Hospice News

MARCH 29, 2023

Nevertheless, longer stays continue to trigger regulatory audits and additional documentation requests. One area with room for improvement involves patients who are referred to hospice from nursing home settings where median lengths of stay have yet to recover from pre-pandemic levels, according to Allison.

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Hospice News

MAY 5, 2023

DocuSign became the most efficient as far as getting consent for services and other documentation completed. Hospitals and nursing homes don’t want to get dinged for readmissions. But it’s the burden of documentation that we always have. But you lose a bit of the personal touch. Turner: Data plays an important part.

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Hospice News

OCTOBER 21, 2022

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. My role was more than just teaching clinicians how to document patient visits. What drew you to this industry? My role was to encourage, comfort, and inspire.

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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. Katie, welcome back to GeriPal. Bragging rights. That was from our what?

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

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Hospice News

OCTOBER 12, 2023

They offer home health, they offer palliative care, and so forth. I will tell you, as a recovering hospice admission nurse, and my husband’s also a recovering hospice admission nurse, if we had a dollar for every hour that we documented after hours in order to get our documentation in, we’d have an island in the South Pacific.

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Hospice Document End-of-life care Article 130

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. 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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GeriPal

DECEMBER 2, 2022

The example I give is, if you’ve ever walked into a nursing home, or where there’s an activity happening for a group of people with dementia, that is a little depressing to me. A lot of times family members or staff in nursing homes say that, “I’m burnt out, so I don’t have the energy.”

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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

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. Alex: This is Alex Smith. Heather: Sure.

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Palliative care Palliate Healthcare 2011 211

High Peaks Hospice

NOVEMBER 4, 2022

Ann Merkel and some of the group of original High Peaks Hospice founders gathered to create a video to document the story of High Peaks Hospice’s beginnings. Camillus, director of Uihlein Mercy Nursing Home in Lake Placid, worked to ensure hospice services would be available to nursing home residents.

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GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. JAMA Surgery 2018 Gabapentin and mood stabilizers in the Nursing Home Setting: Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications.

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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. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. He’s been a hospice and nursing home director.

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GeriPal

JUNE 9, 2022

In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . By diagnosis? By prognosis?

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GeriPal

MARCH 24, 2022

And yet, I think for everyone who’s elderly, which is anyone who’s my age or older, I would say it’s very important and ought to be part of an annual exam that we ought to be asking that, and documenting it in the chart. I think Bob also noted documenting it. Susan: Thanks so much, Alex. Welcome back, Bob.

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Palliative care Geriatrics Palliate Document 144

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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Hospice News

MAY 5, 2023

“Generally speaking, we see many more health systems over the past numbers of years making the decision that [staff] have vaccinations documented and submitted to be able to maintain their privileges at a particular health system. I’m certainly seeing it much more as a provider being, entity by entity or facility by facility.”

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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. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago. That will be the last one in his life.

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GeriPal

MAY 18, 2023

But they were specifically looking at nursing home population. There’s good data for de-prescribing more in the context of poly pharmacies or studies on nursing homes is where the best data is. And then when they updated it in 1997, they expanded it to include all older adults. Eric: Great. Mike: And an app too.

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GeriPal

FEBRUARY 17, 2022

And when these medications were first started, there was a good case series in the New England Journal in 1996 that really documented some cases of severe esophagitis. He will post like articles that he’s read highlighted with key points noted, absolute treasure. Welcome back to GeriPal, Sei. Sei: Great. Thanks for having me.

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Geriatrics Definition Palliative care Article 140

GeriPal

JUNE 30, 2022

Joel: And by the way, I should mention that some of the work that’s been done in the past on patients with dementia in the hospital, it’s been based on Emily Finlayson’s work looking at surgery, but really looking only at nursing home patients. You’re not going to end up going back home after the surgery.

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