This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Palliative care may be gaining momentum across the health continuum in recent years, but several barriers exist preventing greater access and awareness, according to Dr. Kimberly Johnson, professor of medicine in the division of geriatrics at Duke Palliative Care and director of the Duke Center for Research to Advance Health Care Equity.
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. The future is always grounded in making sure were focused on what the patient needs. That is the future.
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.
Physicians in training need greater exposure to geriatric training in order to better grasp the needs of older patients, including during transitions to hospice, according to Dr. Julia Lowenthal, a geriatrician from Brigham and Women’s Hospital.
Though social determinants can take time and resources to build into palliative care programs, they come with a strong return on investment, according to Dr. Yaquta Patni, wound care and geriatric care physician at Innovative Geriatrics. The most important ones that we see are definitely [related to] transportation.
The trend points to ways that patients might receive palliative services through new avenues, such as geriatrics, primary care or home health care. A range of medical specialties are incorporating palliative care principles into their care models.
Freeland specializes in geriatrics, advance care planning and home-based primary care. Medicare Advantage beneficiary demographics have been changing in a positive direction in terms of reducing disparities among underserved populations, Freeland said.
Unfortunately, the lack of definition for the palliative care component led to a consistency issue across the demonstration, according to Mollie Gurian, vice president of Home-Based and HCBS Policy at LeadingAge.
Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. Led the American Geriatric Society. Eric: Let me go to the definition real quick.
So, it’s definitely possible in sort of that oldest old category that there may be what we call silent aspiration, where someone aspirates, and then they don’t cough or clear their throat, so you actually wouldn’t even know that they’re aspirating. Raele: Yep, they definitely can be. Raele: Yes, definitely.
Emily 06:11 Yeah, we definitely have a pill for every ill. Connie 32:18 Yeah, I think there’s definitely a need for a variety of different approaches. The stopping the cancer screening doesn’t have that same sort of momentum. I wonder if our guests feel that that’s maybe sort of an underlying issue here.
Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?
Eric: Martha – breaking the definition for palliative care, no longer an extra layer of support. laugher] Alex: I’m hopeful that there will be some people listening to this who are the future content creators in the geriatrics and palliative care space, and I look forward to what they have to offer.
Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. It is something that I have been involved with in a past life, but I was definitely not where I would consider myself a subject matter expert.
In this case I would say never use orals for staff, but in other bacteremias we are definitely seeing a movement towards oral therapies and there is a shift, but if we had money for more studies, this shift would move faster. Again, I always exclude staph bacteremia. Eric: Why was race even included? Eric: That’s helpful.
Alex Smith: And we’re delighted to welcome back Alex Lee, who’s an epidemiologist and assistant professor at UCSF in the division of geriatrics. Nadine: I think for our geriatric friends that listen to the podcast, there’s a lot of discussion about de-intensifying management as people age. Happy to be here.
I am an acute care and adult and geriatric certified nurse practitioner. If you think about that in terms of the elderly population and the population that’s up and coming, with the disability, chronic illness, and serious illness that affects them, there’s definitely going to be a huge need for palliative care. Absolutely.
Modern medicine means longer life expectancies, resulting in increased hospitalization utilization and geriatric care. You’ll almost definitely be hired, but there’s no guarantee that your job won’t push you out of the profession. According to the U.S. This study shows 37 out of 50 states will experience significant shortages [11].
Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. She created TimeSlips which we talk about in our podcast. Anne, welcome to the GeriPal podcast.
As a result of Mr. McMahon’s successful tenure with the company, he has met the definition of retirement set forth in his previously granted equity awards, which will continue to vest in accordance with their terms, similar to equity awards granted to other employees,” Leong said.
AAHPM (American Academy of Hospice and Palliative)
JULY 1, 2024
Dr. Olusegun Apoeso was one of my attendings during my Geriatric Medicine fellowship at the Icahn School of Medicine at Mount Sinai in NY. Who has most influenced your work and how have they shaped your contributions? Sometimes, one person can inspire you to elevate your career into a calling. He is an excellent mentor and a wonderful friend!
When creating professional boundaries, start with yourself first, said Duke, who has 20 years of nursing experience, with seven as a board-certified adult and geriatric acute care nurse practitioner. Something I tell people often is you have to create your own definition of what a nurse is,” she said.
Is there a formal definition, or one that you think about? Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. For the folks who haven’t listened to our past podcast, I really just want to start off with maybe two quicker answers. Ariel: Sure.
There are a diversity of international and national definitions and concepts in palliative care which makes comparison between countries and delivery of health care complex. The Delphi technique is a well recognised way to elicit the views of stakeholders and obtain consensus.
Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. Precision medicine?
Some of them, like education, definitely social determinants of health. Kristine: I like to tease my geriatric friends about age. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. I think that’s starting to change somewhat.
Summary Transcript Summary What does the future hold for geriatrics? Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. On today’s podcast, we are going to do a deep dive on the future of geriatrics with three amazing guests.
Katz Professor and chair of the Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai. We definitely need to invest more research dollars into understanding what the impacts are of different financial players and how that affects outcomes,” Hunt told Hospice News. Morrison is also the Ellen and Howard C.
I’m definitely seeing this a fair amount in our palliative care clinic with our seriously ill patients and their families, who remain highly motivated to stay away from COVID. Celebrate the work they are doing to do this when this happens! People have been very creative, having drive-by birthday celebrations at homes, etc.
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. That is the definition of the award. In geriatrics. So surprise.
Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Tim, welcome back to GeriPal.
Well, so there is a debate in the field as to the definition of Alzheimer’s disease. Amyloid alone is enough of a definition of Alzheimer’s. So in someone who’s cognitively healthy, having the presence of amyloid would be enough for the definition of Alzheimer’s disease. So the new criteria came out.
Mariah 03:51 I like the SAMHSA definition as sort of a guiding definition for it, and I’m happy to read it. Well, being a pretty comprehensive definition. Kate 11:33 Yeah, I mean, definitely more indirect pathways than direct. Eric 04:19 Yeah. So there’s an event or a series of events. Everything may not be.
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 a pretty definitive and robust study to answer that question.
That idea or that definition. So I think understanding the definition that the person in front of us has in relation to the word that they’re using is a really good jumping point, because we make a lot of assumptions in medicine and even in palliative care, hopefully trying to be more informed around our communication.
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. Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. They’ve all been laid out for you. Anne: Right. Alex: That one’s easy.
You know, I think the key thing is that, yes, things are definitely changing back then. A lot of the principles that are talked about in core topics in substance use health, I definitely do extend. And so, you know, a sprinkle of humanity with some of those concepts definitely in combination are vital. Naheed 16:20 Yeah.
There was definitely this idea in nephrology of what we called healthy start dialysis, which is this idea that we should start dialysis before someone develops really florid uremic symptoms. There was definitely a practice shift towards starting dialysis at higher levels of EGFR and with less severe symptoms.
J Am Geriatr Soc. Donovan Maust is a geriatric psychiatrist and health services researcher at the University of Michigan. But definitely gabapentin is one of those drugs that just has all of these off-label uses associated with it. Donovan No, we definitely don’t sing. Eric: And Alex, who do we have with us today?
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. Eric: What’s a geriatric orthopedic fellowship? So I got to help create one of the first geriatric orthopedic fellowships. Eric: Oh, that’s fabulous.
Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. Nate, is it you? Jason: Yeah.
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. And I guess, I’d love to tell you what we definitely learned from that. I’ll say it.
end of life care and advance care planning) to more geriatrics focused (e.g. Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. It’s what happens in lots of different fields, including geriatrics.
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. Welcome to the GeriPal Podcast, Ramona. Ramona: Thank you.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content