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Individuals with Alzheimers and dementia-related conditions could benefit from stronger caregiver programs upstream of end-of-life care. This is according to recent research findings, which could help inform approaches to care under the new Guiding an Improved Dementia Experience (GUIDE) payment model.
Hospice of the Chesapeake has unfurled a new dementia care program aimed at providing improved emotional, educational and practical support for patients and their caregivers as their conditions progress. The new program provides patients and their caregivers with direct support from Hospice of the Chesapeake’s interdisciplinary care team.
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?
We also have a home-based primary care practice called Geriatric Solutions. Geriatric Solutions was about being able to be that patients primary care provider when they were too ill to go see one. I think well be able to show strong results both on the patient side receiving great care, but also how it reduces caregiver burden.
We adopt the philosophy of combining palliative care and geriatrics and primary care together so that we can deliver what the patient needs and try to break down the silos that exist, Walker said. They interact with the various caregivers and clinicians in those settings to get information and be able to respond to those needs.
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.
Many elderly Americans follow one of three place of care trajectories during the last three years of life, researchers from Rutgers, The State University of New Jersey, found in a study recently published in BMC Geriatrics. These include the home, skilled home care and institutional care.
The four-person board includes experts in palliative care, geriatric oncology, health policy , care delivery, predictive analytics and health care innovation from health systems, cancer centers, and research institutions. So we want to prioritize proven strategies from both community and academic centers that are leaders in oncology.
Having data around CON regulations and their impacts can help inform lawmakers as they develop policies to guard against fraud, waste and abuse, according to recent researchers. “We found that the states that do have CON for hospice seem to be associated with a higher level of quality, even when controlling for ownership and size.”
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Alex 00:16 Today we’re delighted to welcome George K u c hel, who is a geriatrician and chief of geriatrics and director of the UConn center on Aging at the University of Connecticut.
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? So their caregivers did focus groups. And then we incorporated that information into the consultation process. And they had to have a family caregiver.
Joseph Gaugler is the Director of the Center for Healthy Aging and Innovation at the University of Minnesota, director of the BOLD Public Health Center of Excellence on Dementia Caregiving, and Editor-in-Chief of the Gerontologist. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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. Anne: Right. Lynn: Great.
While this method is cost-effective and easy to implement, it has limitations, particularly for the geriatric population. Virtual wards are already trialled and implemented for medical and geriatric patients, involve remote monitoring with health devices and telehealth platforms after discharge from the hospital. J Am Med Inform Assoc.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Eric: So we are going to be talking about the importance of engaging family members and caregivers and into the, I don’t want to say care, I just said care too many times, into the care of our patients.
One is they’re defining the intervention using future information, which Maria always tells me is a big no, no. As the caregiver or as a family member of the patient? It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. 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. Brienne: Thank you for having me.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. laughter] Eric: Well.
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.
Attendee 11: I am hopeful that the model of care that we deliver is what our patients and their caregivers want, need and deserve. Eric: Here’s our contact information. Eric: [funny blooper] No, that was my first question too, was that my first question? I’m losing track. Eric: Buying GeriPal podcasts. Alex: Nursing homes.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And then I did a geriatric orthopedic fellowship and that was really an exciting opportunity to help hip fracture patients, but then someone knocked on our door. Carmen: Yeah. Eric: Yeah.
Because I don’t think we think about that so much in palliative care, but we do in geriatrics. ” Alex: So I’m sure there’s some element of difference between what the patient might say and what their caregiver might say about this issue. I can get you guys that information. Is it you, Emmy? Emmy: It is.
Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. We wanted to give clinicians phrases that they could keep in their back pocket and use when discussing deprescribing with patients and caregivers. ” Ariel: Exactly. That was the target group.
Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. I think geriatrics very proud of interprofessional care. Whether they have a social worker, a nurse, a physician, an NP on the team, they know what to do with that information. So that’s one idea.
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. Tell us more about what you mean,” because they give us beautiful information from that.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Alex: Yeah, two psychologists talking about psychological issues in palliative care and geriatrics. ABIM MOC credit will be offered to subscribers in November, 2024. I’ll say it.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. There is a lot of literature suggesting that standard transplant care doesn’t really meet the needs of these patients and their caregivers.
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.
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.
You could also sort referral sources into categories, such as: Government agencies Other healthcare professionals Senior and geriatric advisors Miscellaneous other sources Are there places outside of the home that you can think of as potential partnership opportunities? One example could be a local house cleaning business or a pharmacy.
Senior and geriatric advisors. Here are some pieces of information that you should include: What do you offer. They want to know that when their patients need to be discharged with home care, that they’ll be in the safe, capable hands of trained caregivers. One example could be a local house cleaning business or a pharmacy.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research. We have both inpatient and outpatient at IU.
Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. 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. Alex, is it okay if I ask?
7 Strategies to Cope With Anxiety for Caregivers (And Their Seniors) Recent reports indicate that approximately 20 million people in the United States are struggling with anxiety and depression due to various reasons. And as a caregiver, you stand a higher risk of struggling with anxiety than the ordinary person.
2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. Eric: Lack of a caregiver. Joseph: Lack of the caregiver. For example, one case that we had not too long ago, one of the hardest cases, nobody was willing to touch him, no caregiver. JAMA Health Forum. And yet they’re dying.
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?
MCF, which Hope implemented for one of her hospice patients, serves as a middle way between the discomfort to the patient and caregivers of completely withholding food and fluid, and the current practice of comfort feeding only in which food and fluid are routinely offered to patients even in the absence of a symptomatic benefit.
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.
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’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, James.
While life will change, there are a number of steps to take that can help ensure a practical plan is in place that helps a loved one live with dignity and independence and family caregivers receive needed support. Gathering information and having it readily available will provide an important measure of control and stability.
Medical professionals, usually neurologists or geriatric specialists, employ a combination of clinical assessments, medical history review, and imaging tests to reach a diagnosis. Build a care team that includes healthcare professionals, caregivers , therapists, and support services to address various needs and challenges.
You’re getting them with a little teeny slice of their information and you’re just trying to build some willingness for them to hear more. In that, again this is GeriPal Podcast, geriatrics falls into the same boat. Eric: But one of them is, it looks like a caregiver and a patient both smiling, looking at pictures.
It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice. Eric: So Jasmine, we hit on care delivery, we also hit apparently on health information technology. Jasmine: Technology.
Additionally, I draw on my own personal experience as a caregiver to my older adult father, which started when I was twelve. He was in his early 60s when I was born, and he suffered a stroke in 1989, which threw our family into the post-acute medical care space and encouraged me to take on a caregiving role. How can we promote this?”
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