Barry Baines
speaker
1,145 appearances
30 recordings
1 series
first heard Feb 2024
last heard 3 Apr
Barry Baines’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 2.
Appearances
Well, they're actually hired by hospice. There are chaplains that are required.
To be, and I mean, chaplains are clearly, however you want to turn that. They are part of the integral hospice team. You can't be a Medicare certified hospice if you don't have chaplaincy services as part of your hospice program.
Most of the chaplaincy that are in hospice have special training that focuses on die you know dying on people who are dying and dealing with their you know with their issues um and you know even though they may be from a particular denomination it it's they take people where they're at and you know we certainly try if someone um let's say real you know let's say his muslim needs an imam um
chaplains, they have their network in the community. Or if it's a Jewish patient who wants a rabbi or a Catholic person wants a priest or a Protestant wants a minister, they reach out to help. The other reality, again, is that people are connected to their church in a generic sense. They're a house of worship. They're connected to that.
And hospice, again, reaches out if you've been in a religious, you know, setting with, you know, whether it be minister, you know, priest, rabbi, imam. Yeah. You know, you sort of want to continue with that. And hospice, you know, makes the connections to let that happen because oftentimes those people, again, they know the patients, they know the families.
And so we try and keep everybody in the loop. as much as either the patients and their families and those providers would want to be doing that. Does that make sense?
Clarence.
Yeah, the median, that's a 50% or less die in two weeks or less.
No, because for, I don't think so, because the majority of people, there is no cost to them to enroll in hospice.
Yeah, yeah. I don't think it's not cost, okay? However, you make a good point. If someone is not aware of that... then they may think that there's a cost and that would keep them away. Generally speaking, hospice programs need to do evaluations from families after they deliver services. And for years again, I've been in the business for 25 years. The number one thing that families report
is I wish I had gotten my loved one into hospice sooner. That's the number one thing. Every doctor and nurse knows about hospice. Every long-term care facility, they know about hospice. Every hospital knows you know, knows about hospice and they certainly do talk about it. Okay. You know, when people are, you know, are in there, have you, you know, thought about that? Can I push you a little bit?
Yeah. Yeah. Okay.
Right.
Yeah, and this- This is something that comes on, I'm speaking now as a physician. Okay. That's our fault. Okay. And there have been a number of studies to give you, this will explain why is it two weeks or less for 50%. Okay. Yeah. Studies have shown that in general, physicians overestimate prognosis by 500%. Wow. Wow. Okay. Wow. So, so if, if your prognosis is two months, okay.
That, that realistically you're, you're going to live for 60 days. Okay. Most physicians will think that you're going to probably live about a year. And since hospice is six months or less. Okay. Well, you're not ready for, for a hospice because you know, and part of it, it's not, Like I say, it's on the physicians, but there's a dynamic.
It's the doctor and the patient to get together for this because people want to live. So it's a hard conversation to have, but that's one of the things. So in fact, one of the things that has been done for hospice is to get doctors to to think if they have any patients, like if you say, do you have anybody that you know is going to die in six months or less?
Well, if you overestimate by so much, you almost have nobody who meets that criteria. But we changed the question. We call it the surprise question. Doctor, do you have any patients where you would not be surprised if you open the paper in the next year and saw their name in the obituary that they had passed. Wow.
And once you, that's a very different, because six months or less, well, I'm just a doctor, you know, I'm not God. I don't, you know, I don't know. I don't know the end. But generally speaking, do you know what I mean? You say, would you be surprised if, you know, if Mr. Mrs. McGillicuddy, you know, died in the next year. And then you think, well,
boy you know probably not you know she has like pretty bad heart failure um you know and i know i wouldn't be surprised because then and then that's that's the patient that it you can be referred to hospice and hospice will have that conversation with you you don't have to choose to go to enroll in hospice but then you know if you get the referral at least those conversations
could happen more with people who this is what they do all the time. And they can lay things out.
Showing 1101–1120 of 1,145 · page 56 of 58
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