Hospice News

FEBRUARY 20, 2024

Even more so, specific Medicare and Medicaid policies perpetuate this cycle. After experiencing a functional decline at the hospital, the woman, no longer able to live at home safely, was sent to an SNF for post-acute care, covered by Medicare. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).

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Palliative care Palliate 2006 2011 306

GeriPal

FEBRUARY 29, 2024

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.

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Geriatrics Palliative care Palliate Blog 301

GeriPal

AUGUST 17, 2023

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.

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Hospice News

MARCH 1, 2024

Younger physicians are definitely more open [to it].” Fee-for-service reimbursement through Medicare only covers physician services rather than the full scope of interdisciplinary care, and coverage through value-based programs like Medicare Advantage are not available in many markets. “It

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Palliative care Palliate Geriatrics Medicare 279

GeriPal

APRIL 20, 2023

” But we had a hunch that turned out to be right that by the time these folks were in their fifties, they really had all the geriatric conditions and things we associate with much older. Yeah, this is a geriatrics journal, and generally, if people aren’t over the age of 65, JAGS may not look at it as strongly. Margot: Yes.

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GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren. Eric: Yeah.

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Geriatrics Ventilator Events Palliative care 235

Hospice News

MAY 25, 2023

Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. I think from our perspective, that’s where we believe that Medicare Advantage plans are starting to see that value add. Standard, those that have new entrants and then the high-risk population ACOs.

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Palliative care Palliate Medicare Article 246

GeriPal

JULY 19, 2024

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? Alex 12:52 Yeah.

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Caregiver Geriatrics Document Medicare 282

GeriPal

JUNE 30, 2022

And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. So we followed Gretchen Schwarze’s definition, which was 1% or higher inpatient mortality was considered high-risk.

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GeriPal

APRIL 13, 2023

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. Ashwin, can you give us a broad overview of how you think about social isolation and loneliness as far as definitions?

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Geriatrics 2010 Palliative care Definition 236

GeriPal

MARCH 14, 2024

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.

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Feeding Definition Article Geriatrics 297

GeriPal

AUGUST 25, 2022

She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Alex: We’re delighted to welcome back to the GeriPal podcast, Krista Harrison, who is a Health Policy Researcher, an Associate Professor of Medicine, UCSF Division of Geriatrics.

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Hospice Geriatrics Palliative care Definition 256

GeriPal

APRIL 27, 2023

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.

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Palliative care Palliate Hospice Social worker 223

GeriPal

JUNE 22, 2023

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. Alex: … in other words, than you might be in a Medicare-regulated hospice facility? Michele: So that number’s really growing. Michele: Yeah.

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Chaplain Hospice Palliative care Palliate 325

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Ann: I definitely do. Sarguni: Yeah, definitely. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Sweet Caroline.

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Palliate ADLS Palliative care Chaplain 325

Hospice News

NOVEMBER 2, 2023

I’m an internist by training and practice for close to 25 years now in a spectrum of medicine from hospital-based care to more recently, geriatrics, hospice, and palliative care. Spano: There’s roughly 52 Medicare Advantage plans that have a VBID offering that covers approximately 10 million American lives today.

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Palliative care Palliate Hospice Medicare 239

GeriPal

MARCH 24, 2023

Lauren: Yeah, I think I can definitely see Joe’s point of view. Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. Yes, my hair is definitely on fire. billion in one year hospice saved Medicare, and that was by focusing on what matters to people, to patients and families.

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Hospice Article Hospice care Medicare 275

Hospice News

JUNE 9, 2022

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.

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Palliative care Palliate Hospice Definition 246

GeriPal

JULY 21, 2022

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. Eric: Does Medicare generally cover driving rehab specialists?

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Geriatrics Palliative care Palliate Healthcare 252

GeriPal

MARCH 10, 2022

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.

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Nursing home Feeding Nursing Geriatrics 146

GeriPal

JUNE 8, 2023

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.

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Nursing home Geriatrics Palliative care Palliate 174

GeriPal

MARCH 9, 2023

Brian: The standard definition that we take a lot, from the work of David Kissane, has been poor coping, the sense of helplessness or hopelessness, and a lack of purpose and meaning. Alex: Oh, definitely. I can count the number on one hand the number of times I’ve written demoralization in a note, a clinical note. What is this?

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Palliative care Palliate Geriatrics Article 218

GeriPal

AUGUST 11, 2022

Was before the Medicare hospice benefit. And one was the Medicare hospice benefit. Eric: It’s definitely the American family physician article that you-. The post Palliative Care Pioneer: Susan Block appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Susan: Yes.

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Palliative care Palliate Healthcare proxy Article 268

GeriPal

JANUARY 18, 2024

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. Who do we have with us today? Katie, welcome back to GeriPal. Jessie: Rught.

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GeriPal

OCTOBER 19, 2023

It’s not the tool itself, it’s that doctors are handing out POLSTs to people at they’re welcome to Medicare or annual wellness exams. Kelly: Yeah, no, definitely. And I think so many of the problems we see with POLST are problems that have to do with people misusing it. People who just want to default treatment.

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Pallimed

NOVEMBER 21, 2020

But through a mixture of trust built on our relationship and exploring her underlying concerns, I think she ultimately listened to my reassurance that she would not lose her Medicare. Her Medicare coverage wasn’t changing, and this truth would bear out for her regardless of her belief. The truth was the truth.

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2008 Social worker Geriatrics Medicare 52

Home Care Pulse

JULY 25, 2023

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. Medicare doesn’t hurt palliative care services.

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Books Bereavement Hospice Grief 72

GeriPal

JULY 13, 2023

They’re associated with about 90% of deaths in the Medicare population. I think that was always cool is that we adopted a pretty broad definition. So physicians, this person should definitely have it, and the white population had more of it, so it just kind of balanced that out. I think you had to be age over 55.

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Document Palliative care 2018 Palliate 198

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Medicare Caregiver Social worker 2024 300

GeriPal

SEPTEMBER 14, 2023

She trained at UCSF, for geriatrics fellowship. Alex: And we’re delighted to welcome Bruce Leff, who is also a geriatrician, and professor of medicine, and director of the Center for Transformative Geriatric Research, and has been studying hospital-at-home since the mid-nineties. And that is, definitely, one way to approach it.

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GeriPal

JUNE 2, 2022

I read this Twitter thread by Andy Slavitt, who was a former head of Medicare, Medicaid under Obama, former Biden White House senior advisor, host of In the Bubble Podcast. Natural immunity definitely works. Monica: They definitely are, and they have multiple-. Eric: It’s really hard too, because the definitions.

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Article Definition Geriatrics 2020 243

GeriPal

JULY 20, 2023

Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: [link] Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth. laughter] Carly: Definitely. Alex: Hope so.

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