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Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. On today’s podcast, we talk to Nick Reed and Meg Wallhagen about hearing loss in geriatrics and palliative care. How to screen for hearing loss.
Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Tim, welcome back to GeriPal.
Building partnerships with other providers can help mitigate these barriers, according to Dr. Nathan Goldstein, professor of geriatrics and palliative medicine for the Icahn School of Medicine at Mount Sinai. Centers for Medicare & Medicaid Services (CMS) allows Medicare Advantage plans to cover palliative care as a supplemental benefit.
Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. The process of negotiating reimbursement was often unfavorable to providers, with rates lower than fee-for-service Medicare at times.”
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 want to say like 2017, 2018, something like that. Alex: Yeah.
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. It was probably around, I would say, 2017 when I started seeing a lot of interest and starting to see things like the UK Minister for Loneliness. Welcome back to the GeriPal podcast. Eric: Which one?
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. 2017 podcast. Who do we have with us today? Katie, welcome back to GeriPal.
However, by 2017, home surpassed hospitals, nursing homes, and every other place as the most common place of death. In 1984, there were only 31 Medicare-certified home hospice agencies. Additionally, Medicare pays 100% for home hospice with no copays or deductibles. More and more people are choosing to die at home. References.
.” But we had a hunch that turned out to be right that by the time these folks were in their fifties, they really had all the geriatric conditions and things we associate with much older. They found that between 2017 and 2030, they think the percentage of the population that’s 65 and up is going to triple in that 15-year period.
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