GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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Geriatrics Palliative care Palliate Blog 239

GeriPal

MAY 18, 2023

Summary Transcript Summary Hot off the press is a brand spanking new updated 2023 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people.

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GeriPal

AUGUST 4, 2022

Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. That’s huge! Transcript. This is Eric Widera.

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Nursing home Presentation Article Nursing 203

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. Today’s podcast tackles these issues and more with three amazing guests: Katie Jones, Jessica Merlin, and Devon Check.

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Palliative care Palliate Informed consent Article 304

Hospice News

JULY 22, 2022

Many come striving for change after witnessing loved ones receive poor end-of-life care or enduring bereavement without support. A death doula is a non-medical provider trained to care for a terminally ill person and their family physically, emotionally and spiritually during the process of death.

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NHPCO

JULY 28, 2023

The study was funded by the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO). Susan Lloyd, CEO of Delaware Hospice shared her personal experience with her mother’s end of life care. With hospice, you can provide that care at home.”

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Medicare Hospice End-of-life care Grief 93

GeriPal

MARCH 24, 2023

If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. JAMA Health Forum. Transcript Eric: Welcome to the GeriPal podcast.

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Hospice Article Hospice care Medicare 217

GeriPal

MAY 12, 2022

In today’s podcast we talk with Dr. Rajagopal (goes by “Raj”), one of the pioneers of palliative care in India. Raj is an anesthesiologist turned palliative care doctor. He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. slowed down version.

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Palliative care Palliate Books Definition 261

GeriPal

SEPTEMBER 14, 2023

What if, for at least some older adults who need acute-level care, instead of treating them in the hospital, we treat them at home? That’s the focus of the hospital-at-home movement, and the subject we talk about in this week’s podcast. How is it financed and what comes next? Annals of Int Med. This is Eric Widera.

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Medicare Definition Geriatrics Care at home 223

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? The problem is the tremendous heterogeneity in services offered and quality of care. The experts settled on a range of key services, from more palliative care focused (e.g. Transcript.

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Assisted living Geriatrics Long-term care Nursing home 194

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Ok, what about Aging and Disability Resource Connection (ADRC) services? This is Eric Widera. Alex: This is Alex Smith.

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Geriatrics Medicare Caregiver Palliative care 167

GeriPal

AUGUST 24, 2023

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. You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong.

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Article Palliative care Palliate Geriatrics 226

GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. Summary Transcript Summary Gabapentin is the 10th most prescribed drug in the United States and use is increasing. In 2002, 1% of adults were taking gabapentinoids (gabapentin and or pregabalin).

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Geriatrics Nursing home Definition Healthcare 188

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? What can you do with the results of a geriatric assessment? How does palliative care fit into all this? Precision medicine?

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Geriatrics Palliative care Palliate Caregiver 241

GeriPal

AUGUST 11, 2022

Today we have the honor of interviewing Susan Block, MD, one of the pioneering leaders in the fields of palliative care, particularly psychosocial aspects of palliative care. We delighted to be joined by Brian Block, pulmonary/critical care faculty at UCSF and frequent guest host on GeriPal…and also nephew to Susan. Transcript.

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Palliative care Palliate Healthcare proxy Article 232

GeriPal

NOVEMBER 2, 2023

Summary Transcript Summary What does the future hold for geriatrics? But, it’s also hard not to be bullish on the future of the field to see the consistent strides geriatrics has made in the last two decades in improving care for older adults. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

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AlayaCare

SEPTEMBER 29, 2021

Not so in the booming home health care market, where those in need of the service are expanding at a far quicker pace than those providing the service. look to seize on the incredible momentum within home care – whose importance in this industry’s landscape has been laid bare by the pandemic.

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Home care Webinar In-home health 130

AlayaCare

SEPTEMBER 30, 2021

Not so in the booming home health care market, where those in need of the service are expanding at a far quicker pace than those providing the service. look to seize on the incredible momentum within home care – whose importance in this industry’s landscape has been laid bare by the pandemic. To merge or not to merge.

Home care 130

Home care Webinar In-home health 130

GeriPal

JULY 27, 2023

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. Summary Transcript Summary Insomnia. We’ve all had it. Insomnia sucks. Chronic insomnia sucks even more. This is Eric Widera. Alex: This is Alex Smith.

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GeriPal

AUGUST 25, 2022

Alex: We’re delighted to welcome back Lauren Hunt, who is a Hospice and Palliative Care Nurse Researcher, an Assistant Professor of Nursing at UCSF. Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. People with dementia make up about half of hospice admissions.

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Hospice Geriatrics Palliative care Definition 199

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. These worse outcomes were not due to differences in genes, they are due to structural racism and ageism. In today’s podcast we talk about the intersection of racism and ageism.

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Geriatrics Definition Healthcare Article 173

Hospice Nurse Hero

FEBRUARY 15, 2024

Plus, I’ll explain when GIP care is appropriate and when it’s not. If you’re seeking clarity on GIP-level care and hospice GIP documentation, you’ve come to the right place. What is Hospice GIP Care? First, if you are a hospice nurse, you probably already know about the four levels of hospice care.

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Document Hospice Medicare Hospice nursing 52

Minority Nurse

JUNE 22, 2022

In January 2009, the Maricopa Integrated Health System (MIHS) staged the grand opening of the Refugee Women’s Health Clinic in Phoenix, Arizona with Dr. Crista Johnson, MD, FACOG as the founding medical director. It is believed to be the only such clinic in the U.S. It is believed to be the only such clinic in the U.S.

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GeriPal

MAY 26, 2022

Sometimes, you can’t always get what you want…. First we have Emily Largent who is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania Perelman School of Medicine, welcome to the GeriPal podcast, Emily. To be sure, Paxlovid is no longer as scarce as it was a few months back. Transcript.

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Article Definition Healthcare Geriatrics 164

GeriPal

FEBRUARY 2, 2024

Summary Transcript Summary Last week we talked about a trial of a nurse and social worker outpatient palliative care intervention published in JAMA. For context, listen to the prior podcast with Scott on “ nudges ” and prior podcast with Kate on who should get palliative care. Much more to come. I saw them only twice.

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Palliative care Palliate Article Geriatrics 216

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults. AlexSmithMD. Transcript. This is Eric Widera.

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Article Definition 2021 Geriatrics 181

GeriPal

JULY 13, 2023

On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations. They found a difference of 4% in documented goals of care discussions. Is 4% meaningful? Randy Curtis was first author of the JAMA paper. We have lost a giant.

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Document Palliative care 2018 Palliate 158

Community Home Health Care

DECEMBER 1, 2022

How can older adults take better care of themselves to avoid being affected by winter-related conditions? What can caregivers do to proactively protect seniors when the temperature drops? Winterize the home. Winterize the home. 5 Tips for Helping Older Adults Stay Warm and Healthy. Dress Warmly to Avoid Hypothermia.

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Caregiver Registered Nurse Assisted living Events 98

GeriPal

APRIL 20, 2023

Chronic vs acute homelessness What is the major driver of homelessness in general? Chronic vs acute homelessness What is the major driver of homelessness in general? What is the major driver of the increase in older homeless persons? What are the structural factors and individual factors that contribute to homelessness?

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Geriatrics 2003 Events Healthcare 227

GeriPal

OCTOBER 20, 2022

The Department of Health and Human Services helps to guide billions of dollars in investment and direction in research, policy, and health care. How does coordination occur between the federal, state and local level in aging health policies? Summary Transcript Summary. How does this relate to aging policy and research? We talk about:

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Article Definition 2021 Geriatrics 130

AlayaCare

APRIL 11, 2019

In the ever-changing home care industry, there are innumerable variables that agencies must strategically consider – as well as those that are hard to predict but still need to be managed carefully. The implications on the demand for home care services are clear. As we’ve explored in previous articles , 15 percent of U.S.

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Home care agency Home care Caregiver ADLS 100

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. Palliative care, in contrast, saw explosive growth in US hospitals. In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health.

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Palliative care Palliate Geriatrics Definition 191

Home Care Pulse

JUNE 27, 2023

17: How Home Care Agencies Can Reduce Hospital Readmissions Michelle Cone and Laura Coyle of HomeWell Care Services address why home care plays a crucial role in reducing hospital readmissions, how they're prioritizing this at HomeWell, and what they would suggest as the first step to improving outcomes.

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Living With Hospice

JULY 27, 2022

Diverging a bit from the Hospice theme, in episode 44, Mitch explores another form of end-of-life care and the role of a "Death Doula". He explains the origins of a doula role in relationship to the dying process, and the recent resurgence of this in modern end-of-life care. " All right, so what does that mean to you and I?

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End-of-life care Hospice Hospice care Medicare 98

GeriPal

SEPTEMBER 29, 2022

Janet is the author of the 4th edition of the book Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer, along with co-authors Molly Collins and BR Daubman. This book is terrific, truly comprehensive, and is a go to resource for when I’m “stuck” taking care of patients with cancer. . AlexSmithMD.

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Books Palliative care Palliate Feeding 209

GeriPal

MAY 5, 2022

Think about the last time you attended a talk on communication skills or goals of care discussions. Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? Over-the-counter hearing aids: What will it mean for older Americans? Summary Transcript Summary.

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Geriatrics Palliative care Palliate Article 220

Home Care Pulse

AUGUST 16, 2022

6: How to Build the Right Environment for Client Referral Growth Melanie Stover, Owner of Home Care Sales, shares everything you need to know about referral sources to set your agency up for success. Melissa Mendez ( 00:12 ): Welcome to vision the home care leaders podcast. Melanie Stover owner of home care sales.

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Home care Medicare Caregiver 2001 91