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

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?” Summary Transcript Summary. Narrative medicine? Schilling, L.,

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Palliative care Palliate 2011 Healthcare 252

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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Palliative care Palliate Informed consent Article 302

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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Palliate ADLS Palliative care Article 279

GeriPal

DECEMBER 15, 2022

Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, Heather. So Alex and I had to find another one, and Brandi and her ballads are very near and dear to me because you can imagine that’s related to narrative and telling of people’s stories. Why is this a research focus of you?

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Palliative care Palliate Healthcare 2011 211

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

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

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. Alex: Yeah.

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Palliative care End-of-life care Palliate Article 227

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild.

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Hospice volunteer Presentation Palliative care Palliate 243

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. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Welcome to the GeriPal podcast, Lexy.

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Chaplain Palliative care Palliate Social worker 185

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. It’s a big episode covering a lot of topics. Annals of IM.

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Geriatrics Nursing home Definition Healthcare 185

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. Curt Gedney, and our Assistant Medical Director, Dr. Noelle Stevens!

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

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. Welcome to the GeriPal podcast.

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Informed consent Article Palliative care Resuscitation 262

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. Alex: Today we are delighted to welcome three first-time guests.

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Article Events Document Definition 184

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. This is Eric Widera. Alex: This is Alex Smith.

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Nursing home Books Chaplain Caregiver 200

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

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. . Summary Transcript Summary. This was in part due to the tremendous support of the National Institute on Aging. By diagnosis?

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Palliative care Palliate Geriatrics Definition 187

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

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

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. Summary Transcript Summary.

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Document Feeding Definition Palliative care 222

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

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

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. On the other hand, I agree with Karl that the POLST has face validity, and anecdotal evidence is overwhelming. Welcome, Abby.

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Document Nursing home Healthcare proxy Ventilator 266

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

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. Summary Transcript Summary One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Eric: Okay.

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Palliative care Palliate Ventilator 2016 210

GeriPal

AUGUST 24, 2023

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. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. This is Eric Widera. Who is with us today?

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Article Palliative care Palliate Geriatrics 223

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

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

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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Geriatrics Books Palliative care Palliate 278

GeriPal

JULY 13, 2023

They found a difference of 4% in documented goals of care discussions. Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Is 4% meaningful? Randy died February 26, 2023. Welcome, Bob.

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Document Palliative care 2018 Palliate 156

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. Yep, for geriatrics? Alex: But I’m talking about-. Joel: Talk about it. Alex: You probably did, yes. Joel: Yeah.

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Geriatrics Medicare 2016 Palliative care 198