Palliative Care Nursing: Podcast with Betty Ferrell about ELNEC
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
2 speakers
8 chapters
transcribed 9 hours ago
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What is the origin story of ELNEC and how did Betty Ferrell become involved?
This episode of the JerryPal Podcast is CME eligible.
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Welcome to the JerryPow Podcast. This is Eric Quadera.
This is Alex Smith.
And Alex, who do we have with us today?
We are honored and delighted to welcome Betty Farrell, who has been in nursing for 47 years. She is the director of nursing research and education and professor at the City of Hope in Duarte, California. She's the founder and principal investigator of LNEC, which was the subject of today's podcast. LNEC is celebrating its 25th anniversary in 2025. She also chaired the National Academy of Medicine report on improved. Improving quality of care in nursing homes in 2023. Betty, welcome to the Jerry Powell podcast.
Thank you.
Very happy to be here. I can't believe it took us this long to get Betty Farrell on podcast. Overdue. I I'm a little overwhelmed. We got Betty Farrell on the podcast. Before we jump into the topic at hand, Betty, do you have a song request for Alex?
Well, I thought about this because I wanted something that would really convey the care that's provided to older people. And uh what came to mind was Count on Me by Bruno Mars.
Great choice. Here's a little bit. If you ever find yourself stuck in the middle of the sea. I'll sail the world to find you. If you ever find yourself lost in the dark and you can't see I'll be the light to guide you. I'll find out what we're made of when we are called to help our friends in need. You can count on me like one, two, three, I'll be there. And I know it when I need it, I can count on you like four, three, two, you'll be there. Cause that's what friends are supposed to do, oh yeah.
Thank you. Wonderful. Betty, I that song resonated with me because probably for the entire duration of my academic life, your work has been so integral to kind of my own career, our team here at the San Francisco VA where I practice. We've done LNEC trainings for a very long time, um, led by initially Patrice Velars, who was our nurse practitioner on our team. And I've done LNEC training. training myself and have taught in L neck training around the ethics I really wanna get into how you developed it and created it um back in two thousand. I think what one point five million nurses and other providers have been educated through LNEC. But maybe we can take a even bigger step back is How did your path lead to palliative care, even before Al Nex?
Sure, thank you. Well, I started my nursing career in 1977, so 47 years ago. And as a new graduate, I worked in a hospital setting. And it was actually the very first oncology unit in this hospital. So some of you are not old enough to remember that there was no such thing as an oncology program that You know, if you had prostate cancer, you were down on the urology unit. And if you had ovarian cancer, you were sadly over on the postpartum unit. And so um in the 1970s, and about the time I graduated, there was this idea that we should really put all these patients on one unit so that we could learn how to give chemotherapy and have nurses who really you know, we're there to take care of people with cancer and of course the development of oncology.
So I worked in the hospital setting for three years in oncology. And then uh shortly after that. This was at a period of time where the hospital was the world of healthcare. If you were sick, you came to the hospital, you stayed as long as you needed to. And so about that time, like literally, I came to work one day, and you know, my manager said, Oh, by the way, there's this new thing called DRGs. And what that means is we got to kick people out of the hospital. And I remember as a nurse being my first thought was like, wow. Wow, we're not doing such a great job managing their pain and symptoms here in the hospital. How are we going to send people home? And so remember, there were no hospice programs.
They were, you know, a dozen in the entire United States. There were none in my state where I was living. And so there was no net out there. And so I decided to leave the hospital because I really cure, you know, curiosity, I wanted to know how are these patients and families managing at home?
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Chapters
8 chapters
1
What is the origin story of ELNEC and how did Betty Ferrell become involved?
0:00–5:30
2
How did early nursing practice and the lack of hospice influence the creation of ELNEC?
5:30–10:50
3
What were the first major challenges and successes in launching the ELNEC curriculum?
10:50–19:41
4
How has ELNEC’s train‑the‑trainer model impacted the education of clinicians worldwide?
19:41–27:06
5
What role does interdisciplinary education play in ELNEC’s communication training?
27:06–35:59
6
How are specialized curricula (geriatrics, pediatrics, critical care) developed and updated?
35:59–43:59
7
What are the biggest opportunities and challenges for ELNEC over the next 25 years?
43:59–47:02
8
How does succession planning and new leadership ensure ELNEC’s future impact?
47:02–47:37
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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