Ep. 49 - Reimagining Palliative Care: Conversations That Matter in Non-Traditional Settings

In this episode, Shena Gazaway joins us in a discussion of her nurse-led research, providing primary palliative care in patients’ homes— where this care is urgently needed but often overlooked. We explore how she leads serious illness conversations, manages complex chronic conditions, and builds trust with patients and families to ensure care aligns with their values.  

From qualitative studies to pilot-tested toolkits that empower patients and caregivers—especially in underserved Black communities—we explore what it truly means to lead with empathy, equity, and evidence. 

Whether you're a nephrology nurse wondering how to deepen your role or a provider curious about innovative palliative care pathways, this episode offers practical insights, personal stories, and a call for more providers in this vital space. 

 

 

Shena Gazaway PhD, RN, CHPN®  Shena Gazaway PhD, RN, CHPN® is currently an Assistant Professor in the School of Nursing at the University of Alabama at Birmingham. As a registered nurse working within the community, her practice experience stimulated her research interest in supporting upstream decision-making of seriously ill patients and families, particularly those who live in built environments that limit access to specialty palliative care services. In addition, her work centers on the belief that individuals living with serious illness are the best navigators of their illness experience, and interventions must incorporate local knowledge, beliefs, and practices for long-term success. Specifically, her research is focused on developing and optimizing community-informed decision-support interventions for individuals living with advanced chronic kidney disease and their caregivers. Shena is currently funded on a K23 from the NIDDK and a pilot grant the Forge AHEAD center, a P50 center grant funded by NIMHD. She and Dr. Wells also serve as co-I’s on a pain heart failure intervention funded by the Alex and Rita Hillman Foundation. She is a past recipient of the Palliative Care Research Cooperative Pilot Grant Program and multiple internal funding mechanisms. Above all Shena is a mother, wife, daughter, friend, and sister, and so excited to share the next hour with you all today.   

Brett Snodgrass, DNP, FNP-C, ACHPN®, FAANP Dr. Brett Snodgrass has been a registered nurse for 28 years and a Family Nurse Practitioner for 18 years, practicing in multiple settings, including family practice, urgent care, emergency departments, administration, chronic pain and palliative medicine. She is currently the Operations Director for Palliative Medicine at Baptist Health Systems in Memphis, TN. She is board certified with the American Academy of Nurse Practitioners. She is also a Fellow of the American Association of Nurse Practitioners and an Advanced Certified Hospice and Palliative Nurse. She completed a Doctorate of Nursing Practice at the University of Alabama – Huntsville. She is a nationally recognized nurse practitioner speaker and teacher. Brett is a chronic pain expert, working for more than 20 years with chronic pain and palliative patients in a variety of settings. She is honored to be the HPNA 2025 podcast host. She is married with two daughters, two son in laws, one grandson, and now an empty nest cat. She and her family are actively involved in their church and she is an avid reader.