GeriPal

FEBRUARY 29, 2024

Our task is simple, we are going to be sampling each of these hot chicken wings while we ask Eric and Alex questions related to Palliative care and Geriatrics. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Anne: Right.

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Geriatrics Palliative care Palliate Blog 237

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

NOVEMBER 17, 2022

The experts settled on a range of key services, from more palliative care focused (e.g. end of life care and advance care planning) to more geriatrics focused (e.g. staff training in person centered care). RCFEs, boarding cares, nursing homes. toenail trimming) to things in between (e.g.

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Assisted living Geriatrics Long-term care Nursing home 191

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 279

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 24, 2022

Alex: And we have returning, Bob Arnold, who is a palliative care doctor at the University of Pittsburgh. 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. Susan: Thanks so much, Alex. Welcome back, Bob.

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Palliative care Geriatrics Palliate Document 144

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

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. I’ve known Michele a long time, since the Joint Medical Program.

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Hospice Chaplain Palliative care Palliate 276

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

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Jessie Merlin is an addiction and palliative care physician, and professor of medicine at the University of Pittsburgh. That was from our what?

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Palliative care Palliate Informed consent Article 302

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. Welcome to the GeriPal podcast, Chrissy. Chrissy: Thank you so much for having me.

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ADLS Geriatrics Nursing home Article 240

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

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 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 199

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

MARCH 2, 2023

First, Nisha, a pain and palliative care pharmacist, starts us off with discussing the pharmacology of gabapentin and pregabalin, including common myths like they work on the GABA system (which is weird given the name of the drug). J Am Geriatr Soc. It’s a big episode covering a lot of topics. Nisha: Thank you so much.

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Geriatrics Nursing home Definition Healthcare 185

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! He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). This is Eric Widera.

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Nursing home Books Chaplain Caregiver 200

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). Transcript.

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Palliative care Palliate Article Geriatrics 249

GeriPal

JULY 27, 2023

We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Brienne: 100%.

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Geriatrics Information Caregiver Events 158

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

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 196

GeriPal

DECEMBER 21, 2023

Eric: What got you interested in memory care, dementia, and put you on this path? 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.

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Medicare Caregiver 2024 Social worker 225

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 243

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. You’re not going to end up going back home after the surgery. And you two guys are both palliative care docs, right?

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GeriPal

DECEMBER 8, 2022

We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. This episode of the GeriPal Podcast is sponsored by UCSF’s Division of Palliative Medicine , an amazing group doing world class palliative care. Summary Transcript Summary. Narrative medicine? SPONSOR: .

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Palliative care Palliate 2011 Healthcare 252

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? Sei: Great. Alex: Thanks.

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Geriatrics Definition Palliative care Article 140

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. This is Eric Widera.

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Palliative care Palliate Healthcare 2011 211

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 213

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 223

Shining Light Hospice

MARCH 27, 2023

Hospice services can be provided at home or in inpatient facilities with staff experienced in end-of-life care. The Role of Medical Professionals in Hospice Care Primary care physicians are often the first point of contact for patients seeking hospice services.

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Hospice care Hospice Grief End-of-life care 96

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. nursing homes.

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Nursing home Presentation Article Nursing 200

GeriPal

DECEMBER 29, 2022

Geriatrics. Conflicts Experienced by Caregivers of Older Adults With the Health-Care System. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern.

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Social worker Caregiver Geriatrics Books 186

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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Geriatrics Article 2010 2019 198

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. ” Alex Smith: Maybe that’s where our palliative care language came from.

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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. He had a birthday this week. Guy: Thank you.

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Books Geriatrics Palliative care Nursing home 142

GeriPal

OCTOBER 13, 2022

So I think when you start combining these trials and you’re faced with an older adult that the option would be to now put in a PICC line and send them to a nursing home and then you can have a really sit down with the patient through shared decision making decide we stop at seven days. Lona: Absolutely. Tell me about this study.

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Article Definition 2021 Geriatrics 178

GeriPal

OCTOBER 20, 2022

So I think when you start combining these trials and you’re faced with an older adult that the option would be to now put in a PICC line and send them to a nursing home and then you can have a really sit down with the patient through shared decision making decide we stop at seven days. Lona: Absolutely. Tell me about this study.

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Article Definition 2021 Geriatrics 130