GeriPal

MARCH 7, 2024

Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild. We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. Why Beth? John: Nice to be here.

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Hospice volunteer Presentation Palliative care Palliate 246

GeriPal

AUGUST 25, 2022

She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Alex: We’re delighted to welcome back to the GeriPal podcast, Krista Harrison, who is a Health Policy Researcher, an Associate Professor of Medicine, UCSF Division of Geriatrics.

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Hospice Geriatrics Palliative care Definition 199

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. Nicole: Yeah, it was huge. Eric: Oh yeah. I see this in a lot in dementia.

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Feeding Definition Article Geriatrics 226

GeriPal

APRIL 27, 2023

Palliative Care the Next Generation: How the Service May Grow and Evolve AccentCare , a portfolio company of private equity firm Advent International, is another example. We’ve got a very large palliative care practice,” Rodgers told PCN. These are excerpts – not everybody was included. Eric: What is PCHETA?

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Palliative care Palliate Hospice Social worker 176

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

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams. Summary Transcript Summary Often podcasts meet clinical reality.

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Palliate ADLS Palliative care Article 282

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Medicare Caregiver 2024 Social worker 228

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 190

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. What’s wrong with the “pictures of hands clasping each other” as our palliative care meme?

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Palliative care Palliate Hospice Geriatrics 202

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 268

GeriPal

MARCH 24, 2023

If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. Eric: Alex, we have some great guests with us today.

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Hospice Article Hospice care Medicare 217

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. So we looked at Medicare data, we called out everything that had this 1% cutoff or higher. Joel may know. Joel: Yeah.

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Geriatrics Medicare 2016 Palliative care 202

GeriPal

JUNE 2, 2022

I read this Twitter thread by Andy Slavitt, who was a former head of Medicare, Medicaid under Obama, former Biden White House senior advisor, host of In the Bubble Podcast. Let’s focus on outpatient management, nursing home management. And you said, “No, that’s too depressing. That’s not where we are.”

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Article Definition Geriatrics 2020 194