Hospice Explained

192: Cynthia Cisneros on Home Hospice, Symptom Management, and Team Support Host Marie Betcher, a registered nurse and former hospice nurse, interviews Cynthia Cisneros RN in episode 192 about her nursing career and hospice experience. Cynthia describes studying at UCLA, earning a nursing degree in 1981, and working in orthopedics, pediatrics, oncology, and with early AIDS patients before moving i...

191  Jack Clifford on EECP, Self-Advocacy, and Supporting Loved Ones at End of Life Host Marie Betcher, a registered nurse and former hospice nurse, interviews retired US Coast Guard E9 Jack Clifford, author of "EECP: The Most Underutilized Therapy in Medicine," about his experience declining emergency triple-bypass surgery after being hospitalized in January 2021 with severe coronary artery disea...

190 Comfort Measures in the Hospital: What They Mean and How They Help Host Marie Betcher, a registered nurse and former hospice nurse, explains what "comfort measures" mean when offered during a hospital stay. Comfort measures begin when curative care stops and the focus shifts to relieving discomfort, pain, and distress for patients nearing end of life through appropriate medications and bedside...

189 Cumulus: Reimagining Digital Memorials and Legacy with Architect-Founder Alexander Josephson Host Marie Betcher, a registered nurse and former hospice nurse, interviews Alexander Josephson, creator of Cumulus, a Toronto/New York-based digital memorial platform designed as an immersive "memory cloud" where families can store and experience photos, videos, notes, and other legacy content in VR-a...

188 The Intersection of Hospice and Palliative Care: A Conversation with Dr. Jill Schwartz-Chevlin,  MD, MBA, FACP Host Marie Betcher, RN and former hospice nurse, interviews Dr. Jill   Schwartz-Chevlin, an internist and palliative physician with experience in home-based primary care, hospice leadership, and value-based care. Dr. Jill explains value-based medicine as aligning incentives with patie...

187 Surviving with Laughter: Angela Nissel Talks Hospice and Healing Host Marie Betcher, a former hospice nurse, interviews writer and memoirist Angela Nissel about her book "Good Grief: Pass the Bread, Mom is Dead" and her mother's end-of-life journey. Angela describes a complicated, achievement-focused relationship with her RN mother, who hid advanced breast cancer and feared judgment for "givin...

186 Staying Independent: Innovations in Home Medical Equipment Host Marie Betcher RN introduces Hospice Explained and interviews Erica Sell, founder and CEO of Harmony Home Medical in San Diego, about aging in place and home accessibility. Sell explains her high-touch, education-focused approach to home medical equipment and modifications, noting bathrooms as the top fall-risk area and commonly no...

185 From Suffering to Peace: A Personal Hospice Story Host Marie Betcher, a registered nurse and former hospice nurse, shares her father-in-law's hospice experience to illustrate that end-of-life care is not always smooth. As his cancer progressed, he experienced severe, escalating pain at home, compounded by a medication supply breakdown and the family's stress, including her mother-in-law's vasc...

184 Hospice Explained: Lisa Snyder on Legal Psilocybin Facilitation, Grief Support, and Designing End-of-Life Conversations Host Marie Betcher, a registered nurse and former hospice nurse, interviews Lisa Snyder, a state-licensed psilocybin facilitator in Oregon and member of the Portland Grief House Death Collective. Lisa shares how losing both parents to cancer led her to found the Losing Your P...

183 Creating Digital Legacies with Reflekta AI (with Grief Specialist Dawn DeLaloye) Hospice Explained host and former hospice nurse Marie Betcher interviews grief specialist Dawn DeLaloye about Reflekta AI, an intergenerational storytelling platform that helps people create a "reflection" of themselves or loved ones—living or deceased—by adding photos, voice recordings, and memories guided by an...

182 The Timely Presence: Year-Long Grief Support and Showing Up After Loss Host Marie Betcher, a registered nurse and former hospice nurse, interviews Kelly Edmondson, RN, a bereaved mother and certified grief counselor who founded The Timely Presence, a year-long grief support service. Kelly shares formative experiences with death in trauma ICU, including an 18-year-old dying on Christmas as his...

181 Feeling Supported and Prepared for Death on Hospice In episode 181 of Hospice Explained, host Marie Betcher, a registered nurse and former hospice nurse, shares a listener story about a new nurse who felt unsupported and unprepared for his mother's death on hospice and still carries a negative memory 16 years later. Marie reflects on the need for hospice staff to assess families' education and...

180 Hospice Buddy: Practical Symptom Support, Caregiver Logbooks, and Grounding Prompts with Jamie Haberman RN   Host Marie Betcher, a registered nurse and former hospice nurse, interviews returning guest Jamie Haberman RN, a hospice nurse with nearly 20 years of end-of-life experience and founder of Hospice Buddy. Jamie describes her hospice background and explains Hospice Buddy as a caregiver su...

179 Hospice Is About Living: Honest Conversations, Palliative vs. Hospice, and Supporting Nurses with Gina Harris MSN, MSQT Host Marie Betcher, a registered nurse and former hospice nurse, interviews Gina Harris MSN, MSQT, Chief Clinical Officer at Marisol Health in South Carolina, about hospice education and reducing fear around end-of-life care. Gina shares her career path from mortgage banking...

178 How to Talk to Someone About Hospice: Communication Tips and Resources Host Marie Betcher, a registered nurse and former hospice nurse, explains that Hospice Explained is an educational resource and not a substitute for medical advice. She discusses how to communicate about hospice with patients, families, providers, and caregivers: be truthful, expect emotions, keep the focus on the person yo...

177 Hospice, Caregiving, and Long-Term Care Planning with Raymond Lavine Host Marie Betcher, a former hospice nurse and longtime registered nurse, interviews Raymond Lavine, Raymond explains he designs long-term care plans that can help pay for caregiving either at home or in a facility, addressing the common misconception that long-term care insurance is only "nursing home insurance." They discus...

176 Hospice Explained: The Five Wishes and Why They Matter Host Marie Betcher, a registered nurse and former hospice nurse, reviews the "Five Wishes" advance care planning document after a prior episode with Yvonne Caputo. She explains where to find and purchase it (fivewishes.org and agingwithdignity.org), notes it can be notarized, and emphasizes completing it through conversations with loved on...

175 "Dying with Dad": Intimate Conversations and Five Wishes In this episode of Hospice Explained, host Marie Betcher, a registered nurse and former hospice nurse, interviews Yvonne Caputo, a retired teacher, vice president of human resources, corporate trainer, consultant, and psychotherapist. Yvonne discusses her books, 'Flying with Dad' and 'Dying with Dad,' and shares personal stories about ha...

174   Facing the Unspoken: Embracing End of Life Conversations  In this episode of 'Hospice Explained,' host Marie Betcher RN , a former hospice nurse with a long nursing experience, emphasizes the significance of addressing end-of-life issues early. She discusses the common problem of late referrals to palliative and hospice care and highlights the need for healthcare providers to facilitate hone...

173 Understanding Palliative Care with Dr. Win Lin Chai In this episode of Hospice Explained, host Marie Betcher RN interviews Dr. Win Lin Chai, a palliative care specialist from Malaysia. They discuss the role of palliative care in improving the quality of life for patients with serious illnesses, the importance of early referral, and the challenges faced by healthcare providers in delivering hol...

172 Understanding Hospice: Choices and Considerations for End of Life Care In this episode of Hospice Explained, host Marie Betcher, a registered nurse and former hospice nurse, educates listeners on the history and evolution of end-of-life care. She discusses the shift from dying at home to hospital deaths that began in the late 19th century and transitioned in the mid-20th century. Marie emphasi...

Understanding the Role of End-of-Life Doulas with Peter M. Abraham RN In this episode of Hospice Explained, host Marie Betcher RN is joined by returning guest Peter Abraham, a registered nurse and certified End-of-Life Doula. Peter discusses his journey and the nature of working as an end-of-life doula, highlighting the importance of this role in providing non-medical support to patients and famil...

Understanding End-of-Life Decisions: The Importance of Hospice Education In this episode of 'Hospice Explained,' host Marie Betcher, a registered nurse and former hospice nurse, shares a poignant story about educating a family on the realities of CPR within hospice care. Through a real-life example, Marie emphasizes the importance of understanding hospice care and the end-of-life process. The epis...

169 Understanding Deathbed Phenomena with Alison Potter RN In episode 169 of 'Hospice Explained,' host Alison Potter, a palliative RN, discusses various end-of-life experiences shared in previous episode number 12 of 'Hospice Encounters.' Alison, who runs grief support seminars and groups in Calgary, shares intriguing stories about deathbed phenomena, a field with scientific backing. These include...

168 Breaking Taboos: Talking About Death with Gabby Jimenez  In this episode of Hospice Explained, host Marie Betcher RN, a registered nurse and former hospice nurse, interviews Gabrielle Jimenez, a hospice and palliative care nurse, end-of-life doula, grief educator, and author. Gabby shares her journey from commercial real estate to nursing, witnessing nearly 2000 last breaths, and discusses the...