Dani Chammas
speaker
1,436 appearances
4 recordings
1 series
first heard Apr 2020
last heard Dec 2024
Dani Chammas’s voice in public audio — every appearance, attributed to the second.
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I think it gets more controversial, though, where there are some places where it does become a tradeoff, that people are conceptualizing a tradeoff between the standard of care and a more palliative approach.
And like you said, it's very hard to define the lines of this.
We don't have a way of operationalizing this.
which patients qualify.
It's incredibly difficult to prognosticate in psychiatry.
Lack of response in the past doesn't predict lack of response in the future.
So we definitely don't want to use this concept to warp it, to inappropriately justify non-treatment or abandonment or letting off the hook a system that isn't great always at meeting people's
because this is a really vulnerable patient population.
But there is a place where, you know, maybe hearing less voices isn't what's most important to my patient.
Maybe what's most important to them is not being in a hospital or being employed or staying at home.
And that is somewhat of a shift from how we are classically trained to decide which symptoms we focus
in psychiatry.
So there's kind of a yes and answer.
Absolutely.
And so I do think that in the places where we can just synergize the two, like I just got a grant from ABPN to start teaching primary.
The ABPN, American Board of Psychiatry and Neurology.
It's like our ABIM.
But to have a palliative care curriculum for psychiatrists, this is one of our recognized subspecialties.
So in ways that we can teach this to psychiatrists so they can synergize these principles together.
That's wonderful.
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