GeriPal

JUNE 8, 2023

How do caregivers fit into this? Alex Smith: And we’re delighted to welcome Tamryn Gray, who is an oncology and blood marrow transplant nurse by training and is a palliative care and caregiving researcher at Dana-Farber Cancer Institute, instructor in medicine at Harvard Medical School. How high is too high? Happy to be here.

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Hospice News

DECEMBER 5, 2022

This article is sponsored by CHAP. Additionally, I draw on my own personal experience as a caregiver to my older adult father, which started when I was twelve. How does age-friendly care benefit hospice providers, aging populations, caregivers and family members? How can we promote this?”

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Boca Home Care Services

MARCH 6, 2022

In this article, we will briefly touch upon the causes of back pain in senior citizens and will then go on to discuss in detail the measures they can take (apart from and in addition to pharmacologic treatments) to avoid or relieve back pain. Accordingly, there is no systemic treatment or cure for it. Lifestyle Changes.

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GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? What can you do with the results of a geriatric assessment? Precision medicine?

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GeriPal

APRIL 3, 2025

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And then I got to choose the first article.

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Comfort Home Care

MARCH 15, 2024

This article examines how our in-home care in Rockville can benefit both you and your loved one. Our caregivers work closely with families and the medical team to develop personalized care plans. Nurturing Emotional Well-being Beyond addressing physical needs, our caregivers provide invaluable emotional support to our clients.

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GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. Simone, welcome to GeriPal. Simone 01:54 I am so glad to be here.

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GeriPal

NOVEMBER 7, 2024

Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis. Eric 11:50 I also have to ask, because we will have a link to this article. One of my favorite articles. Would you mind just describing what you did in that article? This is Eric Widera.

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GeriPal

FEBRUARY 6, 2025

” In each bi-weekly episode, he interviews Alzheimer’s disease experts about research advances and caregiver strategies. They actually published a really good article in December on what’s the role, how should we diagnose Alzheimer’s disease in primary care? What is the role of the amyloid antibody treatments?

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GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics. I’ll say it.

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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. The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. They’ve all been laid out for you. Anne: Right.

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GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? Why did you even decide to write this article?

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GeriPal

JUNE 15, 2023

We talk on this podcast about potential uses of AI in geriatrics and palliative care with natural language processing guru Charlotta Lindvall from DFCI, bioethicists and internist Matt DeCamp from University of Colorado, and prognosis wizard Sei Lee from UCSF. Sei Lee is Professor of Medicine at UCSF in the division of geriatrics.

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GeriPal

MAY 8, 2025

And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. Gordon Alwasa. Am I saying that right? I always get. Eric 13:16 Those are the two people in the room.

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GeriPal

SEPTEMBER 21, 2023

Summary Transcript Summary The proportion of people living with dementia who identify as Black/African Americans is on the rise , and so too are the proportion of caregivers who identify as Black/African American. Why a focus on Black/African American caregivers and people with dementia? We talk in particular about: Terminology.

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GeriPal

JANUARY 26, 2023

Our guests Tim Farrell, Ramona Rhodes, and Nancy Lunderbjerg wrote an article in JAGS on this issue, and Sharon Brangman wrote a separate JAGS article on the need to achieve diversity in study populations. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request.

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GeriPal

FEBRUARY 8, 2024

Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. BJ: Mm-hmm. Naomi: Yeah.

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GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Should you stop at “no?” Anne Kelly: Hi there. Nice to be here.

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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 will post like articles that he’s read highlighted with key points noted, absolute treasure. It’s in the title of this article. Welcome to the GeriPal podcast, James.

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GeriPal

FEBRUARY 13, 2025

Does every institution need to get a community advisory board to tailor their rural tele-palliative care initiative (or geriatrics intervention) to the local communities served? We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles.

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GeriPal

MAY 25, 2023

We additionally have a debate/discussion about which outcomes of ACP matter most, including Terri Fried’s commentary in JAGS that caregiver outcomes matter more than goal concordant care (the “holy grail”), completion of advance directives, or changes in health care services use. Did the caregiver feel heard and understood? Depression?

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GeriPal

MARCH 24, 2023

For a deeper diver into these issues, check out some of the following links: Ira’s Stat new article “Hospice care needs saving” GeriPal’s episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. Ira: I like the article. Thank you, Anne.

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Hospice News

NOVEMBER 2, 2023

This article is sponsored by Netsmart. The article below has been edited for length and clarity. We serve about 60,000 folks a day, 26,000 caregivers, 17 states at a couple 100 offices. This discussion took place on September 7, 2023 during the Hospice News ELEVATE Conference. Anthony Spano: I wanted to open with a quick story.

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GeriPal

APRIL 13, 2023

We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. This paper was published recently in the Journal of American Geriatric Society Lead. Welcome back to the GeriPal podcast.

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GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. If I was somebody where if I had had to miss work, if I was, say, the sole caregiver for kids and I had dealt with side effects, it might have been more of a sacrifice.

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GeriPal

APRIL 10, 2025

I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation. And so then you need caregivers to. We looked at reach. We did some qualitative. Basically vital talk. No difference. Corita 26:15 Yeah. And he warned me.

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GeriPal

JANUARY 20, 2023

But if you want to learn more, check out these links: The report by NASEM titled “ The National Imperative to Improve Nursing Home Quality ” The website for the Moving Forward We will also link to the JAGS articles co-authored by seven committee members that focus on specific recommendations of the NASEM report when they get published (stay tuned).

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GeriPal

AUGUST 25, 2022

Krista Harrison found , to her surprise, that caregivers of people with dementia who died rated hospice as well as similar patients without dementia who died on hospice. She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Melissa: Thank you.

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GeriPal

FEBRUARY 22, 2024

Over like 6,000 patients, 1500 caregivers, huge. One of your articles also I thought was fascinating because in the cancer population, if you look at cancer pain, I think a lot of us think cancer pain, you treat it with neuropathic drugs, medications, opioids. Alex: And you had this fascinating article. Des: Yeah, sure.

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GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. One of my favorite quotes that we used in our article is one by Toni Morrison where she talks about, you know, narrative creates us at the moment that we’re. Alex 32:22 Geriatrics Palliative Care Podcast.

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GeriPal

MARCH 20, 2025

To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Thaddeus, you wrote an article in JAGS not too long ago.

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GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

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GeriPal

MARCH 30, 2023

Eric: Yeah, I can also imagine … So writing a traditional academic journal article is, one, you said it’s formulaic in a way. There’s this beauty that’s there, whether we’re doing geriatrics, infectious disease, palliative care. It’s a story about caregiving. So I’ll stop there.

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GeriPal

APRIL 28, 2022

One of the things I’ve been thinking as I listen to this and read articles in the journals and editorials is I wonder what this conversation sounds like to the layperson. And this caregiver saying, “I don’t know how much longer I can do this. And the editors know how to get people drawn into that article.

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GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). I’m unsure what they do, how often they’re used, and who pays for their work.

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GeriPal

OCTOBER 19, 2023

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! Respectful disagreement is in short supply these days. OK, I’ll step off my soap box. AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

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GeriPal

APRIL 6, 2023

And I told her I quote LaVera every year when I teach the geriatrics fellows, the palliative care fellows, I would love for you to tell the story that I quote because you experienced it. I spent my early time at Brady, and by the way, LaVera, your early article was pivotal for me when I came upon it, when I was working in that setting.

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