Hospice News

JUNE 9, 2022

I am an acute care and adult and geriatric certified nurse practitioner. If you think about that in terms of the elderly population and the population that’s up and coming, with the disability, chronic illness, and serious illness that affects them, there’s definitely going to be a huge need for palliative care.

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GeriPal

AUGUST 11, 2022

Was before the Medicare hospice benefit. Today we have the honor of interviewing Susan Block, MD, one of the pioneering leaders in the fields of palliative care, particularly psychosocial aspects of palliative care. Eric: So Susan, very big thank you for joining us on this podcast. We’ve got a lot to cover. Susan: I do.

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GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. Nate, is it you? Jason: Yeah.

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GeriPal

MAY 5, 2022

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. On today’s podcast, we talk to Nick Reed and Meg Wallhagen about hearing loss in geriatrics and palliative care. How to screen for hearing loss.

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GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Rehabbed to Death.

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GeriPal

JUNE 22, 2023

They’re going to get older, they’re going to struggle with geriatric conditions, and they’re going to need palliative services and eventually end-of-life care. Alex: … in other words, than you might be in a Medicare-regulated hospice facility? Shout out to the UC Berkeley-USCF Joint Medical Program. Alex: Great.

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GeriPal

MARCH 14, 2024

So, it’s definitely possible in sort of that oldest old category that there may be what we call silent aspiration, where someone aspirates, and then they don’t cough or clear their throat, so you actually wouldn’t even know that they’re aspirating. Raele: Yep, they definitely can be. Raele: Yes, definitely.

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GeriPal

JUNE 8, 2023

Alex Smith: And we’re delighted to welcome back Alex Lee, who’s an epidemiologist and assistant professor at UCSF in the division of geriatrics. Summary Transcript Summary Diabetes is common. When I’m on nursing home call, the most common page I receive is for a blood sugar value. Goldilocks zone). Nadine: Thank you, guys.

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GeriPal

AUGUST 25, 2022

She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Alex: We’re delighted to welcome back to the GeriPal podcast, Krista Harrison, who is a Health Policy Researcher, an Associate Professor of Medicine, UCSF Division of Geriatrics. Lauren: Hi.

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GeriPal

JANUARY 18, 2024

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Who do we have with us today? Katie, welcome back to GeriPal. That was from our what?

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GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Lynn Flint, author of the NEJM perspective titled, “Rehabbed to Death,” joins Eric and I as co-host.

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GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. I’m definitely scared of when he’s going to be driving soon. As is the case for many issues in geriatrics: some of the time, not all the time. Eric: Does Medicare generally cover driving rehab specialists?

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GeriPal

MARCH 9, 2023

Legalization is moving forward in several states , following the lead of Oregon and Colorado. FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Potential use in palliative care , chronic pain , and for mood disorders is tantalizing. Research is exploding.

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Palliative care Palliate Geriatrics Article 172

Pallimed

NOVEMBER 21, 2020

But through a mixture of trust built on our relationship and exploring her underlying concerns, I think she ultimately listened to my reassurance that she would not lose her Medicare. Her Medicare coverage wasn’t changing, and this truth would bear out for her regardless of her belief. The truth was the truth.

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GeriPal

APRIL 27, 2023

Furthermore, direction to external websites is not an endorsement from AAHPM or HPNA, or the Annual Assembly. Palliative Care the Next Generation: How the Service May Grow and Evolve AccentCare , a portfolio company of private equity firm Advent International, is another example. We’ve got a very large palliative care practice,” Rodgers told PCN.

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GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren. Don’t ask anybody.

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GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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GeriPal

APRIL 13, 2023

We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. Ashwin, can you give us a broad overview of how you think about social isolation and loneliness as far as definitions?

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GeriPal

MARCH 24, 2023

Lauren: Yeah, I think I can definitely see Joe’s point of view. Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. Eric: Alex, we have some great guests with us today. Alex: We have some wonderful guests. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me. Eric: Great.

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GeriPal

OCTOBER 19, 2023

It’s not the tool itself, it’s that doctors are handing out POLSTs to people at they’re welcome to Medicare or annual wellness exams. Kelly: Yeah, no, definitely. Welcome, Abby. Abby: Thanks for having me. He’s been a hospice and nursing home director. We changed our name. Alex: National POLST Collaborative.

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Home Care Pulse

JULY 25, 2023

I think there’s definitely a stigma that, like you said, we just all wanna be fixers and we almost don’t wanna take advantage of that, that thought that, oh, the things I did weren’t enough, or I, I wasn’t able to to really fix that person. Medicare doesn’t hurt palliative care services.

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GeriPal

JUNE 30, 2022

And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. So we followed Gretchen Schwarze’s definition, which was 1% or higher inpatient mortality was considered high-risk.

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GeriPal

JULY 13, 2023

Randy died February 26, 2023. We begin today’s podcast asking his co-authors Erin Kross, Bob Lee, and Ruth Engelberg, all from the University of Washington and the Cambia Palliative Care Center of Excellence, to reflect on Randy and his dedication to seeing this work completed while living with ALS. Erin, welcome to the GeriPal podcast.

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GeriPal

JULY 20, 2023

Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: [link] Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth. Joe, welcome to the GeriPal podcast. Joe: Great to be here.

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GeriPal

SEPTEMBER 14, 2023

She trained at UCSF, for geriatrics fellowship. Alex: And we’re delighted to welcome Bruce Leff, who is also a geriatrician, and professor of medicine, and director of the Center for Transformative Geriatric Research, and has been studying hospital-at-home since the mid-nineties. And that is, definitely, one way to approach it.

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GeriPal

APRIL 20, 2023

” But we had a hunch that turned out to be right that by the time these folks were in their fifties, they really had all the geriatric conditions and things we associate with much older. Yeah, this is a geriatrics journal, and generally, if people aren’t over the age of 65, JAGS may not look at it as strongly. Margot: Yes.

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GeriPal

JUNE 2, 2022

I read this Twitter thread by Andy Slavitt, who was a former head of Medicare, Medicaid under Obama, former Biden White House senior advisor, host of In the Bubble Podcast. Natural immunity definitely works. Monica: They definitely are, and they have multiple-. Eric: It’s really hard too, because the definitions.

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