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. Hospice physicians may also have additional certifications such as geriatrics, oncology, or palliative care to demonstrate their knowledge of this field.

Hospice care 96

Hospice care Hospice Grief End-of-life care 96

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. People would present with horrible opportunistic infections, not just pneumocystis pneumonia, but CNS infections with toxoplasmosis and wasting syndrome, of course. It was a lot of fun.

Feeding 197

Feeding Document Resuscitation Article 197

1-800-HOSPICE

JANUARY 18, 2022

However, by 2017, home surpassed hospitals, nursing homes, and every other place as the most common place of death. On the other hand, the trend of more Americans dying at home also presents challenges for families that we may have not seen for a century. References. Ferrell B, Mazanec P. Family Caregivers.

Hospice 52

Hospice Bereavement 2004 2009 52

GeriPal

DECEMBER 15, 2022

So I allow family members to be present if they want them to. And these are a little bit more palliative care centric than things we might use with a general population of hospitalized old adults or people in the nursing home or in the outpatient setting because there’s that feeling of life closure and legacy in some of these questions.

Palliative care 214

Palliative care Palliate Healthcare 2011 214

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). 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.

Assisted living 194

Assisted living Geriatrics Long-term care Nursing home 194

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I allow family members to be present if they want them to. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin. Wonderful work. Every Veteran has a story.

Palliative care 254

Palliative care Palliate 2011 Healthcare 254

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: So it doesn’t just help the patient but it helps everybody around the patient too importantly, like in nursing homes. Lona: Absolutely. Eric: Can I touch on the last study? Eric: That’s helpful.

Article 181

Article Definition 2021 Geriatrics 181

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.

Geriatrics 167

Geriatrics Medicare Caregiver Palliative care 167

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.

Geriatrics 190

Geriatrics Ventilator Palliative care Events 190

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. ” Ariel: Exactly.

Nursing home 203

Nursing home Presentation Article Nursing 203

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. But when you’re asking someone to make a decision about code status, you’re asking them to make a decision that is in effect right now in the present, right?

Palliative care 145

Palliative care Geriatrics Palliate Document 145

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!

Document 268

Document Nursing home Healthcare proxy Ventilator 268

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: Yeah.

Medicare 228

Medicare Caregiver 2024 Social worker 228

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Why do we not have more palliative care access in nursing homes? laughter] Lynn: So good.

Palliate 281

Palliate ADLS Palliative care Article 281

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.

Nursing home 183

Nursing home Nursing Long-term care Medical director 183

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: So it doesn’t just help the patient but it helps everybody around the patient too importantly, like in nursing homes. Lona: Absolutely. Eric: Can I touch on the last study? Eric: That’s helpful.

Article 130

Article Definition 2021 Geriatrics 130

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.

Long-term care 278

Long-term care Grief 2020 Medical director 278