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

FEBRUARY 20, 2024

In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia. 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.

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GeriPal

JANUARY 26, 2023

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.

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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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GeriPal

FEBRUARY 8, 2024

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. Today we talk about suffering in the many forms we encounter in palliative care. BJ: Yeah, yeah.

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GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). 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. staff training in person centered care).

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GeriPal

JUNE 27, 2024

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.

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GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board? Eric 00:42 Great.

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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?

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GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. Again, those are for lay public definitions. That’s a definition.

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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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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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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. 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.

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GeriPal

SEPTEMBER 12, 2024

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. And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people.

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GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. While the creative process is what truly matters, we think that the outcome is guaranteed to be awesome and definitely worth sharing. Frank, welcome to the GeriPal podcast.

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GeriPal

FEBRUARY 23, 2023

I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. And one quibble with that of course is that we think the definition of capacity is that it’s task and context specific.

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GeriPal

JANUARY 11, 2024

So when initially this became legalized in Canada, was that a similar kind of definition? One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. One is definitely the safeguards that makes a huge difference. Eric: Yeah. Sonu: Can I jump in? Eric: Yeah. Sonu, please.

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GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Keri: We definitely have a case. Keri: Definitely, yes. Definitely a deviation. Dani: Yeah, so the way you presented was triggering to them. Eric: Three steps. So let’s jump into it.

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GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Nicole 06:04 In a way, it definitely does. And I know one of the topics I did was polypharmacy then. Is this tension?

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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. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care.

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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. But when you’re asking someone to make a decision about code status, you’re asking them to make a decision that is in effect right now in the present, right?

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GeriPal

AUGUST 4, 2022

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. We used a large online survey panel, the Ipsos Knowledge Panel, and we presented older adults with two vignettes. Ariel: Sure.

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GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. LJ: Definitely read it. Welcome to the GeriPal podcast, Sarah.

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GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Eric: But even that risks uncanny valley, because I have definitely seen people go through those list of questions in like 30 seconds, where it feels like I’m not even sure that they’re listening to the response. Eric: Yeah. There’s more to it than just showing up.

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GeriPal

DECEMBER 15, 2022

So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin.

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GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. 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.

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GeriPal

AUGUST 8, 2024

I don’t know the definitions of any of those. And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. We get a lot in geriatrics and palliative care. Thomas 03:38 You bet. Are you an undertaker?

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GeriPal

DECEMBER 5, 2024

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. It’s not science, it’s not data. What’s the value of stories in medicine? Emily 03:59 Medicine is both a science and an art.

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GeriPal

OCTOBER 24, 2024

Medical cannabis is not legal in North Carolina, so there are definitely some limits. Eloise 32:26 Yeah, I mean, I think definitely what I see in practice is that transdermal gives some patients more control. Eloise 36:49 I would first present to you what I think your options are. So I think that definitely is a concern.

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GeriPal

AUGUST 24, 2023

You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Eric: Do you have a definition of dignity now? I’m fully present. Harvey: Good question. I’m not distracted. ” Eric: Yeah.

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Article Palliative care Palliate Geriatrics 245

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

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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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GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I allow family members to be present if they want them to. It’s not something you can measure, but it’s definitely something that happens during these interviews. Wonderful work. Every Veteran has a story. That’s fine.

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GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Kelly: Yeah, no, definitely. Abby: Yeah. Kelly, thoughts on that?

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GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. Gretchen: Yeah. This paper we submitted was called The Bin Of Bad S**t Has Three Layers.

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GeriPal

OCTOBER 5, 2023

I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. Sunita: Oh, I was going to, just to clarify what I had said before, it’s definitely not that we based things solely on biology, for sure.

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GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. I think I’m preventing some potential extra non synthesis that is not happening because you are lacking that bottleneck little hydrosoluble vitamin that might be present. They might be of some Health.

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