Best Chiaramonte Podcasts (2024)

1
Managing the Holidays When Someone Important is Missing 20:04

3h ago20:04

20:04

Holidays can be joyful times that bring you together with the people that you love. But what if someone is missing? Maybe your loved one has died, or maybe someone important to you can't join you for the holidays this year. How do you balance grief with expectations of holiday joy? This week I discuss how to cope with the holidays when someone you …

1
Coping When Faced with Deeply Upsetting Circumstances 11:34

6d ago11:34

11:34

We've just had a big election and many people have strong feelings about the result. Some people are happy about the outcome, and others are feeling deeply distressed. In palliative care we are experts at helping people cope with highly unwanted outcomes. We can use some of our palliative care skills to help people cope with their feelings right no…

1
The Basics of Gender Affirming Care: A Primer for Physicians and Clinicians 29:26

14d ago29:26

29:26

Can you define cisgender? Transgender? Intersex? Gender non-conforming? Do you know the difference between sex and gender? Have you heard of a 'dead name?' Do you know why using "Sir" and "Ma'am" can cause you to be inadvertently hurtful to your patients? Providing gender affirming care is important but you may not have learned this in school. Join…

1
Supporting Blind Patients: From 'Pity Party' to 'Propel Party' with Sarah Freeman Smith 40:59

28d ago40:59

40:59

Sarah Freeman Smith is a blind inspirational speaker and author, former HR/recruiting leader and disability advocate. She went blind in midlife and in this week's episode of The Integrative Palliative Podcast she shares her journey, the tech that she uses to increase her independence, and guidance for physicians and clinicians to help their visuall…

1
Eco-Friendly End-of-Life Options: Green Burials and Beyond 19:36

28d ago19:36

19:36

Many patients are embalmed or cremated after death, but this isn't the only option. Embalming and cremation have a negative impact on the environment, and other, more eco-friendly, options are becoming popular. Options such as green burials, human composting, and reef balls give people options for how to handle their loved one's body after death. D…

1
White Coat Crossroads: An Interview with Physician Career Coach Heather Fork, MD 42:26

1M ago42:26

42:26

Many physicians, and other clinicians, are wiped out and burned out. They may wonder if they should stay in medicine, or if there is another path that would make them happier. Yet running away from unhappiness isn't a great strategy because sometimes the unhappiness follows you to your next destination. Dr. Heather Fork is a dermatologist and physi…

1
Handling Angry Patients Without Losing Your Cool 19:40

2M ago19:40

19:40

Sometimes patients or family members express their stress with anger. And when the anger is directed your way you may get defensive or annoyed and it can put a pall on your day. Listen to this week's episode for clear guidance about what to do when your patient gets angry so that both of you leave the visit feeling calm. Coping Courageously: A Hear…

1
Emotional Needs of the Dying: Four Key Concepts to Discuss with Your Patients 14:31

2M ago14:31

14:31

Don't be afraid to talk about dying. We don't learn to talk about dying and so many people are afraid because they don't know what to say. Here are four key topics to bring up with people who have advanced illness such as progressive metastatic cancer. In patients with Alzheimer's disease or other kinds of dementia, it is important to have these co…

1
Mental Status Change in Hospice Patients: What to Do and Not to Do 12:24

3M ago12:24

12:24

Mental status changes in hospice patients are extremely common. Yet are they always due to disease progression? If a patient suddenly gets confused or sleeps all day, what should you do? Should you counsel the family that this is normal? Order testing? Assess the medication list? Family members sometimes worry that sending their loved one with adva…

1
When Patients with Cancer Pain Won't Take Opioids: 30 Reasons Why and What to Do About It 32:42

3M ago32:42

32:42

Your patient is in terrible pain from cancer and you have the tools to relieve it. Yet they won't take the oxycontin or morphine that you prescribed. You can see that they are suffering yet you feel powerless to help. This is a common scenario and it can lead to discord between you and your patients. You may feel like saying, "Well fine then. I can…

1
Ketamine: What It Is, Who Should Use It, And How the Palliative Population is Different 11:37

3M ago11:37

11:37

Ketamine is in the news right now because Matthew Perry died from improper use of ketamine and his physicians just got arrested for making that possible. It is always a bit shocking when physicians get arrested for prescribing medication. It does seem like his physicians were not acting in accordance with their hippocratic oath - if that's true, sh…

1
Dealing with Uncertainty in Health and Life: 4 Dos and 4 Don'ts 13:43

3M ago13:43

13:43

We live in a soup of uncertainty and so do our patients and clients. Caring for patients with serious illnesses such as cancer or Alzheimers dementia can be extremely stressful because the experience is filled with uncertainty. Having a clear approach to dealing with uncertainty reduces stress and increases joy. This week we discuss 4 Dos and 4 Don…

1
LovingKindness Meditation: An Experiential Episode to Feed Your Soul 10:58

4M ago10:58

10:58

The LovingKindness, or Metta, meditation (not a typo - that's how it is spelled) is one of my favorite meditations. It offers kindness and healing to you, the people in your life and the world. This week I offer you a LovingKindness meditation for your own wellbeing. You'll notice that there is no intro or ending because I'd like you to hang on to …

1
Leave Your Heirs the Gift of Organization: How Adam Zuckerman's "Buried in Work" Simplifies Estate & End-of Life Planning 42:05

4M ago42:05

42:05

Leave your heirs the gift of organization. Estate planning is crucial but many people put it off because they aren't sure how to proceed. Adam Zuckerman is an attorney and entrepreneur who created a company, Buried in Work, after losing his father to cancer. Adam is passionate about making estate planning and end of life preparations as easy as pos…

1
Dealing with Challenging Patients: The Power of Empathy Plus Boundaries 19:20

4M ago19:20

19:20

We've all had challenging patient or client interactions. It can be hard to know how to handle them and it can make us feel lousy or even derail our day. You want to be an empathetic physician, nurse, therapist, PA or other clinician but how do you balance empathy with boundaries when a patient or family is angry or mean? This week join me to refle…

1
The Less Stress Doc: An Interview with Dr. Gary Sprouse 37:57

4M ago37:57

37:57

Dr. Gary Sprouse is the Less Stress Doc. He is a family physician with expertise in stress management and he's the author of Highway to Your Happy Place: A Roadmap to Less Stress. This week Dr. Sprouse shares tools and insights to help you manage stress, banish guilt and regret, and live a happier life. You can find more information about Dr. Sprou…

1
Caring for a Challenging Loved One: 3 Questions and 3 Truths 11:21

5M ago11:21

11:21

Caring for a loved one who is aging or ill is hard. It is especially hard if you've had a challenging relationship with them. If you had a difficult childhood and now find yourself caring for a parent with cancer, a stroke, or Alzheimer's dementia, you may be experiencing extreme stress and overwhelm. Ask yourself these 3 questions and ponder these…

1
A Rational Approach to Chiropractic Care: Guidance from Brian Morrison, DC 49:15

5M ago49:15

49:15

Chiropractic care is widely misunderstood by the medical community. In this interesting interview, chiropractor Brian Morrison clues us in to how we got here and the ways in which chiropractic education and clinical care have changed for the better in recent years. Dr. Morrison discusses who benefits most from chiropractic care, and which patients …

1
Your Internal Judge Makes Practicing Medicine (and Everything Else) Harder 16:07

6M ago16:07

16:07

Our internal judge has us judging ourselves, other people, and our circumstances. This makes practicing palliative care (and any patient care) harder and generates stress for us that we certainly don't need. This week you'll learn strategies for noticing your own judge and practical techniques for calming it, so you can enjoy your practice more, ha…

1
The Power of Mind-Body Medicine: An Interview with James Gordon MD, Founder of the Center for Mind-Body Medicine 46:11

6M ago46:11

46:11

Dr Gordon is a world-recognized authority and pioneer in mind-body medicine, and he is the founder and executive director of The Center for Mind-Body Medicine in Washington, DC. He is a Harvard educated psychiatrist and a clinical professor at Georgetown Medical School. He was chair of the White House Commission on Complementary and Alternative Med…

1
Moral Distress, Moral Injury, and Humanity in Healthcare 18:53

6M ago18:53

18:53

Moral distress and moral injury are common in healthcare, yet few physicians, nurses or other clinicians talk about it on a regular basis. Stuffing the shame, guilt, anger and other powerful emotions that can accompany moral injury can lead to clinician burnout, compassion fatigue, depression or even suicide. And it can also result in excellent, em…

1
Don't Blame The Victim: 4 Myths of Clinician Self-Care 13:47

6M ago13:47

13:47

The term self-care has a bad rap lately. It can seem like healthcare organizations use terms like "self-care" and "resilience" to make their doctors, nurses, and other healthcare practitioners work harder and harder. They offer free yoga, while piling on more and more work! There is truth to this scenario, yet pushing away the concepts of self-care…

1
How to Handle it When Your Patient is Crying 12:12

7M ago12:12

12:12

Many clinicians, especially physicians, don't learn in school what to do when a patient is crying. When we don't know what to do we feel uncomfortable, and no one likes to feel uncomfortable. I've seen many physicians sit in the presence of a crying patient, continue to work on their computer, or awkwardly shift in their seat. This gives the patien…

1
Joyful Palliative Care 22:41

7M ago22:41

22:41

Is Joyful Palliative Care possible? Palliative care clinicians are often kind and highly empathetic people, but uncontrolled caring can lead to compassion fatigue or even burnout. Yet approaching the care of seriously ill people with an intentional approach can indeed make palliative care joyful. Here are the steps: 1. More tools to relieve your pa…

1
2024 International Congress on Integrative Medicine and Health: 8 Key Takeaways 15:07

7M ago15:07

15:07

The 2024 Integrative Congress on Integrative Medicine and Health was held recently in Cleveland and there were so many wonderful sessions. I attended and have picked out 8 key learnings to share with you. The 8 topics are: 1. Microskills for wellness 2. Healing presence 3. Boundaries 4. Photobiomodulation 5. Vagus nerve 6. Psychedelics 7. A key val…

1
Using Negotiation Skills to Communicate Effectively with Patients 13:57

7M ago13:57

13:57

Effective doctor-patient communication is crucial for effective patient care. Yet effective communication is challenging when visits are time pressured, and both clinicians and patients are often stressed. Using the tools of negotiation can help make doctor/clinician-patient communication more effective. This week I discuss an 8 step approach to ne…

1
The Power of the Healthcare Provider Gaze: An Interview with Dignity Expert Harvey Chochinov MD, PhD 41:50

7M ago41:50

41:50

Harvey Chochinov, MD, PhD is an esteemed clinician and researcher in the field of palliative care. He shares his research on dignity, dignity therapy and the Dignity Question that is vital for providing the highest quality end of life care. You will be inspired by his work and learn tools that you can bring right to the bedside. You can find Dr. Ch…

1
Integrative Health Coaching and Education: A Discussion with Michelle Pearce, Phd 29:12

8M ago29:12

29:12

Michelle Pearce, PhD is a psychotherapist, coach and integrative health educator who is passionate about guiding people to well-being. She shares her insights about health coaching, both private and group. She also shares information about the integrative health and wellness certificate program that she leads at the University of Maryland, Baltimor…

1
Dementia: 7 Ways to Connect When Language Is No Longer Accessible 10:12

8M ago10:12

10:12

Dementia is hard on families. It is hard to watch a loved one decline, hard to provide personal care, and hard to lose the connection with the person that you once knew. One of the hardest things may be that the person loses their language, and language is often how we connect. This week I share 7 ideas for fostering connection with people with dem…

1
Integrative Nutrition Coaching: An Interview with Joel Edman 40:56

8M ago40:56

40:56

Behavior change is hard. Integrative nutrition and wellbeing coaches are an important part of a healthcare team. Joel Edman, DSc, FACN is an integrative nutrition and health coach and he shares his wisdom this week about how to facilitate practical and realistic behavior change. Healthy nutrition, exercise and stress management is important for peo…

1
A Surprising Cause of Pain in a Patient with Cancer: A Case Discussion 12:09

8M ago12:09

12:09

As clinicians it is crucial that we are aware of our blinders. Sometimes the obvious cause of pain isn't the actual cause of pain and we need to be willing to look past our first impressions. This week I discuss the case of one of my patients (de-identified of course). He had widely metastatic cancer and a pain that I couldn't control with medicati…

1
How to Stay Sane in the Presence of Suffering - 6 Key Steps 14:14

9M ago14:14

14:14

It is painful to watch other people suffer, whether they are your patients or your loved ones. They may suffer with illnesses, such as cancer or dementia, or may suffer with emotional pain, anxiety or depression. You want to help, but don't want to be swallowed up by their suffering. Join me this week to learn six important ways to protect your own…

1
Acceptance is Badass - A Reading From Coping Courageously 14:43

9M ago14:43

14:43

This week I share the story of one of my patients and the woman he loved. Nick was a man in his 20s with an advanced cancer and caring for him touched my heart. He had to face the difficult reality in front of him in order to create the life that he wanted. He embraced acceptance and it changed his future. Come listen to a reading from Coping Coura…

1
BreathNote: A Powerful Tool for Using Your Breath to Improve Wellbeing 30:40

9M ago30:40

30:40

Breath is powerful. We carry it with us, it keeps us alive, and it can either increase our stress or reduce it. Slow breathing is a secret weapon for reducing the stress response, reducing anxiety and improving wellbeing. This week you'll hear from Fernando David Pinon and Nancy Estaphanous, the co-founders of BreathNote. BreathNote is a unique and…

1
Look for Wonder... And Then Create It 9:49

9M ago9:49

9:49

There is wonder in unexpected places. When you look for it you will find it, and when you find it life feels just a bit lighter. From an Uber ride that turned into an impromptu therapy session to a conversation in a wellness store that may just save a local business, this week we'll uncover the magic hidden within everyday interactions. How is this…

1
Remote Neurofeedback: A Conversation with Francesco Amico and Alvaro Villegas 41:37

10M ago41:37

41:37

Neurofeedback is a brain-based treatment that is effective and safe. It can be used to manage ADHD, anxiety, depression, insomnia, Parkinson’s disease, mild cognitive impairment, post concussive syndrome and more. This week we have Francesco Amico, PhD and Alvaro Villegas who are experts in neurofeedback, especially neurofeedback that can be admini…

1
The Clinicians Guide to Guided Imagery 15:11

10M ago15:11

15:11

Guided imagery is a powerful tool to use with your patients who have generalized anxiety or are just feeling anxious about getting chemotherapy or having a procedure. It is easy to learn and every physician, nurse, nurse practitioner, PA, radiation technologist, and every other clinician should have this tool in their toolbox. In addition, I've rec…

1
All About Yoga Therapy: An Interview With Yoga Therapist Kelly Bethel 31:16

10M ago31:16

31:16

Do you know the different between yoga and yoga therapy? Which one is better for people getting treatment for cancer? How about people with neurologic conditions or those who have had a stroke? What benefits can patients get from yoga therapy? What are the risks? Yoga therapy expert Kelli Bethel, PT, DPT, C-IYAT shares her wisdom about all things y…

1
Stop "Shoulding" on People 10:28

10M ago10:28

10:28

Family members "should" on patients. Patients "should" on themselves. And we "should" on patients too. This week I share eight "shoulds" that we can try to avoid to improve the wellbeing of the families that we care for. Also, today is book launch day! Check out Coping Courageously: A Heart-Centered Guide for Navigating a Loved One’s Illness Withou…

1
The Power of Acceptance 14:14

11M ago14:14

14:14

Acceptance is powerful. Many people mistakenly think that acceptance is giving up. They see it as the opposite of fighting. I see it differently. Instead of being the opposite of fighting, I see acceptance as the opposite of pretending. When you stop pretending you open opportunities for deep wellbeing and connection. In this episode I read a story…

1
I Donated My Kidney to a Stranger: A Fascinating Interview with Chaya Lasson, RN 38:15

11M ago38:15

38:15

It is challenging enough to imagine lending a stranger your car or giving them a large sum of money. Yet, some kind souls donate their precious, living body parts to people that they don't know. Chaya Lasson, RN is just such a person. This week she shares her personal journey with living kidney donation. Her story will fascinate and inspire you. Ch…

1
How to Help Your Patients Cope Courageously 23:41

11M ago23:41

23:41

It is our job to help our patients cope courageously. Whether they have cancer, dementia, age-related decline, ALS or other serious condition it will cause stress for their family that we can help to relieve. This week you'll get a sneak peak into the techniques that I have put into my book Coping Courageously: A Heart-Centered Guide for Navigating…

1
My Gift to You: Permission 8:07

11M ago8:07

8:07

My gift to you is permission. If you are holding on to ideas of how you're supposed to be and generating your own anxiety and stress, this episode is your answer. For holiday season 2023 I have 5 permissions and 3 invitations for you to help make this season the calm and happy one that you deserve. I'm glad that we're on the journey together. Delia…

1
Anchoring - A Powerful Tool to Support Wellbeing for You and Your Patients 8:22

11M ago8:22

8:22

Do you use anchoring? Anchoring is a powerful tool that you can use to help manage stress even when you are out and about or in a meeting with a frustrating boss. Just like Pavlov's dogs salivated when the bell rang because they connected the bell with yummy meat, you can train your physiology to connect your sense of relaxation with any anchor tha…

1
Clinician Grief: It's Real, It's Important and We Need to Talk About it. An Interview with Grief Expert Helen Bauer. 38:44

12M ago38:44

38:44

Clinician grief: it's real, it's important and we need to talk about it. Have you heard of secondary grief? Grief shaming? In this important interview with hospice nurse and grief expert, Helen Bauer, we dive deeply into who experiences grief, how grief is so much more than sadness, and what we should all be doing to manage it. Learn more about Hel…

1
When There Isn't Enough Time: 8 Tips for Practicing Compassionate Medicine in a High Patient Volume Environment 15:16

12M ago15:16

15:16

Too many patients and too little time. Most clinicians wish they had more time to spend with each patient and patients generally hate feeling rushed through their medical visits. How can you practice compassionate medical care when you have to rush from one patient to another? This week I discuss 8 tips for making a short visit seem longer so it is…

1
When Family is Fraught 9:13

1y ago9:13

9:13

Families are complicated. Holiday events, such as Thanksgiving, can bring out stressful feelings just as we're hoping for picture perfect family moments. This week's episode gives you 4 Truths and 4 Suggestions for staying happy and sane during family holiday moments. Use these suggestions for yourself and file them away to support your patients wh…

1
The Beauty of Ayurveda: An Interview with Susan Weis-Bohlen 44:07

1y ago44:07

44:07

What's your Dosha? What is a Dosha? Do you know which foods work best for your unique constitution? This week, Ayurveda expert Susan Weis-Bohlen shares her wisdom about Ayurveda and how you can use it to increase your health and wellbeing. You will learn if you are a Pitta, Vata or Kappa Dosha and which foods are particularly suited for you. You'll…

1
Talking to Patients About Prognosis 12:58

1y ago12:58

12:58

No one likes talking to patients about prognosis. It is uncomfortable and distressing for the clinician and the patient. Our discomfort and lack of training in how to manage these conversations with skill can increase out patients' suffering. Learn the 10 step process for expertly navigating these tough conversations. Share this episode with a coll…

1
Integrative Oncology: An Interview with Dr. Kirsten West 36:40

1y ago36:40

36:40

People facing cancer are often interested in exploring an integrative approach to managing their care. Yes many conventional oncologists don't feel comfortable guiding their patients because they aren't sure what is safe and effective. This week, naturopathic doctor Kirsten West, ND, LAc, FABNO shares her wisdom about which naturopathic approaches …

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