GeriPal

NOVEMBER 2, 2023

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.

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GeriPal

NOVEMBER 7, 2024

As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursing home. Let it be (hint hint).

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GeriPal

FEBRUARY 20, 2025

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.

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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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GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. J Am Geriatr Soc. Donovan Maust is a geriatric psychiatrist and health services researcher at the University of Michigan. Donovan discusses the growth of “mood stabilizers/antiepileptics” (e.g.

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GeriPal

NOVEMBER 17, 2022

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. RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.

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GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. Welcome to the GeriPal podcast, Chrissy. Chrissy: Thank you so much for having me.

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Hospice News

FEBRUARY 20, 2024

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. These results appeared in a 2019 New England Journal of Medicine study titled “Rehabbed to Death.”

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GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. 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.

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GeriPal

MARCH 10, 2022

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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GeriPal

MAY 18, 2023

The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people. We’re delighted to welcome Mike Steinman, who’s a geriatrician professor of medicine at UCSF in the division of geriatrics, prior guest on this podcast.

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GeriPal

OCTOBER 24, 2024

Medical cannabis is not legal in North Carolina, so there are definitely some limits. David 26:42 I discovered that one of the interviews I did for stoned was with a filmmaker in Israel whose debut film, I think, was based on time he spent in a nursing home helping older adults to use cannabis. Eric 26:42 Yeah. David 43:09 Yeah.

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GeriPal

FEBRUARY 17, 2022

Alex: Today, we are delighted to welcome James Deardorff, who is a geriatrician and a T-32 research fellow in UCSF’s Division of Geriatrics. He’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. which is kind of the typical definition of osteoporosis at that time.

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GeriPal

MARCH 24, 2022

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 have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. Welcome back, Rebecca. Rebecca: Thanks for having us. Rebecca: Can I jump in.

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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.

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GeriPal

JUNE 9, 2022

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. Kate: Yeah.

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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. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Sweet Caroline. Once you discharge them.

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GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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GeriPal

OCTOBER 20, 2022

So I think when you start combining these trials and you’re faced with an older adult that the option would be to now put in a PICC line and send them to a nursing home and then you can have a really sit down with the patient through shared decision making decide we stop at seven days. Lona: Absolutely. Tell me about this study.

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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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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. And the nurse can’t dose it, they have to individually dose it.

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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

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. It was built in 1955, so it wasn’t designed for a geriatric population. Michele: So that number’s really growing. The doors aren’t locked.

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GeriPal

MARCH 24, 2023

Lauren: Yeah, I think I can definitely see Joe’s point of view. Yes, my hair is definitely on fire. The for-profits stepped up and they have been serving people in nursing homes, including with dementia who deserve our care, and the nonprofits haven’t. Eric: Great. Lauren, what do you think about you?

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GeriPal

APRIL 14, 2022

And I think that we would kind of enthusiastically say that it is definitely part of our role as palliative care clinicians to have a certain level of primary addiction, medicine, knowledge and competence. Eric: And that pain protocol significantly reduced behavioral issues in dementia nursing home patients. Alex: Bye everyone.

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GeriPal

DECEMBER 15, 2022

It’s not something you can measure, but it’s definitely something that happens during these interviews. Jason Karlawish and Ken Covinsky appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. So I think that process is a magic process. Just go to www.geripal.org.

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GeriPal

OCTOBER 27, 2022

She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. James: Definitely not-. Welcome to the GeriPal podcast, Alex. Happy to be here.

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GeriPal

DECEMBER 8, 2022

It’s not something you can measure, but it’s definitely something that happens during these interviews. The post Storycatching: Podcast with Heather Coats and Thor Ringler appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. So I think that process is a magic process.

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GeriPal

SEPTEMBER 5, 2024

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.

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GeriPal

MARCH 27, 2025

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. A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursing homes.

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GeriPal

DECEMBER 29, 2022

Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. That’s something that I figured we could definitely go after is using those negotiation skills and then moving them over towards the healthcare setting. Prof Case Manag. December 2020.

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GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. Good to be here. James, welcome back to GeriPal.

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GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home. People start thinking about putting them in a nursing home. Diane: Huge.

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GeriPal

NOVEMBER 14, 2024

Eric 02:48 Well, I want to thank you for joining us because you’ve done a lot of the studies around falls and fractures and like, how we think about, especially like in, in frailer older adults, those in nursing homes. About one out of every three older adults falls each year in the nursing home that’s higher.

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GeriPal

JUNE 2, 2022

Natural immunity definitely works. Let’s focus on outpatient management, nursing home management. Monica: They definitely are, and they have multiple-. So far, because it’s a combination of two monoclonal antibodies, it definitely works against Omicron. Alex: Yes, it’s definitely my thing.

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GeriPal

OCTOBER 31, 2024

Our conversation covers: The current state of COVID Evidence for COVID boosters, who should get them, and preferences between Novavax and mRNA vaccines COVID treatments like Molnupiravir and Paxlovid Differences in COVID impact on nursing home residents and those with serious illnesses We wrap up with a “magic wand” question.

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