Daily Nurse

AUGUST 7, 2023

Nurses have worked in a variety of settings in telehealth—such as school nursing, critical care, emergency care, specialty care, and geriatrics, Arends says. Remember Documentation Just as you would if seeing a patient in person, nurses need to do documentation.

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Daily Nurse

MAY 2, 2023

Organizations reapply for recognition every four years and submit documented evidence that staff has sustained and improved Magnet concepts, performance, and quality since its previous designation. “We Geriatric care: Geriatric-focused programs with good outcomes, dedicated space, and leadership by nurse experts.

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Geriatrics Document Healthcare Nursing 64

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. They had it, the note then documents that they don’t have it. Emily’s expanded notion of consent is grounded in the concept of “relational autonomy.” Anne Rohlfing: I think that is a positive aspect.

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1-800-HOSPICE

MARCH 28, 2023

Among patients whose charts document a prognostic disclosure, nearly half of patients report not having a prognosis conversation. Journal of the American Geriatric Society. Journal of the American Geriatric Society. Journal of the American Geriatric Society. 2 Patient recall of prognostic conversations can be poor.

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2003 Geriatrics Bereavement 2008 52

GeriPal

MARCH 2, 2023

J Am Geriatr Soc. 2017 The Illegal Marketing Practices by Pharma promoting ineffective: The Neurontin Legacy — Marketing through Misinformation and Manipulation NEJM 2009 Narrative review: the promotion of gabapentin: an analysis of internal industry documents. Cochrane Database of Systematic Reviews Review. Annals of IM.

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American In-Home Care

DECEMBER 12, 2022

Document how well each medication is working. The Beer’s list is updated every few years by the American Geriatrics Society and includes any medications that seniors should either avoid or use only with extreme caution. Be sure to include over-the-counter meds, vitamins, and supplements as well as prescriptions. Check the Beer’s list.

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Geriatrics Document Home care Caregiver 52

Chicago Caregiving

SEPTEMBER 21, 2022

“If they are healthy and active, you have some time, though the process still should not be put off too long , as things can change in one’s 70s, 80s, and 90s,” says Christopher D’Agostino, DO, director of geriatric services and chief medical officer at Acension Alexian Brothers Behavioral Health Hospital in Hoffman Estates.

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GeriPal

DECEMBER 15, 2022

I’m not going to have time to read 22 pages of this legacy document. They’re just a 20-page document because there’s so much detail in there that we as clinicians type, but it’s not first-person. But because I was such a clinician, I was like, okay, I know what my clinical work looks like.

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Palliative care Palliate Healthcare 2011 211

GeriPal

MAY 25, 2023

Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. Hillary: And then I also see us measuring advance care planning documents on file in the health system so that that’s not where I want us to be. We have Sarah Nouri, who is a palliative care doc and researcher at UCSF.

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Article Events Document Definition 184

High Peaks Hospice

MARCH 1, 2022

He stopped in to request information and instead received an immediate call back from who would turn out to be the most formative person in his life, David Weissman, MD, the founding Director of the Geriatric and Palliative Medicine program at the medical college.

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Medical director Hospice Palliative care End-of-life care 98

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. Eric: Don’t even have to document. Anne, welcome to the GeriPal podcast.

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GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” So it’s this tension that I constantly think about.

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GeriPal

APRIL 6, 2023

And I told her I quote LaVera every year when I teach the geriatrics fellows, the palliative care fellows, I would love for you to tell the story that I quote because you experienced it. On the one hand people have said research is the meticulous documentation of the blatantly obvious, which is kind of LaVera’s point here.

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Chaplain Palliative care Palliate Social worker 185

GeriPal

AUGUST 31, 2023

Why don’t people want to document serious illness conversations? I think this is actually bread and butter geriatrics. And then there’s this other time, and this gets to the geriatric patients, where you’re adapting to change and loss and then it’s a new normal that you’re trying to adapt to.

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Books Blog Palliative care Palliate 237

GeriPal

DECEMBER 1, 2023

And if you look, who gets to define this, it’s pretty well documented. Then you have to actually look at the document and ask, did any one of these 36 people read the document from cover to cover? Then the question is, who gets to define these diseases? The who in the room who defines it is heavily industry biased.

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Definition Document 2011 Events 202

GeriPal

OCTOBER 5, 2023

You’ve had three documented conversations to “clarify code status.” And I think part of the problem is for many people who are doctors, and I’m not talking to our palliative care geriatric audience, there is a sense of what it is to be a doctor is to fix things, is to save lives. Alex: Thank you.

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Informed consent Article Palliative care Resuscitation 262

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. It’s not well-documented. Who do we have with us today? Devon: Right.

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Palliative care Palliate Informed consent Article 302

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. I think Bob also noted documenting it. Eric: So Susan, and would you say that a POLST is more of a care planning document rather than an advance care planning document?

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Palliative care Geriatrics Palliate Document 144

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. 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. It’s what happens in lots of different fields, including geriatrics.

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Assisted living Geriatrics Long-term care Nursing home 191

Hospice News

JUNE 9, 2022

I am an acute care and adult and geriatric certified nurse practitioner. Tina Taylor: I’m Tina Taylor, vice president of palliative care at Compassus. I am responsible for our national palliative care programs across the nation. We have to get it right.

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GeriPal

DECEMBER 14, 2023

The post Influence of Hospital Culture on Intensity of Care: Liz Dzeng appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric: And with that, Alex, do you want to end us with a little bit more Proud Mary? This is such an honor to be able to talk to you guys about this paper.

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Palliative care End-of-life care Palliate Article 227

GeriPal

SEPTEMBER 21, 2023

What that looks like, to some degree, by having a conversation, by documenting wishes, we can potentially influence what that looks like and what that experience is for that person who is dying and then also for family members who are left behind. Alex: I was going to say Fayron, you can go second.

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Caregiver Nursing 2030 Bereavement 239

GeriPal

MARCH 7, 2024

We have to do our assessment, our documentation, all of the things that we need to do from providing good care and then also from a regulatory and to be filling the roles that we’re there providing, and, frankly, what we’re being reimbursed for. Eric: To all of our listeners, thank you for your support of the podcast.

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Hospice volunteer Presentation Palliative care Palliate 243

GeriPal

MAY 26, 2022

So I think the practical implementation may be very challenging for this as well as just the documentation of whether or not somebody’s been vaccinated. Govind Persad and Emily Largent appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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Article Definition Healthcare Geriatrics 162

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.

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GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Because we haven’t done our job to document the value of what we’re doing. And I use that as that documentation about what they want, recognizing that not everybody does that.

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GeriPal

FEBRUARY 24, 2022

So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. Painstaking work to go through each outcome and really characterize and document what works and what doesn’t. They were slightly mischaracterized.

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Document Feeding Definition Palliative care 222

GeriPal

JULY 28, 2022

And the big findings were better quality of life scores, less depression, more documentation of preferences, less aggressive care at the end of life. The post Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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Palliative care Palliate Article End-of-life care 204

GeriPal

MAY 18, 2023

The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people. We’re delighted to welcome Mike Steinman, who’s a geriatrician professor of medicine at UCSF in the division of geriatrics, prior guest on this podcast.

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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. How do you clearly articulate the value in what you deliver when we can’t even fully document it in our notes so that we can sit at tables and boardrooms and say, “Look, we’re more than just mobility training.

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Palliate ADLS Palliative care Article 279

GeriPal

FEBRUARY 17, 2022

Alex: Today, we are delighted to welcome James Deardorff, who is a geriatrician and a T-32 research fellow in UCSF’s Division of Geriatrics. He’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, James.

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Geriatrics Definition Palliative care Article 140

GeriPal

MARCH 16, 2023

You don’t have to want to play professional basketball to appreciate The Last Dance , which documents the final season of Michael Jordan with the Chicago Bulls. You write a scholarly article in geriatrics, it’s not dissimilar. In all seriousness, you don’t actually have to want to write a book to be interested in this podcast.

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Books Article Definition Geriatrics 192

GeriPal

JUNE 9, 2022

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . And so it’s within normal practice to have a reasoning and be accountable for it and document that.

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Palliative care Palliate Geriatrics Definition 187

GeriPal

MARCH 28, 2024

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Eric: 3,500 people.

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Palliative care Palliate Ventilator 2016 210

GeriPal

AUGUST 24, 2023

So it can create a generativity or legacy document, that will be given to that individual so they can bequeath it to loved ones. The post Dignity at the End of Life: A Podcast with Harvey Chochinov appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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Article Palliative care Palliate Geriatrics 223

AJN Off the Charts

OCTOBER 19, 2023

Tara Cortes, PhD, RN, FAAN, is the executive director of the Hartford Institute for Geriatric Nursing (HIGN)/New York University (NYU) Meyers and a clinical professor at NYU Meyers College of Nursing. link] cms.gov/files/document/nursing-home-staffing-study-final-report-appendix-june-2023.pdf 2001, December 24).

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Nursing home Long-term care Nursing 2001 96

GeriPal

APRIL 18, 2024

I think it was, and they asked three questions about geriatrics, including about anti-psychotics, and it read perfectly. When I first thought about this AI and what are the potential uses in geriatrics and palliative care in particular, I thought, oh, this is the last place where we’d want it, right?

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