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Given the significance of family caregivers in hospice care, providers can benefit from having tools to assess whether or not they are experiencing burnout. Caregiver burnout carries high risk for emotional, social and financial consequences for caregivers. There’s a very high number of U.S.
Anand Iyer, a pulmonary critical care physician scientist and associate professor in the Division of Pulmonary, Allergy, and Critical Care Medicine; the Division of Gerontology, Geriatrics, and Palliative Care; and the School of Nursing at the University of Alabama at Birmingham (UAB).
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. Is this just a bladder problem, or is this a bigger geriatric syndrome problem? But the geriatric syndrome is really a condition of late life.
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.
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. .”
Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho.
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. This could lead to community panel discussions, joint presentations, and cross-company in-services. 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. Other healthcare professionals.
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?”
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’re representing the American Geriatric Society today and we are delighted to be here in the podcast. So first, I want to thank you and commend you for what you have contributed to the American Geriatric society and to all of our collective learning. And you know, and Ken, I love that you brought up the caregiver point.
Listen to the entire presentation First Four Questions People Ask About In-Home Care Deciding if your loved one needs care can be difficult. Caregivers can provide these services whether the individual is still living at home or has moved to a Continuing Care Retirement Community (CCRC).
Alex 01:56 And returning guest, Vicki Jackson, who’s a palliative care doc, chief of the Division of Palliative Care and Geriatric Medicine at MGH , professor at Harvard Medical School, and co director of the Harvard Medical School center for Palliative Care. You know, and invite the caregiver to come in, to come sit down.
Caregivers have at least three years of tenure, and nearly one out of four caregivers have worked with a long-term companion for at least five years. So we’re coming to really validate all the things that the caregivers are gonna be providing, not a clinical assessment. Today, almost half of a long-term companion’s.
” In each bi-weekly episode, he interviews Alzheimer’s disease experts about research advances and caregiver strategies. And I pretty much present it as. And well, when we wrote this, I feel like I’m just doing everything in my presentation. I start by saying, these are the risks of this. We are cost saving.
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.
Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society. Alex: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. The same thing happens in geriatrics. Ramona: Thank you.
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.
Incarcerated hospice caregivers must abide by certain rules and processes when it comes to providing others with assistance, depending on the prison, Garlock explained. These are things that you technically had to have a nurse present to do in many cases,” Garlock said.
Many patients also present with undiagnosed baseline cognitive impairments, a significant risk factor for postoperative delirium 4. While this method is cost-effective and easy to implement, it has limitations, particularly for the geriatric population.
Because I don’t think we think about that so much in palliative care, but we do in geriatrics. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. But I believe before we start, somebody has a song request for Alex.
Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). So their caregivers did focus groups.
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.
They’re confused a lot of the time, and so we’re doing a ton of caregiver support. And honestly, a lot of this is for the caregiver because the patient half the time is like, who knows what their ammonia is? Sarah 24:24 See, I usually always present it as these are things we should think of. What’s the goal?
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.
Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? And so then you need caregivers to. Cause what we see is that some of the worst outcomes we have are when someone gets resuscitated because no one was there to explain. No, no, no.
Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Did the caregiver feel heard and understood? Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. Did they have PTSD?
Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Then we looked also a little bit long-term at three and six months, and we also looked at caregiver outcomes. Eric: Okay.
The wisdom and experiences of hospice caregivers (who are often underpaid and undervalued). And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside.
I look at the leadership team, so the administrator, the DON, the medical director, the director of staff development, the infection preventionist now, the whole team because we’re running mini hospitals and there’s no way that the administrator understands geriatric medicine. I’m glad that Alice brought it up. .
Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.
Over like 6,000 patients, 1500 caregivers, huge. Alex: I saw Des present this work during the NPC, National Palliative Care Research Center Foley retreat this past year in Jackson Hole. You look close to 40 of, if we think of all the big palliative care studies, they’re included in this study. Eric: I love this. Fantastic place.
Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. So yeah, I mean, this is one of the small number of studies, randomized trials that are out there.
In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.
Alex 32:22 Geriatrics Palliative Care Podcast. And so I think one thing we really like about not having it scripted word for word is the opportunity to kind of flex into that moment and just be present and kind of try that out. That analogy was more morbid than I meant for it to be. Emily 32:24 There we go. Alex 32:25 Roll with it.
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.
And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Karl: Okay. I want to make a disclaimer.
Eric 11:58 So going back to the case that you presented at the start, so you’re seeing this person use a whole lot of humor. The post Coping with Serious Illness: Danielle Chammas and Amanda Moment appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Dani 12:05 Yeah. This is complicated.
On the other hand, the trend of more Americans dying at home also presents challenges for families that we may have not seen for a century. Family members describe this caregiver role as fulfilling, rewarding, and an important part of the process. Caregiver Education in Hospice. Why Families Need Support When People Die at Home.
Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.
Alex 00:54 And Jasmine Santoyo-Olsson, who’s a social behavioral scientist and a fellow in the T32 Research Fellowship at the UCSF Division of Geriatrics. And I have a long interest in identifying family caregivers and supporting them in care delivery. I’m hearing family and caregivers. Excited to be here.
Just supporting each other too, because how many people are leaving healthcare, but especially leaving this geriatric medicine post-acute facet because they get frustrated or they get fearful of, of these kind of situations. I, I think people are a lot more open to that idea of somebody who’s not healthcare affiliated being present.
First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation. Good to be here. Alex 00:33 And we have two returning guests. James, welcome back to GeriPal. You validated that model.
This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. There’s a book called The 36-hour day for dementia caregivers. It requires a fight. It’s been going on for many decades now.
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