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We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. He doesn’t prescribe thickened liquids, because he just puts in feeding tubes in everybody.
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Force-feeding those who have lost their appetites and thirst may cause distress, even if it is well-intentioned by family or caregivers who feel compelled to get food into the patient. Board Certified Specialist in Geriatric Nutrition Consultant for Hospice of the North Coast. Harbord, MS, RDN.
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. I actually wrote a blog post about this when we were a blog. We were a blog? They’ve all been laid out for you. Anne: Right. Why are they doing this?
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, welcome to the GeriPal Podcast. Take it over.
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. He, his Twitter feed though is brilliant. Alex: Yeah.
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. And you wrote, actually, a beautiful GeriPal blog about it a while ago.
But I do think that there’s a tension here, which is that in order for these algorithms to work, you need to feed them a ton of data. And then you think, well, what kind of data are you feeding it? That’s what these algorithms need. For any MOC questions, please email moc@ucsf.edu.
I mean, if somebody has really bad depression and they stop eating and nobody bothers to feed them or make sure that they eat, then, yeah, they could die. Like we’ve done some beating up on the term palliative chemotherapy, you know, on the When We Were blog and then sometimes on the podcast. Eric 35:53 Yeah.
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