we face in the provision of end-of-life care and why we should embrace technology rather than feel intimidated by it. Learn more at the website:

www.acclivityhealth.com

Listen here:

This episode includes:

  • Current healthcare challenges (including hospice and palliative care) that urgently need to be addressed
  • How COVID-19 has impacted these challenges
  • What technology is being developed to address the challenges facing hospice and palliative care
  • How Machine Learning can provide data that leads to more timely referrals to hospice and palliative care
  • Why lack of interoperability in electronic health records is a deterrent to good patient care
  • How the “3rd Platform” for EHR’s will deconstruct the silos that have existed in healthcare
  • How COVID-19 helped accelerate acceptance of telemedicine
  • Why it’s necessary to look at healthcare finances in order to ensure the survival of hospice in the future
  • Why a technology-driven approach to care does not threaten but can enhance patient-centered care at end of life

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, especially my new patrons Mary Ganapol and Katherine Pettus! Your contributions make all the difference.

EOLPodcast

Ep. 331 Looking Ahead to 2022

kwyattmd

Learn how the innovations of the past year are going to create more positive change in 2022!

In this final episode of 2021 I’ll share with you some of the innovations of 2021 that are going to be driving further change in the coming year. I’ll remind you of some of the conversations from this past year that provide potential solutions to the issues we are currently facing around end-of-life care. And we’ll recognize that amidst all the pain and sorrow of this pandemic year there has been much to be grateful and joyful about! (This episode is overflowing with information so keep a pen and paper handy to make note of interviews you may want to hear!)

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This episode includes:

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, especially my new patrons Teri A. Portugal Gooden and Cari Zlotnick; and thank you Brittany Ellis for increasing your monthly pledge! Your contributions make all the difference.

EOLPodcast

Ep. 325 Palliative Care: What’s Needed Now and in the Future with John Mulder MD

kwyattmd

Learn how palliative care can meet the healthcare needs of the future.

My guest Dr. John Mulder is a pioneering member of the palliative care specialty. He currently serves as chief medical consultant for hospice and palliative car at Holland Home, the largest provider of elder care services in Michigan. He also serves as executive director for the Trillium Institute, which provides education for clinicians on managing serious and terminal illness. He discusses some of the challenges facing palliative care currently and in the future of this specialty. Learn more at this website:

www.trilliuminstitute.org

Listen here:

This episode includes:

  • The differences between hospice and palliative care
  • Why the general public and physicians need to reframe their understanding of palliative care
  • Why the 6 months criteria for hospice admission often interferes with patients receiving care that they need
  • Should hospice and palliative care “rebrand” or “rename” in order to overcome stigmas
  • Why referring patients to palliative care could help physicians with burnout
  • How palliative care can improve patient outcomes and quality of life
  • How physicians can better educate their peers about palliative care and hospice
  • What changes will be needed to meet the rising demands of the aging baby boomer population
  • Why primary palliative care training will be essential in the future
  • The importance of attracting new talent to the speciality
  • How technology may evolve in the future to assist with referrals to palliative and hospice care
  • Dr. Mulder’s new podcast: Palliative Matters

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, especially my new patrons Monica Czaplinski and Jeannie Canepa! Your contributions make all the difference.

EOLPodcast

Ep. 320 Disrupting the Casket Industry: Titan Casket Online with Scott Ginsberg, Liz Siegel, and Josh Siegel

kwyattmd

Learn about an online marketplace for caskets that is a game-changer for the funeral industry.

My three guests–Scott Ginsberg, Liz Siegel, and Josh Siegel–are the co-founders of Titan Casket, an online marketplace that sells caskets directly to consumers. The mission of Titan Casket is “to offer designer caskets at revolutionary prices, while driving affordability and transparency in the funeral industry.” Today they’ll share why the casket and funeral industries are in need of disruption and how their online service works for consumers. We’ll talk about technology in general and how it is currently changing every aspect of end-of-life planning. Learn more at their website:

www.titancasket.com

Listen here:

This episode includes:

  • What inspired the creation of Titan Casket
  • Why now is the right time for a disruption in the funeral industry
  • How their online marketplace works for consumers
  • The “Funeral Rule” and consumer rights in funeral planning
  • How Titan Casket can actually benefit funeral directors
  • How an “on-demand” casket company can meet the unique and creative needs of consumers with a rapid turn-around time
  • Why death doulas, home funeral guides and alternative funeral directors should know about Titan Casket and their eco-friendly caskets
  • How technology is impacting other areas of end-of-life care

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, especially my newest supporters Kelly Bean, Leslie Alin-Tewes, Karen Friedman and Kyle Tevlin! Your contributions make all the difference.

EOLPodcast

Ep. 294 Virtual Funerals and Memorials: How and Why to Hold Them with Merilynne Rush

kwyattmd

Learn best practices for creating a meaningful and powerful funeral or memorial service online.

My guest Merilynne Rush is an EOL Doula Mentor, Home Funeral Guide, Green Burial Educator, Advance Care Planning Facilitator, Death Cafe host, former hospice nurse, and former home birth midwife. Today she shares her personal experience planning and hosting a virtual memorial service for her father, including all of the challenges and benefits of taking on such a task. She offers helpful advice to anyone who feels called to plan a virtual ceremony and explains why this new way of being together after a loved one dies is likely here to stay. Learn more about her work at her website:

www.thedyingyear.org

Read her blog post on Virtual Memorials here

Listen here:

This episode includes:

  • The importance of funeral and memorial rituals and why they should happen sooner rather than later after a death
  • Why a virtual ceremony can be just as effective as in-person
  • Why good planning and organization is essential for conducting an online event
  • Getting outside help from a tech assistant and an “MC” to manage the flow of the ceremony
  • Creating an effective “script” for the event
  • Why breakout rooms are helpful at the end of the ceremony
  • Tips for creating a slide show to use during the event
  • How virtual gatherings can “carry all the love” we want to share and help with our grief
  • Why virtual funerals and memorials are likely to continue even after the pandemic

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, especially my newest supporter Heather Capuano! Your contributions make all the difference!

EOLPodcast

Ep. 249 Improving Advance Directives by Using Video Technology with Fred Mirarchi MD

kwyattmd

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!