Danielle Chammas

speaker
635 appearances 2 recordings 1 series first heard Dec 2016 last heard Nov 2024

Danielle Chammas’s voice in public audio — every appearance, attributed to the second.

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And what the you know, medical practice assessment,
proceeds plan and so that's why
We wouldn't talk about talking about it with everybody.
Some people would feel really like babied and kind of belittled that we did it like that.
But that's why it's so foundational to have a formulation that roots us into why we're choosing the tools, the communication tools, the interventions that we're choosing.
Where is it coming from?
I had someone run a case by me just this week and they said the patient said to me.
I know I'm gonna die.
I've put that in a small box and I put the box down here at the base of my skull and I've closed it and I'd like to leave it there.
And the person who was coming to me for consultation said
Well, how do I get them to open up the box?
And my first question was
What?
Like, why do you want them to open up the box?
And I'm not saying it would be right or wrong to open up the box, but they hadn't thought through it.
Did they want to open up the box because of something in them as the clinician?
Some idea they had about what palliative care should look like, what coping should look like?
Or was there a formulation about the patient whether they felt like opening the box would be helpful?
Because I couldn't really advise them one way or the other until we had gotten to that point.
I have strategies for opening.
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