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Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Anne, welcome to the GeriPal podcast.
[link] Toronto Star Feature [link] CityNews Toronto Feature [link] Psychosocial Interventions at PEACH In addition to medical care, PEACH also runs two key psychosocial interventions for our clients: PEACH Grief Circles Structured spaces for workers in the homelessness sector to process grief. Naheed 16:20 Yeah.
Holly Prigerson recalls the moments in which she started investigating prolonged grief disorder. She recalls being “a social scientist [Holly] in room full of psychiatrists,” who recognized a diagnostic gap in people experiencing profound and potentially harmful grief far after the death of a loved one. Summary Transcript Summary.
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.
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. I think there is definitely a place, especially physical. What is the nature of suffering?
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? Community leaders, and definitely faith community leaders. And so we’ve thought about this and goal concordant care definitely was the top.
Because I don’t think we think about that so much in palliative care, but we do in geriatrics. I’m definitely scared of when he’s going to be driving soon. As is the case for many issues in geriatrics: some of the time, not all the time. But I believe before we start, somebody has a song request for Alex.
If you look back to some of my cartoons from late in residency, they showed just how dehumanized I felt and definitely give windows into how dehumanized I imagined my patients to be. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Nathan: Yeah.
How definitions bind us, for example the division between chronic pain and palliative pain in much of the US. Somehow we were not very limited by definitions. Definitions can be shackles. Raj: We are not limited by definitions because we started our first non non-government organization. We create definitions.
Complicated grief? Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. LJ: Definitely read it. But I definitely started this knowing that groups are not the answer for everyone. Did the caregiver feel heard and understood? Did they have PTSD? Depression?
How do you talk to them about these terms and these definitions? Naomi 14:50 I definitely think, and I love Jane, how you keep coming back to the moment, because that’s all we have. There are stories that are stuck in here that need definitely. Naomi, I’m going to turn to you. Thoughts on kind of where we are.
Yeah, I think we took a pretty broad definition in the article, but really it’s any failure to communicate clearly and adequately. To me, that’s the definition of miscommunication. ” [laughter] Alex: Poor ICU doctors, you’re getting a lot of grief today. Will you please answer the question for us?
Keri: We definitely have a case. Keri: Definitely, yes. Definitely a deviation. We don’t think of people as linearly going through the stages of grief anymore, but we understand that anger is an important piece of that for people. Eric: Three steps. Okay, I’m looking forward to this. Eric: Oh yeah. Keri: Yeah.
We could have talked for 4 hours and will definitely revisit this issue! And it’s supposedly also about his grief with the loss of his father after a long illness. We all have questions. We addressed as many of your listener questions as we could. Sometimes the drugs dont work. For any MOC questions, please email moc@ucsf.edu.
We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. Alex 32:22 Geriatrics Palliative Care Podcast. The daughter was filled with anticipatory grief, regret, and anger. It’s not science, it’s not data. Emily 32:24 There we go.
They’re going to get older, they’re going to struggle with geriatric conditions, and they’re going to need palliative services and eventually end-of-life care. It was built in 1955, so it wasn’t designed for a geriatric population. And so the definition of family was broad.
As I went through my grief process, journaling and writing was not something I did. There’s this beauty that’s there, whether we’re doing geriatrics, infectious disease, palliative care. Anne’s piece is a little bit different in that she wrote it later, and you explained that this was part of your grief process.
I don’t know the definitions of any of those. But I must say that grief has a way of coming round and round and round again. Eric 07:41 You know, another thing I found very interesting, having written papers about grief and thought a lot about it, but agree that there’s. Thomas 03:38 You bet. Are you an undertaker?
And whether it be around thinking about working with patients about grief or their past or current substance abuse, when I think about the things that I struggle with the most even after a decade and a half in this field, like you said, it’s the psychosocial stuff. Alex: Each of us ask you one question with a shorter pithy answer.
Alex 00:27 And we’re delighted to welcome Meredith Green e , a friend, a geriatrician, researcher, associate professor at Indiana University, who was previously with us at UCSF in our division of geriatrics. Eric 00:50 So we’re going to be talking about HIV and geriatrics and palliative care. But to kind of ease us into it.
You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. A great website for dealing with loss and grief : refugeingrief.com. Loss is the thing that triggers grief and then we talk about grief.
I think there’s definitely a stigma that, like you said, we just all wanna be fixers and we almost don’t wanna take advantage of that, that thought that, oh, the things I did weren’t enough, or I, I wasn’t able to to really fix that person. And I think it’s the mystery of it that scares us so much.
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. Danny 07:39 Yeah, definitely. So some of our approaches definitely altered based on the availability of what we could get done. Danny 00:52 Thank you very much.
And I definitely don’t sing as well as him. Everything from normative reactions like exist anticipatory grief to comorted psychiatric illness like depression, anxiety, ptsd, which we know is really prevalent in our populations, out to sort of patients with severe psychiatric comorbidities which we probably drop the ball on more.
Lona 18:16 I mean, I think we should probably have better RCTs, as you mentioned, but I feel that a yearly shot definitely is going to be useful and going to be beneficial to patients and all of us general public to reduce the circulation of new variants. One is that among the immunocompromised we should definitely. Alex 33:13 Yes.
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