Skip to main content

Using the Skills Learned at VITALtalk to Take Out the Trash


We just spent the last several days learning facilitation skills at the VITALtalk faculty development course.  This truly amazing course is meant to give health care professionals like us the skills needed to run communication training programs at our own home institutions.

After just finishing the course, we thought it would be interesting to do something similar to what Alex Smith did in his "Take Out the Trash Video." There, he used some of the communication techniques he learned in palliative care training at home with his wife.  His results were less than perfect.

We figured our advanced skills might be more successful.   See for yourself (if you don't see the video below click here for the YouTube version)




by:
  • Eric Widera
  • Rachelle Bernacki
  • Roshni Guerry
  • Linsey O'Donnell
  • Brook Calton
  • Laura (aka Jillian Gustin)
  • Mark (aka Steve Berns)
  • Susan (aka Sara Johnson)
  • Steve (aka Dave Kregenow)

Note: THIS VIDEO IS NOT PUBLISHED BY VITALtalk (c). It is published by adoring fans who think, all joking aside, that VITALtalk is one of the most transformational courses a health care professional can take. If you are interested in becoming better at patient communication or facilitating teaching around these discussions, we highly recommend you check out http://www.vitaltalk.org to learn about it.

Comments

Heathercita said…
A hearty LOL! Would be great to see a video of the skills applied to a *clinical* situation, too!

Popular posts from this blog

The Dangers of Fleet Enemas

The dangers of oral sodium phosphate preparations are fairly well known in the medical community. In 2006 the FDA issued it’s first warning that patients taking oral sodium phosphate preparations are at risk for potential for acute kidney injury. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers.  Those agents still available by prescription were given black box warnings mainly due to acute phosphate nephropathy that can result in renal failure, especially in older adults. Despite all this talk of oral preparations, little was mentioned about a sodium phosphate preparation that is still available over-the-counter – the Fleet enema.

Why Oral Sodium Phosphate Preparations Are Dangerous 

Before we go into the risks of Fleet enemas, lets spend just a couple sentences on why oral sodium phosphate preparations carry significant risks. First, oral sodium phosphate preparations can cause significant fluid shifts within the colon …

Length of Stay in Nursing Homes at the End of Life

One out of every four of us will die while residing in a nursing home. For most of us, that stay in a nursing home will be brief, although this may depend upon social and demographic variables like our gender, net worth, and marital status. These are the conclusions of an important new study published in JAGS by Kelly and colleagues (many of whom are geripal contributors, including Alex Smith and Ken Covinsky).

The study authors used data from the Health and Retirement Study (HRS) to describe the lengths of stay of older adults who resided in nursing homes at the end of life. What they found was that out of the 8,433 study participants who died between 1992 and 2006, 27.3% of resided in a nursing home prior to their death. Most of these patients (70%) actually died in the nursing home without being transferred to another setting like a hospital.

 The length of stay data were striking:

the median length of stay in a nursing home before death was 5 months the average length of stay was l…

Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block

Nursing homes are a tough place to do palliative care.  There is extremely high staff turnover, physicians are often not present except for the occasional monthly visit, many residents die with untreated symptoms usually after multiple hospitalizations and burdensome life-prolonging treatments, and specialty palliative care - well that is nowhere to be found in most nursing homes outside of hospice.  So what can we do to improve the palliative care outlook in nursing homes?

On todays podcast we talk with Lieve Van den Block about her recent palliative care intervention that was published in JAMA IM this week.  Lieve led a multicomponent intervention to integrate basic nonspecialist palliative care in in 78 nursing homes located in 7 different European countries.  Just take a moment to grasp the size of this study - 7 counties, 78 nursing homes.  I struggle with just trying to improve palliative care in one site!

We discuss with Lieve the results of the study, her take on why they got…