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. Eric: Yeah.

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Geriatrics Ventilator Palliative care Events 190

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 194

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 205

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 181

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 223

Hospice News

MAY 25, 2023

Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. It is something that I have been involved with in a past life, but I was definitely not where I would consider myself a subject matter expert.

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Palliative care Palliate Medicare Article 225

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Ann: I definitely do. Sarguni: Yeah, definitely. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Sweet Caroline.

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Palliate ADLS Palliative care Article 281

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. And one quibble with that of course is that we think the definition of capacity is that it’s task and context specific.

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Geriatrics Palliative care Palliate Information 183

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 145

GeriPal

JANUARY 11, 2024

So when initially this became legalized in Canada, was that a similar kind of definition? One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. One is definitely the safeguards that makes a huge difference. Eric: Yeah. Sonu: Can I jump in? Eric: Yeah. Sonu, please.

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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. Rachelle: One of the things, they are definitely ordered steps, right? What are your values? I’m healthy.” So you need to do them in order.

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Document Feeding Definition Palliative care 225

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. Ruth: Thank you.

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Nursing home Feeding Nursing Geriatrics 135

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? Keri: We definitely have a case. Keri: Definitely, yes. Definitely a deviation. Dani: Yeah, so the way you presented was triggering to them. Eric: Three steps. So let’s jump into it.

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Palliative care Palliate Definition 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 187

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 when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

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Palliative care Palliate Ventilator 2016 213

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. Eric: Do you have a definition of dignity now? I’m fully present. Harvey: Good question. I’m not distracted. ” Eric: Yeah.

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Article Palliative care Palliate Geriatrics 226

The Nurse Break

FEBRUARY 26, 2023

Check out other must-read articles here Shauna has a Diploma in Nursing from Kangan Batman TAFE and more than 8 years’ experience working within various healthcare fields including Geriatric, Community, Oncology, and currently as a civilian nurse contractor in the Defence environment. A definite no for me is the use of the term sex change.

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Nursing Presentation 2007 Information 98

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 216

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 181

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 203

GeriPal

DECEMBER 15, 2022

So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin.

Palliative care 214

Palliative care Palliate Healthcare 2011 214

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Eric: But even that risks uncanny valley, because I have definitely seen people go through those list of questions in like 30 seconds, where it feels like I’m not even sure that they’re listening to the response. Eric: Yeah. There’s more to it than just showing up.

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Books Palliative care Palliate Geriatrics 203

GeriPal

JULY 13, 2023

And we had the date, if it was present in the EHR, to provide that context for the clinician. I think that was always cool is that we adopted a pretty broad definition. And when we presented it to the DSMC, which Alex was a member too, but we thought it was nice. POLST advanced directives, what am I forgetting?

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Document Palliative care 2018 Palliate 158

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 228

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. Kelly: Yeah, no, definitely. Abby: Yeah. Kelly, thoughts on that?

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Document Nursing home Healthcare proxy Ventilator 268

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

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. So we did focus though, Eric, and then I will stop, we did focus more on loss. It’s sort of like all of us in supportive care.

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Grief Books Palliate Palliative care 239

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. Gretchen: Yeah. This paper we submitted was called The Bin Of Bad S**t Has Three Layers.

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Article Informed consent Palliative care Palliate 245

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Wonderful work. Every Veteran has a story. That’s fine.

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Palliative care Palliate 2011 Healthcare 254

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. Sunita: Oh, I was going to, just to clarify what I had said before, it’s definitely not that we based things solely on biology, for sure.

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Informed consent Article Palliative care Resuscitation 265

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.”

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Books Palliative care Geriatrics Palliate 190

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. She created TimeSlips which we talk about in our podcast. Anne, welcome to the GeriPal podcast.

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Nursing home Books Chaplain Caregiver 203

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 159

GeriPal

SEPTEMBER 1, 2022

I am constantly talking to clinical social workers about what are the ways that you can be contributing to research, to publications, to scholarship, to presentations, even if it’s a reflection paper? And I think … And to me, working well speaks to what you describe as the transdisciplinary definition. Barbara: Yeah.

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Social worker Palliative care Palliate Social work 217

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