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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.
Her most recent book is Creative Care: a revolutionary approach to dementia and elder care . Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Anne, welcome to the GeriPal podcast. Anne: Great to be here.
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. Thanks for having me.
The experts settled on a range of key services, from more palliative care focused (e.g. end of life care and advance care planning) to more geriatrics focused (e.g. staff training in person centered care). I was about to say with our system of long-termcare, but we do not have a system of long-termcare.
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. Didn’t work, no.
J Am Geriatr Soc. JAGS 2022 Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-TermCare in the U.S.: Donovan Maust is a geriatric psychiatrist and health services researcher at the University of Michigan. 2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM.
As the study explains, nursing homes are incentivized to hospitalize residents eligible for both Medicare and Medicaid because those patients can later return to the nursing home with a higher-paying Medicare benefit before transitioning back to long-termcare with lower Medicaid day rates.
Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. I think I’m heartened by the fact that over the last decade or so, the definition of advance care planning has evolved. Welcome back, Rebecca.
I think that for me, it seems like an argument of extremes where people definitely wanted to consider it, oftentimes I think because they were angry that people weren’t being vaccinated and then wanted access to resources. Emily: Yeah. I’d actually echo that. So they probably know something that we don’t. Govind: Yeah.
This office is tasked with providing aging policy research and recommendations within ASPE, including longtermcare and the National Alzheimer’s Project Act. We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-termcare.
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: Sure.
Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Eric: Just for the aging population, what about long-termcare?
But at the same time, we’re saving a lot of moral distress of the longtermcare staff in terms of having to bear watching people not have thirst needs addressed. The definition of capacity in ethics and medicine, law. I think that Advanced Dementia Fest 7A and beyond that is by definition end stage.
He’s a geriatrician and palliative care doc/researcher in the UCSF Division of Geriatrics. Scott, I think you have a song request before we talk about the JAMA piece and default palliative care. Good to see you. Alex: And as mentioned earlier, Ashwin Kotwal is joining us as a guest host. Ashwin, welcome back.
Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s President of National POLST and recent past president of AMDA, the Long-TermCare Association. Kelly: Yeah, no, definitely. He’s been a hospice and nursing home director. Abby: Yeah.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. And now I’m almost 90, so definitely I don’t need to do suffering. Louise 13:48 Definitely some thoughts, and I think slightly different for different people. I’m not brave.
Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. Eric: So as long as Medicare is not paying for the… Or Medicaid, I guess, for nursing. Long-termcare.
Sarah 03:08 Yeah, you know, when I went into my geriatric fellowship or even during residency, I think that I thought that I was going to be interested in dementia and that maybe that would be my line of focus. Was trazodone, something that we sort of, you know, typically consider to be a safer geriatric drug. Sarah 07:37 Yeah.
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