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Though CON regulations are not necessarily an indicator of quality, size or ownership status, they can give lawmakers a window into the relationship between quality and oversight, as well as other variables that impact end-of-life experiences, according to John Cagle, associate professor at the University of Maryland’s School of SocialWork. “We
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. So those social workers were involved. Simone, welcome to GeriPal.
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. DorAnne 30:25 I also wanna make a shout out for pain and symptom management with socialwork and chaplains. I don’t know.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Invoking this principle, Emily argues for an expanded role for patients in the gray area and their inner circle working together along a spectrum of cooperative decision-making. Anne Kelly: Hi there.
So, you actually just got a first author publication, JAMA, looking at a nursing and socialwork intervention in heart failure, ILD, and… What was the third again? Alex: Yeah, two psychologists talking about psychological issues in palliative care and geriatrics. So, yeah, I was hoping to make some changes around that.
We have two hospitals that were community hospitals without palliative care or socialwork support. Was the clinician working frontline in those community hospitals? We have palliative care, we have also socialwork, et cetera. And so then you need caregivers to. And they found that they had no time.
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. Or any social determinant of health just means that means the clinician refers to socialwork.
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?
There is a lot of literature suggesting that standard transplant care doesn’t really meet the needs of these patients and their caregivers. Then we looked also a little bit long-term at three and six months, and we also looked at caregiver outcomes. Eric: Well, let’s talk about caregivers. Eric: Okay. Tom: Yeah.
Over like 6,000 patients, 1500 caregivers, huge. But before we end, as Alex sets up, Des, Elissa, if you had a magic wand, one thing that you can change around this issue around behavioral health integration and cancer care, palliative care, geriatrics, what would that be? ” Some say, “Everyone gets a PHQ-9.
What the social workers are … Eric: Yeah. Beth: From a hospice standpoint, we obviously have the nursing support, socialwork chaplaincy. Emotional support was offered in 276 visits and 88 caregivers were provided with respite, things like that. We have volunteers, we have CNAs.
We invited her back along with Alaine to talk about their work around negotiation training, including their work on NegotiAge , an online, AI based training intervention designed to teach negotiation skills to caregivers. . Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs.
We do have access to palliative care socialwork in the outpatient setting, and we have a nurse. And then we also didn’t give them access to palliative care socialwork on the stepdarmouse. And this is where I think qualitative data from caregiver bereaved caregivers would be super useful.
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