GeriPal

FEBRUARY 8, 2024

Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. Wallace, C.L.,

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Chaplain Palliative care Palliate Definition 282

GeriPal

SEPTEMBER 1, 2022

Summary Transcript Summary. In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. Barbara: Yay.

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Social worker Palliative care Palliate Social work 214

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. They study palliative care. Eric: Okay.

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Palliative care Palliate Ventilator 2016 210

GeriPal

JANUARY 26, 2023

Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society. Alex: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. Eric: And Alex, who do we have with us today? Ramona: Thank you.

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Geriatrics Definition Healthcare Article 170

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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Geriatrics Ventilator Palliative care Events 187

GeriPal

JANUARY 11, 2024

A recent Human Rights podcast discussed the story of a Canadian seeking MAID because he could not afford to stay housed. We talk about how Canada got to this point, including the degree to which offering MAID to anyone who is eligible has become standard practice in many places. Bill, welcome back to GeriPal. Bill: Thank you.

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GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. staff training in person centered care).

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Assisted living Geriatrics Long-term care Nursing home 191

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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Geriatrics 2010 Palliative care Definition 179

GeriPal

MARCH 24, 2022

Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. But when you’re asking someone to make a decision about code status, you’re asking them to make a decision that is in effect right now in the present, right?

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Palliative care Geriatrics Palliate Document 144

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. She trained at UCSF, for geriatrics fellowship. And that is, definitely, one way to approach it. Annals of Int Med. This is Eric Widera.

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Medicare Definition Geriatrics Care at home 222

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? J Palliat Med. J Palliat Med. J Palliat Med. The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. doi:10.1089/jpm.2021.0256

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Palliative care Palliate Definition Geriatrics 197

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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Nursing home Feeding Nursing Geriatrics 135

GeriPal

AUGUST 24, 2023

You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Alex: So it was motivated essentially by an effort to understand and palliate the sources of suffering that were leading people to choose to end their own lives.

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Article Palliative care Palliate Geriatrics 223

GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. Again, those are for lay public definitions. That’s a definition.

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Definition Document 2011 Events 202

GeriPal

FEBRUARY 23, 2023

I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Emily’s expanded notion of consent is grounded in the concept of “relational autonomy.” Welcome back to the GeriPal podcast, Emily. Welcome back, Anne. Anne Rohlfing: Thank you. Welcome back, Lynn. Lynn: Thank you.

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Geriatrics Palliative care Palliate Information 180

GeriPal

FEBRUARY 24, 2022

Most of the debate seems rather wonky, as honestly it feels like we are getting stuck in the weeds of semantics and definitions, like what counts as ACP versus in the moment decisions. Summary Transcript Summary. There is a lively debate going on in academic circles about the value of Advance Care Planning (ACP). Juliet: Thank you.

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Document Feeding Definition Palliative care 222

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. SPONSOR:

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GeriPal

NOVEMBER 3, 2022

There’s a lot written on grief, but so little is written on the loss experience and even a definition of loss is even lacking. Matthew: Well, I just happen to have a definition here, Eric. A great website for dealing with loss and grief : refugeingrief.com. To learn more about job opportunities, please click here: [link].

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Grief Books Palliate Palliative care 237

GeriPal

DECEMBER 15, 2022

So I allow family members to be present if they want them to. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, Heather. Heather, since you started off with the song request, I’ll start off with you. Why is this a research focus of you? How did you get into this? Heather: Sure.

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Palliative care Palliate Healthcare 2011 211

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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Document Palliative care 2018 Palliate 156

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. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care.

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Geriatrics Palliative care Palliate Healthcare 213

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. . – Anticipatory corpse book mentioned several times on the podcast. – GeriPal post about teaching using YouTube (some links are old and don’t work, but you get the idea, I recently gave a spontaneous talk to the palliative care fellows and was able to find the video snippets).

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Books Palliative care Palliate Geriatrics 200

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. LJ: Definitely read it. Welcome to the GeriPal podcast, Sarah.

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Article Events Document Definition 184

GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. Alex: We are delighted to welcome Jacky Kruser, who’s a pulmonary critical care doctor and health services researcher at the University of Wisconsin.

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Informed consent Article Palliative care Resuscitation 262

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. He’s a linguistic and medical anthropologist at the University of Pennsylvania.

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Article Informed consent Palliative care Palliate 241

GeriPal

FEBRUARY 2, 2023

It helped me to understand and justify my interest in (this won’t surprise you) EVERYTHING related to geriatrics or palliative care. Really talking about, Bob did a talk that I was not present at what meeting Alex? That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” This is Eric Widera.

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Books Palliative care Geriatrics Palliate 188

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. In this case I would say never use orals for staff, but in other bacteremias we are definitely seeing a movement towards oral therapies and there is a shift, but if we had money for more studies, this shift would move faster.

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Article Definition 2021 Geriatrics 178

GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Welcome, Abby. Abby: Thanks for having me. We changed our name. Good to know.

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Document Nursing home Healthcare proxy Ventilator 266

GeriPal

DECEMBER 21, 2023

Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. We present it to CMMI, to CMS, whoever will listen to us, people on The Hill. And it became a terror for me. Why do we need a story?”

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Medicare Caregiver 2024 Social worker 225

GeriPal

AUGUST 4, 2022

Is there a formal definition, or one that you think about? Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. We used a large online survey panel, the Ipsos Knowledge Panel, and we presented older adults with two vignettes. Ariel: Sure.

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Nursing home Presentation Article Nursing 200

GeriPal

DECEMBER 2, 2022

Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: Great.

Nursing home 200

Nursing home Books Chaplain Caregiver 200

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. In this case I would say never use orals for staff, but in other bacteremias we are definitely seeing a movement towards oral therapies and there is a shift, but if we had money for more studies, this shift would move faster.

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Article Definition 2021 Geriatrics 130

GeriPal

MAY 11, 2023

Some of them, like education, definitely social determinants of health. Kristine: I like to tease my geriatric friends about age. I presented this at the big clinical trials meeting in November in San Francisco. And because we can’t resist, we dip into aducanumab and lecanemab at the end. And how does it actually work?

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Geriatrics Presentation Social worker Palliative care 157

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. And I think it’s the mystery of it that scares us so much.

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Books Bereavement Hospice Grief 72