Communication Strategies & Palliative Care in the PICU--Part 2

Sep 19, 2022

This podcast explores communication strategies and palliative care in the PICU. Topics include the R-E-M-A-P framework for discussing difficult medical situations, using nurse statements to build rapport, developing communication skills in the ICU, and navigating difficult scenarios in palliative care.

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Introduction

00:00 • 3min

The R-E-M-A-P Framework: A Communication Strategy for Discussing Difficult Medical Situations

02:31 • 8min

Using Nurse Statements and Crafting Tight Headlines

10:54 • 3min

Continuing to Develop Communication Skills in the ICU

13:42 • 2min

Navigating Difficult Scenarios in Palliative Care

16:04 • 9min

Stockton Beveridge, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics, serving as the director of Pediatric Palliative Care. Dr. Beveridge’s research interests have focused on the challenges faced by caregivers of children with medical complexity, particularly in the Latino population. He is additionally interested in the intersection of religion and medicine, particularly in medical crisis. He sits on the hospital’s Ethics Committee and is also the medical director for Schwartz Rounds.

Katie Maddox, M.D., is an Assistant Professor in the Department of Pediatrics in the Division of Developmental / Behavioral Pediatrics at UT Southwestern. She is a board-certified pediatric palliative care physician at Children’s Health Dallas. Her clinical and research interests relate to caring for children with special healthcare needs and communication skills training in medical education. Dr. Maddox has received the Educational Innovation Award for developing communication skills training and the Pediatric Society of Greater Dallas White Hat Award.

By the end of this two-part series, listeners will be able to:

Verbalize a more progressive definition of palliative care, and distinguish it from "end-of-life" care or hospice care.
Define appropriate patient populations for referral to palliative care.
Sensitively and clearly introduce palliative care referral with patients and families.
Recognize the value of communication training, and verbalize a simple framework for difficult conversations.
Define the challenges of learning/practicing difficult communication as a resident/fellow, and elaborate some strategies to help mitigate these challenges.

References:

Center to Advance Palliative Care--https://www.capc.org/

Childers JW, Back AL, Tulsky JA, Arnold RM. REMAP: A Framework for Goals of Care Conversations. J Oncol Pract. 2017 Oct;13(10):e844-e850. doi: 10.1200/JOP.2016.018796. Epub 2017 Apr 26. PMID: 28445100.

Gillis J. "We want everything done". Arch Dis Child. 2008 Mar;93(3):192-3. doi: 10.1136/adc.2007.120568. PMID: 18319382.

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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.