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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.
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.
We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. And then the second one in 2015. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. Welcome back to the GeriPal podcast. Carla: Thanks so much. Nice to see you all.
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.
You can care for pediatric patients, students, adults, or geriatric patients. PMHNP programs have nearly doubled over the past eight years (with 208 programs in 2021, up from 114 programs in 2015). “We In 2019, PMHNPs provided nearly one-third of mental health prescriber visits of Medicare patients, found a recent study.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. I moved to Boston in 2015 to start my PhD and I’ve always worked clinically at MGH during the process, but I was very interested in this notion of measuring function and frailty. What are other options?
Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Who do we have with us today? Katie, welcome back to GeriPal.
She has won the N H P C O Hospice Innovator Award in 2018, and she was the 2015 International Humanitarian Woman of the Year. Medicare doesn’t hurt palliative care services. We look for creative ways, but hospice has its own reimbursement source through Medicare. Speaker 2 ( 00:40 ): Mm-hmm. ,
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.” 2015, 2016.
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