PC for People Experiencing Homelessness: Naheed Dosani
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
46 min
2 speakers
7 chapters
transcribed 9 hours ago
Transcript
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What is the main topic discussed in this episode?
Welcome to the Jerry Powell podcast. This is Eric Wadera.
This is Alex Smith. And Alex, who do we have with us today? Today we are honored to welcome Naheed Dasani, who is a palliative care doc and health justice advocate. He's assistant professor at the University of Toronto. He's the founder and leader of the palliative education and care for the homeless program in Toronto, palliative care physician at Saint Michael's Hospital in the Department of Family and Community Medicine. Naheed, welcome to the Jerry Powell podcast.
Thanks so much for having me here. Really looking forward to the conversation.
I'm excited for this. So we did a podcast on aging in homelessness with Margot Cushel in two thousand twenty three. So we're gonna be today talking about serious illness, palliative care, and the homelessness population. I'm also wondering how I should be calling that. So we'll we'll we'll talk about how should we be thinking about the even this the label, the name homelessness. But before we do that, Naheed, do you have a song request for Alex?
I do. Um I've thought a l long and hard about this one and I'm gonna request the song Blinding Lights by the weekend.
Why did you choose Blinding Lights?
Well, first of all, I'm a proud Canadian and the weekend is from Canada, but not just that, the weekend is actually from the same borough that I'm from in in Toronto, Ontario. And uh from a metaphorical perspective, you might say that it just seemed fitting because when it comes to palliative care for people experiencing homelessness, we're really trying to shine a light on the issues that often get overlooked. And I was gonna choose Brian Adams, summer of 69, but let's be real. It's super cold in Toronto in January. It's nowhere near summer right now, so let's go with blinding lights.
Awesome.
I've been tryna call I've been on my own for long enough. Maybe you can show me how to love. Maybe I'm going through a troll. You don't even have to do too much. You can turn me on with just a touch, baby. Since it is cold and empty, no one's around to judge me. I can't see clearly when you're gone. And I said ooh. I'm blinded by the lights. No, I can't sleep until I feel your touch. Na cero I'm drowning in the night Oh when I'm like this you're the one I trust
Thank you, Alex. Dude, I was over here head banging. That was amazing.
That was so fun. That was a fun song. Thank you for that request.
What terminology should we use when talking about people experiencing homelessness?
Thank you so much.
I gotta I'm gonna start off with a question. I've seen you answer this question a lot. So I I yeah, I've just watched a podcast of yours, or I guess listened to a podcast uh that you did with uh pal wait end of life university podcast, um, which we'll have a link to in our show notes too, because uh I just I've never heard of that podcast before. I but I love it now. But the question that I see y you answering A lot is like what inspired you or what motivated you To focus and it seems like the a big focus of your career has been around delivering palliative care for people experiencing homelessness. Yeah, for
sure. Thanks. Oh, sorry.
Yeah, go ahead.
Yeah, so yeah, no, I mean for sure an important question. And it certainly wasn't a linear uh trajectory. You know, I'm was born and raised in in Toronto, Canada, the son of two refugees, and growing up is a first generation, you know, Canadian born uh in that kind of household, you know, the social determinants of health and what community well-being was a big part of that. And so I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social. Change in our communities. But as a first-year resident trainee at the University of Toronto, I cared for a young man in his early 30s while working in a shelter who his name was Terry. He was a person with schizophrenia. He was a person who used drugs and he presented in pain crisis to our shelter.
He had this disseminated head and neck cancer. And he had tried to get care before. And due to his mental illness, he couldn't follow up for cancer care. By the time he got in To us, the tumor grew and he had experienced he was experiencing significant pain.
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Chapters
7 chapters
1
What is the main topic discussed in this episode?
0:00–3:05
2
What terminology should we use when talking about people experiencing homelessness?
3:05–13:30
3
How did the tragic case of Terry inspire the creation of the PEACH program?
13:30–22:17
4
What were the first steps and early successes in launching PEACH?
22:17–32:49
5
How does PEACH define eligibility and serve a broad range of clients?
32:49–40:07
6
What are the biggest challenges and rewards of providing palliative care to people experiencing homelessness?
40:07–46:05
7
How do symptom management and medication decisions differ for unhoused patients?
46:05–46:44
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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