Barry Baines
๐ค SpeakerAppearances Over Time
Podcast Appearances
With end-of-life care, and it doesn't, for again, the general primary care physician, an internist, a family physician, as opposed to, let's say, geriatricians or oncologists, cancer specialists, you know, even cardiologists who tend to see the more difficult heart failure things.
With end-of-life care, and it doesn't, for again, the general primary care physician, an internist, a family physician, as opposed to, let's say, geriatricians or oncologists, cancer specialists, you know, even cardiologists who tend to see the more difficult heart failure things.
If you don't see lots of patients, you don't, you don't learn the drill for how to have, you know, how do you have those conversations, which as you can imagine are very sensitive conversations. They're very difficult conversations to have.
If you don't see lots of patients, you don't, you don't learn the drill for how to have, you know, how do you have those conversations, which as you can imagine are very sensitive conversations. They're very difficult conversations to have.
That's another great question. That's why I love being on Health Chatter. Our conversations are just so good. Actually, everybody is aware of cultural competency. Or at least they should be. The hospice team is very sensitive to the cultures that they're working in, which are a diverse set of cultures.
That's another great question. That's why I love being on Health Chatter. Our conversations are just so good. Actually, everybody is aware of cultural competency. Or at least they should be. The hospice team is very sensitive to the cultures that they're working in, which are a diverse set of cultures.
And you could be part, as we all know, you could be part of a culture, but you still need to know individually, what does that mean to that person? Okay. You can't say everybody, you know, who's part of this culture acts in this way and has these wishes. No, it's not the case. So it's, it's recognizing and asking the question directly. So how do you, you know, what is,
And you could be part, as we all know, you could be part of a culture, but you still need to know individually, what does that mean to that person? Okay. You can't say everybody, you know, who's part of this culture acts in this way and has these wishes. No, it's not the case. So it's, it's recognizing and asking the question directly. So how do you, you know, what is,
You know, how do you and your family approach end of life? And then when they tell you then and that that informs the treatment plan moving forward, because then you know. So it's being being humble enough to know that it's OK to not know.
You know, how do you and your family approach end of life? And then when they tell you then and that that informs the treatment plan moving forward, because then you know. So it's being being humble enough to know that it's OK to not know.
And be culturally sensitive and ask. I don't know. So I would ask Clarence, what has been your experience with people in your family who have passed? How did that go? And how do you see this for yourself? And so you ask, you listen. And that's the other thing is that hospice care in general doesn't have, we don't have our agenda yet. Like our agenda is sort of, what are your goals?
And be culturally sensitive and ask. I don't know. So I would ask Clarence, what has been your experience with people in your family who have passed? How did that go? And how do you see this for yourself? And so you ask, you listen. And that's the other thing is that hospice care in general doesn't have, we don't have our agenda yet. Like our agenda is sort of, what are your goals?
And how can we help you to meet your goals? That might not be what I would want to do, okay? But it's not about me, right? It's about you.
And how can we help you to meet your goals? That might not be what I would want to do, okay? But it's not about me, right? It's about you.
I agree 100%. We are all unique. We are all unique.
I agree 100%. We are all unique. We are all unique.
your attending physician, your doctor. or the nursing staff, they may have had the conversation with you a little bit like, Stan, there really is not anything more that we can do at this point to slow down the way your disease is going. And realistically, you have a few months left to live. Let me tell you about OK, the doctor will say, let me tell you that we have this other
your attending physician, your doctor. or the nursing staff, they may have had the conversation with you a little bit like, Stan, there really is not anything more that we can do at this point to slow down the way your disease is going. And realistically, you have a few months left to live. Let me tell you about OK, the doctor will say, let me tell you that we have this other
you know, kind of care called hospice care that focuses on keeping you comfortable and improving the quality of your life as best as can be done in the remaining time you have. Is that something you'd be interested in? And you would say, of course, you know, yes, I think I've been on this road.
you know, kind of care called hospice care that focuses on keeping you comfortable and improving the quality of your life as best as can be done in the remaining time you have. Is that something you'd be interested in? And you would say, of course, you know, yes, I think I've been on this road.