GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Keith per many reports, is the heart and sole of the hospice unit and oversees the Pastoral Care Workers. Eric: Wait, so Bonnie Raitt sang a song about hospice in prison?

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Hospice Chaplain Palliative care Palliate 276

GeriPal

AUGUST 25, 2022

Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. AlexSmithMD.

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Hospice Geriatrics Palliative care Definition 196

GeriPal

MARCH 14, 2024

Summary Transcript Summary Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Raele: Yep, they definitely can be. Raele: Yes, definitely.

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Feeding Definition Article Geriatrics 223

GeriPal

FEBRUARY 29, 2024

Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. He wants to know what do you guys think about the effect of private equity on hospice and long-term care? Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups.

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Geriatrics Palliative care Palliate Blog 237

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. How high is too high?

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Nursing home Geriatrics Palliative care Palliate 145

Hospice News

OCTOBER 28, 2022

Hollie Trogdon, senior vice president of PruittHealth Home, has been named a 2022 Future Leader by Hospice News. The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. What drew you to this industry?

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2022 Palliative care Bereavement Palliate 130

Hospice and Nursing Homes Blog

JANUARY 1, 2023

Research reported in the American Journal of Hospice Palliative Care concludes that p ositive general attitudes toward end-of-life dreams, visions, ( ELDV) and positive perceptions are correlated with better bereavement outcomes. Oh, I’ll definitely be going back. I asked Rose after feeding her. “Me? They all wore long white gowns.” “Wow!

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Hospice volunteer Bereavement Feeding Books 52

Hospice Nurse Hero

MARCH 2, 2022

Have you ever wondered why there’s so much hype over hospice CAHPS scores? This form of hospice reporting was part of a mandate in the Affordable Care Act (ACA ) and became active in 2017. As a hospice nurse, you might not always understand how this relates to your work. Include the Hospice IDG.

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Hospice and Nursing Homes Blog

JANUARY 3, 2022

I believe non-relatives who serve as committed caregivers during illness should also be included in the kinship care definition and treated as such. He was admitted immediately and later placed with other AIDS patients in an isolated section of a nursing home. This was my first major introduction to hospice care.

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Hospice and Nursing Homes Blog

MAY 3, 2021

Cremation is definitely in the mainstream these days as a method of body disposal. Frances Shani Parker, Author Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

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Hospice volunteer Blog Definition Nursing home 40

GeriPal

JANUARY 18, 2024

Devon, I see that you have an R21 to study concurrent prescribing of opioids and benzodiazepines, which are like the second most common thing I prescribe in combination after opioids and laxatives for people in hospice. And so, for-profit hospices, for-profit methadone clinics pop up everywhere, and their care is pretty variable.

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GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. I was very excited about the opportunity, and very excited about everything that’s going on at AGS, so when she asked me, I said, “Yes, definitely.”

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Geriatrics Definition Healthcare Article 170

Home Care Pulse

JUNE 21, 2022

Wendy’s background is in emergency nursing and community based skilled home health as well as palliative and hospice care and has laid ground for her service as senior clinical content writer and subject matter expert here at home care pulse. So that kind of naturally made me wanna do home health.

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GeriPal

MARCH 24, 2023

Summary Transcript Summary In November of 2022, Ava Kofman published a piece in the New Yorker titled “How Hospice Became a For-Profit Hustle.” Some viewed this piece as an affront to the amazing work hospice does for those approaching the end of their lives by cherry picking stories of a few bad actors to paint hospice is a bad light.

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Hospice Article Hospice care Medicare 213

Living With Hospice

SEPTEMBER 1, 2021

In this episode of Living With Hospice, Mitch makes good on a promise made during the first episode to answer questions that readers have submitted over time. Transcript: Welcome to another episode of Living With Hospice. So, as kids would say, definitely my bad! By the way, Hospice is not an American thing.

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Vital signs Hospice Feeding Information 52

GeriPal

APRIL 27, 2023

Again, this was not an AHPM or HPNA sponsored thing, but we did go around people on the street asking them two questions: what’s one thing that you’re hoping for in the future of palliative care and hospice, and what’s another thing when you’re thinking about what you’re worried about for the field?

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GeriPal

OCTOBER 26, 2023

We additionally discussed hospice care as an option for care that might follow the trial of rehabilitation. Ann: I definitely do. Sarguni: Yeah, definitely. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Sweet Caroline.

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Palliate ADLS Palliative care Article 279

GeriPal

OCTOBER 27, 2022

James: Definitely not-. Eric: Yeah, this is definitely… If you grew up in the ’80s, this is the slow dancing song. Most of them are dealing with older adults with dementia who are living in the nursing home or have severe dementia. Eric: I love… I actually just went to New Order and Pet Shop Boys.

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Hospice News

OCTOBER 7, 2022

Hayden Jordan, director of palliative care for senior care provider PruittHealth Home, has been named a 2022 Future Leader by Hospice News. . The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care.

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GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. Chrissy: Hospice? Eric: All right. Eric: Yeah. But they still have months to live.

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ADLS Geriatrics Nursing home Article 240

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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GeriPal

APRIL 14, 2022

Zachary: I mean, I did my med school and residency training in Louisville, Kentucky, and I had a second year med student lecture from Joe Rotella who was, I think the chief medical officer at Hospices at the time. Eric: And that pain protocol significantly reduced behavioral issues in dementia nursing home patients.

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Palliative care Palliate Article Geriatrics 249

GeriPal

NOVEMBER 17, 2022

RCFEs, boarding cares, nursing homes. Eric: And how is assisted living community different than a nursing home? One is they’re not licensed as a nursing home, and they’re not federally regulated. Biggest differences, not licensed as a nursing home, don’t have to have nurses.

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Assisted living Geriatrics Long-term care Nursing home 191

GeriPal

DECEMBER 8, 2022

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. It’s not something you can measure, but it’s definitely something that happens during these interviews. Integration of Person-Centered Narratives Into the Electronic Health Record: Study Protocol. Bennett, C.R., Schilling, L., Doorenbos, A.

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GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home. People start thinking about putting them in a nursing home. Diane: Huge.

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Medicare Caregiver 2024 Social worker 225

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Heather: Thanks Alex.

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Palliative care Palliate Healthcare 2011 211

GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. GeriPal podcast with Tom Gill on the Precipitating Events Study, distressing symptoms, disability, and hospice. GeriPal podcast with Linda Fried on frailty. And I thought that was pretty striking.

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GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. Alex: So the proven trial was that the video in the nursing homes?

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Palliative care Palliate Geriatrics Definition 187

GeriPal

DECEMBER 29, 2022

That’s something that I figured we could definitely go after is using those negotiation skills and then moving them over towards the healthcare setting. Eric: Is there a formal definition for a negotiation? Lee: Well, you’re definitely not joining the Dark Side. ” No one wants to go to a nursing home.

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Social worker Caregiver Geriatrics Books 186

Home Care Pulse

JUNE 21, 2022

The National Association for Homecare and Hospice recognizes that we are in a turnover crisis, which means it is increasingly important to recognize opportunities to retain critical staff members through competitive pay, thorough training investment, and by creating an exceptional employment experience for caregivers.

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Caregiver Nursing Article Homecare 83

GeriPal

MAY 18, 2023

But they were specifically looking at nursing home population. Alex: Yeah, so using it say as a quality metric would be another example or using it in an end of life or hospice setting. The explicitly mean the criteria explicitly are designed to exclude people in hospice or at the end of life. Would those be examples?

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Home Care Pulse

SEPTEMBER 13, 2022

I spent some time at the branch level and then became a corporate level clinical educator for a national home health organization. And my main focus, which I loved in that role was to help develop professional home health and hospice aids. Suddenly people were realizing that, oh, you know, people wanted to stay home.

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GeriPal

FEBRUARY 17, 2022

So it might just be the case that there’s a lot of background GI complaints, that people could be taking them inappropriately, so there are definitely ways to minimize it. which is kind of the typical definition of osteoporosis at that time. I guess my question, too, is I’m caring for hospice patients right now.

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Geriatrics Definition Palliative care Article 140

GeriPal

JUNE 30, 2022

And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. And the nurses says you’re making the right decision. She went to an inpatient hospice and they kept her comfortable for a couple of weeks and she passed away. Joel: And they kept her comfortable.

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