End of Life, EOLPodcast

Ep. 163 Part 2: The Palliative Care Team Nurse with Rebekah Riemer RN

PodcastPallRiemer

 

 

Providencebeka (002)In Part 2 of our series on palliative care I share an interview with Rebekah Riemer a palliative care nurse. She’ll talk about her role on the team and why she decided to specialize in palliative care nursing.

Learn more about palliative care here.

ANNOUNCEMENTS:

flamencoMy Spain trip continues this week as I visit more of Andalucia and take in some flamenco dancing.  I’ll be returning home in a few weeks but meanwhile check out my photos on Instagram at kwyattmd!

 

FEATURE PRESENTATION:

In this presentation Rebekah Riemer RN will discuss the role of the nurse on the palliative care team and her own story of being called to work in palliative.

You will learn:

  • How Beka was introduced to palliative care as a family member of a patient and a patient herself
  • The typical duties of a palliative care nurse
  • How palliative care meets the physical, emotional and spiritual needs of patients and their families
  • The most common misperceptions about palliative care for the public and for healthcare providers

Rebekah “Beka” Riemer, RN, CCRN was an intensive care nurse for over eight years, working in surgical as well as medical ICUs and currently works as the Nurse Coordinator on the Inpatient Palliative Care Team at Providence Little Company of Mary in Torrance, California. She is on the team working towards the recertification of the Joint Commission’s Advanced Certification for Palliative Care. She serves on the Critical Care Committee representing nursing and Palliative Care, as well as on the Ethics Committee and Mortality Committee.

In addition, Ms. Riemer volunteers at the Leukemia Lymphoma Society of America (LLSA), Los Angeles, CA chapter. In 2013, she was 1st runner up for Woman of the Year, as she raised over $50,000 for leukemia/lymphoma research for the LLSA. Ms. Riemer has been an ELNEC-Critical Care faculty member for over five years.

She also spoke at the National Teaching Institute for Critical Care Nurses in 2017, speaking about the importance of integrating Palliative Care in Critical Care settings. She will also be published in the 5th edition of the Oxford Textbook for Palliative Care Nursing in the seventh chapter titled, “ Interdisciplinary Palliative Care Teams: Specialists in Delivering Palliative Care”.

Tune in next Monday for Part 3 of our series on palliative care! If you enjoy this content please share it with others who might find it helpful and consider leaving a review on iTunes!

Until next time …

Face Your Fear       BE Ready        Love Your Life

karen-signature

End of Life, EOLPodcast

Ep. 157 “Journey’s End”: Stories for Everyone About Death with Julie Saeger Nierenberg and Victoria Brewster

Learn about a helpful book of stories dealing with death, dying and the end of life and how you can contribute your own story to the next book in the series.

PodcastJulieVikki

 

 

julievikkicollage

In this episode I present my conversation with the co-editors and co-curators of the book Journey’s End: Death, Dying, and the End of Life – Julie Saeger Nierenberg and Victoria Brewster

Learn more about the book at journeysendbooks.com

ANNOUNCEMENTS: 

SpCare-AuthPresence-EoL-UnivThis episode is sponsored by Authentic Presence training for healthcare providers from the Spiritual Care Program.  You can receive a certificate in contemplative end-of-life care by completing this series of three courses, including an 8-day residential immersion retreat. Highly recommended!

Learn more here.

 

FEATURE PRESENTATION:
Today Julie Saeger Nierenberg and Victoria Brewster join me to talk about their book journeysendcoverJourney’s End: Death, Dying, and the End of Life, which is a compilation of quotes, stories and resources that look at death from various perspectives. In our conversation we discuss:

  • How Julie and Vikki ended up collaborating on this book
  • How the stories in the book are organized:
    • Personal Stories of Professionals and Lay People
    • Professional Support and Caregiving Perspectives
    • Funeral Home, Post-Death and Alternative Burial
    • Grief and Bereavement
  • How they chose the contributors for the book
  • The feedback they’ve received from readers
  • How this book of stories can be useful in many settings for both professionals and lay people
  • How to submit a story for the next book in the series which will feature various cultural, ethnic and religious perspectives on death and dying

Read more about the book here.

Get the book here!

Tune in every Monday for a new episode! If you enjoy this content please share it with others  and consider leaving a review on iTunes!

Until next week:

Face Your Fear            BE Ready           Love Your Life

karen-signature

 

 

End of Life, EOLPodcast

Ep. 152 Many Ways to be of Service to the Dying

 

PodcastServicehands

wrmflatcoverIn this episode I share some thoughts about how to get involved in the end-of-life movement if you have recently become interested in death and dying. You’ll hear about my best ideas for contributing to change in the way people die and offering your service to others.

Check out my book to read stories about hospice patients I cared for.

 

ANNOUNCEMENTS:

SpCare-AuthPresence-EoL-UnivWelcome to our new sponsor: Authentic Presence Training from the Spiritual Care Program.  Authentic Presence brings together practical contemplative resources with the knowledge and skills of modern hospice and palliative care. Suitable for professionals from all faith traditions or none, the course draws its inspiration particularly from Buddhist contemplative practice, the acclaimed classic The Tibetan Book of Living and Dying, the work of the Dalai Lama, as well as contemplative neuroscience. Learn more here.

Thank you also to our new supporter on Patreon.com/eolu: Althea Halchuk! I’m deeply appreciative of your contribution to help keep this podcast and the EOL University Interview Series on the air! Go to Patreon.com/eolu to learn more and sign up.

obrienwebinarJoin me and my guest Suzanne O’Brien RN for a free webinar: “EOL Doula Training for Caregivers and Volunteers” on Tuesday July 24th at 5 pm Pacific/8 pm Eastern. Register here and you’ll receive the replay if you can’t attend live.

 

FEATURE PRESENTATION:

Learn about these opportunities to be of service to the dying in many different capacities:

  • Work as a professional in hospice or palliative care (call your local hospice/palliative care program to see if you have the credentials needed and to learn about any training offered):
    • physician
    • nurse
    • nurse practitioner
    • nursing assistant
    • social worker
    • chaplain
  • Become a volunteer – for those with no medical training:
    • Hospice volunteers are always needed (call your local hospice for more information)
    • No One Dies Alone – a program to ensure that each dying patient in the hospital has companionship if desired at the end of life. Listen to my interview here and learn more about NODA here.
    • Threshold Choir – for those who love to sing; offer support and inspiration to the dying and their families through vocal music. Listen to my interview here and learn more about Threshold Choir here.
    • Twilight Brigade – to provide end-of-life support to veterans. Learn more here.
    • Pet Therapy for Hospice Patients – if you have a special pet and would like to receive training to provide visits to patients. Learn more in this interview.
    • Seek out other opportunities in your community like Meals on Wheels, hospital or nursing home volunteer programs, church-related visitation programs
  • Become an End-of-Life Doula – check out the training mentioned above with Suzanne O’Brien and find out if this work is a good fit for you. Learn more here.
  • Start a caregiver training program – the need for in-home caregivers is going to increase dramatically over the next decade. Consider becoming a caregiver trainer to help your community meet this need.
  • Teach a death education class – there is currently a great need for education about Slide01death and dying in our society. Consider teaching your own class or workshop to provide information to others in your community. Get the Teaching Guidelines for a Death & Dying Class here.

 

 

  • Create a Community Event to inspire people to learn more about the end of life:
    • Film series – listen to ideas here
    • Book club – read about A Year of Reading Dangerously online reading group here
    • Death Cafe – learn more here
    • Speaker series
  • Start a Social Model Hospice – to provide non-medical residential support and caregiving for those who are without a proper home at the end of life. Listen to the interview here.

Whatever inspires you I hope you will gather your courage and take the next step to get involved in the end-of-life movement. Your help is needed!

There will be a new episode next Monday. If you enjoy this content please share it with others and consider leaving a review on iTunes. Thank you for your interest and support!

Until next time:

Face Your Fear            BE Ready             Love Your Life

karen-signature

 

 

 

End of Life, EOLPodcast, Hospice

Ep. 148 Lessons Learned from Dame Cicely Saunders: Founder of the First Modern Hospice

Learn about the life of Cicely Saunders and what we can discover from her quest to change the way that people died.

 

PodcastSaunders

cicelysaundersyoungIn this episode, recorded just after the celebration of what would have been Cicely Saunder’s 100th birthday, I talk about how she became interested in caring for the dying, what inspired her to create St. Christopher’s Hospice, and what we can learn from her determination to improve care at the end of life.

Read more about the life and work of Dame Cicely Saunders at:

cicelysaundersinternational.org.

ANNOUNCEMENTS:

downloads_wordmark_white_on_coralThanks as always to my devoted supporters at Patreon.com/eolu who make small contributions each month to keep this podcast and the End-of-Life University Interview Series on the air. I’m so grateful for your financial, emotional and spiritual support!

If you’d like to join A Year of Reading Dangerously, our online reading group for 2018, there’s still time! Check out the reading list here and start reading along with 1,000 other people around the globe!

FEATURE PRESENTATION:

Cicely Saunders first began working with dying patients when she was training to be a nurse in the early 1940’s in London. She went on to become an Almoner (medical social worker) and a volunteer nurse at a hospice for the dying poor where she recognized the great need for better pain management and comfort care at the end of life.

When she was told that the medical system would not be interested in her ideas because she wasn’t a physician she accepted the challenge and went to medical school. One revolutionary contribution to end-of-life care was her concept of “Total Pain,” which included emotional and spiritual pain as well as physical.

As a doctor Cicely received a research grant where she studied pain management and wrote many articles. She took “before and after” photos of each patient so that she could show the transformation that occurred when pain was alleviated. Eventually her dream of creating a hospital dedicated to care of the dying was fulfilled when St. Christopher’s Hospice opened 10 years later.

From her story we can take much inspiration for today’s ongoing struggle to improve care at the end of life:

  • Follow your heart – Cicely stayed true to her heart and passion throughout her career as she dedicated herself to care of the dying, even when others discouraged her.
  • Be willing to change course to achieve your dream – Cicely was unable to pursue her original dream of being a nurse after a back injury and shifted to medical social work as a way of continuing her work with dying patients.
  • Be persistent – Cicely’s determination to do whatever it took to bring her dream to fruition led her to become a doctor.
  • Patience is essential – Cicely had to wait for many years to see her dream of a hospice become a reality: first while she studied to be a doctor, then did several years of research, and finally raised the funds to build St. Christopher’s. Change rarely happens overnight so stay the course!
  • Be credible before you can be incredible – Cicely demonstrated this throughout her career as she diligently worked through her own education and her research to gain credibility in the eyes of the medical system she was trying to change
  • The importance of teamwork – Cicely found likeminded individuals in her community and in the U.S. to sustain her inspiration and her enthusiasm for her goal. We can accomplish more as a team than as individuals.
  • Flexible models are necessary for optimum care – Cicely resisted standardizing her model of hospice care and instead chose to help others create their own unique solutions for the needs of their communities.
  • Have a big vision but humble expectations – Cicely sought to change care of the dying across the world with her vision of hospice but was content to make a difference to just one patient at at time.

“If one man from a poor village in India dies without pain because of what I have done, it will all have been worthwhile.” – Dame Cicely Saunders

Today we would be advised to remember her Total Pain concept as we struggle to deal with an opioid crisis in the U.S. Neglecting the contribution of emotional and spiritual pain to physical pain has led to over-reliance on drugs as the answer to suffering.

cicelyhospice1

Happy Birthday Dame Cicely Saunders!

Thank you for inspiring us to carry on your big vision of helping every person find comfort, peace and love at the end of life.

Tune in every Monday for a new episode! If you enjoy this content please share with others and consider leaving a review on iTunes. Until next week:

Face Your Fear           BE Ready             Love Your Life

karen-signature

End of Life, EOLPodcast, Uncategorized

Ep. 110 Threshold Choir: Singing to Comfort the Dying

Learn how small choirs around the country are bringing beauty and solace to the bedsides of dying patients.

PodcastThreshold

ThresholdCollageIn this episode I share an interview with Kate Munger and Marti Mariette who have helped to spread the “threshold choir” movement across the U.S. and the world. You’ll hear clips of their beautiful singing! Learn more at www.thresholdchoir.org.

ANNOUNCEMENTS:

IMG_0723I’m still traveling in Italy and you can keep track of my journey by following me on Instagram (kwyattmd) or Facebook (Karen Wyatt MD). I’m supposed to be getting some research and writing done for my new book on grief … but we’ll see how it goes. I might be just eating my way through the country!

Patreonbecome2xYou can support this podcast and the EOLU Interview Series with a small donation of $1 or $2 per month! As a thank-you gift you’ll receive a the Top 10 Interviews from EOLU, a recorded Q&A session each month (where I’ll be answering YOUR questions), and a chance to have me promote your work on this podcast! Learn more at Patreon.com/eolu.

FEATURED PRESENTATION:

Today I welcome my special guests Kate Munger, the founder of the Threshold Choir movement, and Marti Mariette, who is the director of the Santa Cruz Threshold Choir. They will share with us:

  • How and why Kate started the first Threshold Choir
  • The benefits of bedside singing for patients and their families
  • The benefits experienced by the singers themselves
  • How to start or join a Threshold Choir in your area
  • Samples of some special Threshold Choir music!

Get the Threshold Choir CDs here.

Tune in each Monday for a new episode and be sure to leave a review on iTunes to help me share this podcast far and wide!

Until next time …

Face Your Fear.                  BE Ready.                     Love Your Life.

karen-signature