GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. I’m unsure what they do, how often they’re used, and who pays for their work.

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Hospice volunteer Presentation Palliative care Palliate 246

GeriPal

APRIL 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, hearkening back to the Uncanny Valley, we would like it if people were machines and we just gave them information and they spat out a response. Josh, welcome back to GeriPal.

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Information Presentation Palliative care Palliate 236

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Other states set lower bars, including oral assignment of surrogate decision-makers. Bernie: And so Alex, it was horrible.

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Feeding Document Resuscitation Article 197

1-800-HOSPICE

MARCH 28, 2023

Sometimes, we are put into a difficult position of communicating information that involves bad news such as, a poor prognosis or clarifying treatment goals to a family member with an advanced illness. Ask: Determine each patient’s preference for receiving prognostic information. 2 Patient recall of prognostic conversations can be poor.

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2003 Geriatrics Bereavement 2008 52

Daily Nurse

JUNE 15, 2023

When accessing health-related information, AI-powered chatbots can provide accurate information and direct consumers to relevant health facilities, even in areas with limited resources. Does ChatGPT provide nursing students with a convenient and accessible way to access information and practice clinical skills?

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Geriatrics Nursing Information Healthcare 86

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Rehabbed to Death.

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Nursing home Feeding Nursing Geriatrics 135

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 183

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. Thanks to my son Kai for playing the guitar part in 5/4 with strange chords on Riverman by Nick Drake!

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Chaplain Palliative care Palliate Social worker 188

GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. Alex: We are delighted to welcome Jacky Kruser, who’s a pulmonary critical care doctor and health services researcher at the University of Wisconsin.

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Informed consent Article Palliative care Resuscitation 266

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. I can get you guys that information. Eric: Okay. Is it you, Emmy?

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Geriatrics Palliative care Palliate Healthcare 216

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 282

Shining Light Hospice

MARCH 27, 2023

Hospice physicians may also have additional certifications such as geriatrics, oncology, or palliative care to demonstrate their knowledge of this field. Be Present Presence and authentic listening create a safe space that allows for honest, open communication and allows all parties to feel understood.

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Hospice care Hospice Grief End-of-life care 96

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? J Palliat Med. J Palliat Med. J Palliat Med. The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. doi:10.1089/jpm.2021.0256

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Palliative care Palliate Definition Geriatrics 200

The Nurse Break

MAY 24, 2022

You still need all the speciality skills of dealing with different illnesses that might present in one person, plus additional skills in recognising medication interactions, side effects and aspects of polypharmacy that might need attention. Geriatric complications and preventable complications. Meet Dr Kasia Bail! dr kasia bail.

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Nursing Geriatrics ADLS Palliative care 98

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. He’s a linguistic and medical anthropologist at the University of Pennsylvania.

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Article Informed consent Palliative care Palliate 245

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. We don’t push any information at them. Sarah: Thank you.

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Article Events Document Definition 187

GeriPal

FEBRUARY 8, 2024

Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. Wallace, C.L., In Donesky, D.,

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Chaplain Palliative care Palliate Definition 285

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 167

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. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. Susan: Thanks so much, Alex. Welcome back, Bob.

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Palliative care Geriatrics Palliate Document 145

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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GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. They study palliative care. Eric: Okay.

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Palliative care Palliate Ventilator 2016 213

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. . – Anticipatory corpse book mentioned several times on the podcast. – Ira Byock’s 4 things that matter most. AlexSmithMD. Transcript. This is Eric Widera.

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Books Palliative care Palliate Geriatrics 203

GeriPal

FEBRUARY 24, 2022

And that kind of prognostic information can be just as valuable, really, to patients and their families planning as time-based information. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself.

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Document Feeding Definition Palliative care 225

GeriPal

AUGUST 4, 2022

Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. And this paper really gave us some important insights into older adults’ priorities about medication use that can inform these conversations. ” Ariel: Exactly. Eric: Can I ask?

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Nursing home Presentation Article Nursing 203

GeriPal

FEBRUARY 9, 2023

But we had her code, each doctor’s interaction with the Black patient and the white patient, and she coded it with video using detailed information about how many times they touched the patient, how close they got to the patient’s bed, where their body was positioned, and whether they had open or closed body posture. Amber: I do.

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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 226

GeriPal

DECEMBER 21, 2023

Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. I could walk down the hall and get information. We present it to CMMI, to CMS, whoever will listen to us, people on The Hill.

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Medicare Caregiver 2024 Social worker 228

GeriPal

MAY 19, 2022

Part of my proposal is, again, that we can actually use very similar information. Really because of the structure and the nature of equianalgesic tables, similar information with simpler math, can easily be presented to our colleagues. Eric: And Alex, I have a feeling I’m going to love this podcast. Is that right?

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Books Palliative care Palliate Geriatrics 288

GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Welcome, Abby. Abby: Thanks for having me. We changed our name. Good to know.

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GeriPal

NOVEMBER 3, 2022

And then to see her, it sort of set up this sense of there’s an expectation that we have for the future that what we’re doing in the present moment is somehow going to continue and that we’re going to have an opportunity to maybe deepen a relationship, to provide some healing, to learn more about each other, to form bonds.

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Grief Books Palliate Palliative care 239

GeriPal

MAY 11, 2023

Kristine: I like to tease my geriatric friends about age. There’s not that much information on smoking and cognition. I presented this at the big clinical trials meeting in November in San Francisco. And because we can’t resist, we dip into aducanumab and lecanemab at the end. Eric: A minute-and-a-half. So, there you go.

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Geriatrics Presentation Social worker Palliative care 159

GeriPal

JANUARY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. A recent Human Rights podcast discussed the story of a Canadian seeking MAID because he could not afford to stay housed. ABIM MOC credit will be offered to subscribers in November, 2024.

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Home Care Pulse

JULY 25, 2023

Just supporting each other too, because how many people are leaving healthcare, but especially leaving this geriatric medicine post-acute facet because they get frustrated or they get fearful of, of these kind of situations. I, I think people are a lot more open to that idea of somebody who’s not healthcare affiliated being present.

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Books Bereavement Hospice Grief 72

GeriPal

JULY 13, 2023

And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. Randy died February 26, 2023. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness. Erin, welcome to the GeriPal podcast. Welcome, Bob.

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Document Palliative care 2018 Palliate 158

GeriPal

JULY 14, 2022

Alex: We are delighted to welcome back two very special guests who were with us early in the COVID pandemic, and really shown a light on what was happening for the rest of us who could see this giant wave coming, and were just thirsty for information and experiences from those people who were experiencing it early. Darrell: Pretty amazing.

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Long-term care Grief 2020 Medical director 279

GeriPal

JANUARY 20, 2023

It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice. Eric: So Jasmine, we hit on care delivery, we also hit apparently on health information technology. Jasmine: Technology.

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Nursing home Nursing Long-term care Medical director 183