Shining Light Hospice

MARCH 27, 2023

The Roles of Medical Professionals in Hospice Care Hospice care is a type of health care that focuses on providing comfort and support to patients and families during the end-of-life process. While it is often provided in a hospice facility or home, many medical professionals are often involved in the care of these individuals.

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Hospice care Hospice Grief End-of-life care 96

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

GeriPal

MARCH 7, 2024

We also invited Beth Klint to speak about the doula’s role within a traditional hospice organization. Alex: We’re delighted to welcome Beth Klint who is executive director of Goodwin Hospice and is joining us from the DC, Northern Virginia area along with Jane. Why Beth? This is Eric Widera. Alex: This is Alex Smith.

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Hospice volunteer Presentation Palliative care Palliate 243

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.

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Palliative care Palliate Informed consent Article 302

GeriPal

APRIL 4, 2024

I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. They didn’t come up in geriatrics very much. And we see that too in geriatrics. Alex and Eric, both of you attend in geriatrics. And that helps us get to the decision.

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Document Feeding Resuscitation Article 195

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. Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society.

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Geriatrics Definition Healthcare Article 170

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. We additionally discussed hospice care as an option for care that might follow the trial of rehabilitation. Summary Transcript Summary Often podcasts meet clinical reality. Ann, welcome to the GeriPal podcast. Ann: Thank you.

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Palliate ADLS Palliative care Article 279

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). Learn about using the low dose buprenorphine patch: .

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Palliative care Palliate Article Geriatrics 249

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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Palliative care Palliate Hospice Social worker 173

GeriPal

MARCH 14, 2024

Summary Transcript Summary Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” I got a question then, because I see one in 12 nursing home patients with dementia are placed on thickened liquids. I think it’s around one in 12 nursing home patients But it’s a lot.

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Feeding Definition Article Geriatrics 223

GeriPal

DECEMBER 8, 2022

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. Schilling, L.,

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Palliative care Palliate 2011 Healthcare 252

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.

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Palliative care Palliate Healthcare 2011 211

GeriPal

OCTOBER 27, 2022

She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.

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Geriatrics Article ADLS Information 180

GeriPal

MARCH 31, 2022

He’s also a part-time hospice and palliative care clinician. Guy: And I personally like it because, well, it reminds me of a time when I was a young physician, like you two, and could have used this song in my mind when I went into nursing homes to care for people. Those were great days and he is no longer growing old.

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Books Geriatrics Palliative care Nursing home 142

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. RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.

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Assisted living Geriatrics Long-term care Nursing home 191

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

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

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? Welcome to the GeriPal podcast, Chrissy. I am so excited to be here.

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ADLS Geriatrics Nursing home Article 240

GeriPal

JULY 6, 2023

Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.

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Geriatrics Medicare Caregiver Palliative care 165

GeriPal

OCTOBER 6, 2022

What struck me most was not that palliative care was a question, nor that it made it seem that palliative care isn’t provided alongside care directed at curing, nor was it that hospice was the first buzzed in response, but it was that palliative care was the $2000 question in the Double Jeopardy round! So what do we do about it? Marian: I do.

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Palliative care Palliate Hospice Geriatrics 199

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. GeriPal podcast with Linda Fried on frailty. Don’t ask anybody.

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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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Document Nursing home Healthcare proxy Ventilator 266

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

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. 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

DECEMBER 29, 2022

Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. We really don’t want seniors living at home alone when we know it’s dangerous for them and it’s going to make them end up in the hospital and go to a nursing home.

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Social worker Caregiver Geriatrics Books 186

GeriPal

JANUARY 20, 2023

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. We have Alice Bonner, who’s Chair of the Moving Forward Nursing Home Quality Coalition.

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Nursing home Nursing Long-term care Medical director 180

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. Summary Transcript Summary.

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Long-term care Grief 2020 Medical director 275

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. Joel: Talk about it.

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Geriatrics Medicare 2016 Palliative care 198