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In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team socialworker. But are we really taking full advantage of ALL socialworkers have to offer our field? I don’t know if this person was a socialworker or not. Barbara: Yay.
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. Tim, welcome back to GeriPal.
Physicians in training need greater exposure to geriatric training in order to better grasp the needs of older patients, including during transitions to hospice, according to Dr. Julia Lowenthal, a geriatrician from Brigham and Women’s Hospital.
She is a guest host and she’s a palliative care socialworker. 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.
The team has grown to a team of seven palliative care doctors, two nurses, two socialworkers, a peer worker, a psychiatrist, and an interprofessional roster of home care professionals who are working in non traditional home settings to deliver palliative care. The Peach program has cared for over 1,000 clients.
Well, so there is a debate in the field as to the definition of Alzheimer’s disease. Amyloid alone is enough of a definition of Alzheimer’s. So in someone who’s cognitively healthy, having the presence of amyloid would be enough for the definition of Alzheimer’s disease. So the new criteria came out.
David Bekelman conducted a RCT of a nurse and socialworker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD). Yeah, definitely learned from those, I would say, that this intervention built on our CASA trial, and I’m happy to talk more about that, for sure.
Social pain and loneliness. 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.
Eric: Martha – breaking the definition for palliative care, no longer an extra layer of support. Attendee 14: I am most hopeful that as palliative caregivers, we will continue to authentically welcome the voices of our interprofessional team members, chaplains, socialworkers, and so we have true interprofessional collaboration.
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. They’re really great, the palliative care socialworker and chaplain. Summary Transcript Summary Often podcasts meet clinical reality. Sweet Caroline.
We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. Jessica, welcome back to GeriPal. Geriatrician?
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. We have medical socialworkers who support the patients.
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.
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.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. Welcome back, Lynn. Lynn: Thank you.
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.
Julie: I definitely feel like that because unfortunately, now I’m… And this is what I’m working on now is it’s really hard not to get focused on numbers and views and if someone’s going to like it, and now I have a book that I’m trying to sell, which I hate that feeling- Eric: You’ve got a brand.
We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. And Rachel Rush, who is a pediatric social. A palliative care socialworker now at Colorado. Alex 32:22 Geriatrics Palliative Care Podcast. We’re kind of a Covid baby.
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.
Our listeners will be familiar with Anne Kelly, who’s a socialworker at the San Francisco VA, on the palliative care service, who wrote a JAMA piece of my mind title The Last Visit. There’s this beauty that’s there, whether we’re doing geriatrics, infectious disease, palliative care. Anne: Hi, guys.
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. ” Don: It was part of the palliative care fellowship, a study of linguistics and communication. I didn’t assign somebody to ask.
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.
Keri: We definitely have a case. Keri: Definitely, yes. Definitely a deviation. And the anger was… I was the one delivering the bad news, but the anger was very much directed at a socialworker on our service who’s female. Eric: Three steps. Okay, I’m looking forward to this. Eric: Oh yeah.
We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical socialworker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). Aren’t young adults so much harder than the geriatric patients we take care of? Abby: Thank you.
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. Rebecca: Can I jump in.
While the creative process is what truly matters, we think that the outcome is guaranteed to be awesome and definitely worth sharing. Alex 00:56 Today we are delighted to welcome Wendy MacNaughton, who is a trained as a socialworker and is an author and illustrator and author of how to say Goodbye, a book of visual journalism.
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? So I think about socialworkers, pastoral care professionals, like spiritual care clinicians.
Forget you as a doctor right now, or as socialworkers, think about you as a person meeting this person at a bar. The post Avoiding the Uncanny Valley in Serious Illness Communication: Josh Briscoe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Josh: Totally. inaudible 00:28:35].
Eric and I are joined today on this podcast by Anne Kelly palliative care socialworker to discuss these issues with Liz. Alex: And joining us as she has many times, Anne Kelly is a socialworker at the San Francisco VA. And palliative care friendliness was definitely a very important factor to this. Welcome, Liz.
But some of the lyrics, it’s really about finding your own truth, and something like the lesser I seek my source for some definitive, the closer I am to fine. Mara: Yeah, definitely. So my mother’s a socialworker and she did domestic violence counseling forever. How did you get interested in this?
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. To Brian’s point, that we are also integrating chaplains, socialworkers, it’s not necessarily two psychotherapists. What is this?
Lauren: Yeah, I think I can definitely see Joe’s point of view. Yes, my hair is definitely on fire. At American Geriatric Society in Orlando, got up during Amy Kelly’s talk, which was about dementia and said, “My mother cannot get hospice care because no hospice will take a chance on her. Eric: Great.
Summary Transcript Summary Last week we talked about a trial of a nurse and socialworker outpatient palliative care intervention published in JAMA. He’s a geriatrician and palliative care doc/researcher in the UCSF Division of Geriatrics. Good to see you. Ashwin, welcome back. Ashwin: Thanks for having me.
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.
We have our socialworkers and our psychologists and we know how to manage these symptoms. I don’t know if they actually prescribed it because we don’t have access to that, but they definitely relayed it. They’re because of the treatment. We have protocols to address pain and nausea, et cetera.
Alex 01:35 And welcoming back as guest host Anne Kelly, who’s a socialworker in palliative care. The post Stump the VitalTalk Communication Experts: Gordon Wood, Holly Yang, Elise Carey appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. El i se, welcome to GeriPal.
Some of them, like education, definitelysocial determinants of health. Ann Kelly, who’s been on the podcast many times, socialworker on palliative care, she’s always under a minute. Kristine: I like to tease my geriatric friends about age. I think that’s starting to change somewhat.
So I think there’s definitely overlap with that, but I think helping patients cope, make priorities, think through their goals and values early and along the illness course does facilitate and enable better end of life decision making, including advanced care planning. The model is predominantly physicians, advanced practice providers.
I’m definitely seeing this a fair amount in our palliative care clinic with our seriously ill patients and their families, who remain highly motivated to stay away from COVID. Celebrate the work they are doing to do this when this happens! People have been very creative, having drive-by birthday celebrations at homes, etc.
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. If you’re really a, a healthcare worker is really struggling.
Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs. Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. Eric: Is there a formal definition for a negotiation? Prof Case Manag. December 2020.
How it works is that all patients will have access or encounters with the specialty trained clinician, a psychologist, a socialworker, a palliative care clinician. But I definitely do not think it is ethical to have non palliative care. Pallavi 20:28 Yes, definitely. Enrolling patients in palliative care studies.
First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. We compromised on a definition that, based on previous guidance, we said, essentially you have to meet one of three criteria. Good to be here. Alex 00:33 And we have two returning guests. James 19:32 Yeah, exactly.
There’s a lot written on grief, but so little is written on the loss experience and even a definition of loss is even lacking. Matthew: Well, I just happen to have a definition here, Eric. So we did focus though, Eric, and then I will stop, we did focus more on loss. It’s sort of like all of us in supportive care.
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