Hospice News

OCTOBER 7, 2022

Hayden Jordan, director of palliative care for senior care provider PruittHealth Home, has been named a 2022 Future Leader by Hospice News. . The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care.

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GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

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Chaplain Hospice Palliative care Palliate 295

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. Katie, welcome back to GeriPal. Bragging rights. That was from our what?

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Palliative care Palliate Informed consent Article 320

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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2009 Article Nursing home Medicare 233

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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Document Nursing home Healthcare proxy Ventilator 283

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. Imagine you receive a telephone call from the nursing home about the following resident.

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ADLS Geriatrics Nursing home Article 257

Hospice News

JULY 1, 2022

Kaweah Health Hospice staff will oversee the hospice facility’s day-to-day operations and medical care, which will be provided by a team of nurses, home health aides, social workers and chaplains. The company cited swelling construction costs, rising inflation rates and the staffing shortage.

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Grief Hospice Bereavement Social worker 243

Hospice News

SEPTEMBER 16, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. I definitely would not be where I’m at today without my family. What drew you to the hospice industry?

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2022 Hospice Definition Caretaker 130

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). Learn about using the low dose buprenorphine patch: .

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Palliative care Palliate Article Blog 251

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Summary Transcript Summary Diabetes is common.

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Nursing home Geriatrics Palliative care Palliate 147

Hospice News

MAY 5, 2023

Some of it was definitely just trying to find new ideas in a way to be able to get into facilities and doctors’ offices. Hospitals and nursing homes don’t want to get dinged for readmissions. Typically that hovered around 80 to 90 days, and we are seeing the trend moving in that direction. It was still a very virtual world.

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Hospice Document Medicare End-of-life care 246

Hospice News

OCTOBER 28, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. This isn’t going to be easy, and it most definitely isn’t a 9-5 job, but it is so worth it if you find a home with the right company — the right ‘work family.’

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2022 Palliative care Bereavement Palliate 130

GeriPal

DECEMBER 8, 2022

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. Schilling, L., SPONSOR:

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Palliative care Palliate 2011 Healthcare 263

GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. JAMA Surgery 2018 Gabapentin and mood stabilizers in the Nursing Home Setting: Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications.

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Geriatrics Nursing home Definition 2009 189

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. Lauren: Yeah, I think I can definitely see Joe’s point of view. Yes, my hair is definitely on fire. Eric: Alex, we have some great guests with us today. Alex: We have some wonderful guests.

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Hospice Article Hospice care Medicare 227

GeriPal

DECEMBER 2, 2022

I think the general definition that’s given is it’s the ability to bounce back from some kind of adversity. The example I give is, if you’ve ever walked into a nursing home, or where there’s an activity happening for a group of people with dementia, that is a little depressing to me. This is Eric Widera.

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Nursing home Books Chaplain Caregiver 207

GeriPal

AUGUST 25, 2022

Alex: We’re delighted to welcome back Lauren Hunt, who is a Hospice and Palliative Care Nurse Researcher, an Assistant Professor of Nursing at UCSF. Melissa: It’s definitely true that that’s the incentive under nonprofit and for-profit. We are delighted to welcome Melissa Aldridge to the GeriPal Podcast.

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Hospice Geriatrics Palliative care Definition 206

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. To learn more about CME for other GeriPal episodes, click here.

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Books Definition Palliative care Healthcare 183

GeriPal

MARCH 24, 2022

I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursing home resident’s chart for seven years. Susan: Thanks so much, Alex. Welcome back, Bob. Bob: Thank you. Welcome back, Rebecca. Rebecca: Thanks for having us.

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Geriatrics Palliative care Palliate Document 146

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. nursing homes.

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Nursing home Article Presentation Nursing 208

GeriPal

JUNE 30, 2022

So we followed Gretchen Schwarze’s definition, which was 1% or higher inpatient mortality was considered high-risk. And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. Eric: What are some examples of that? Joel: Talk about it.

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Geriatrics Medicare 2016 Palliative care 205

GeriPal

SEPTEMBER 5, 2024

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. Louise 15:47 Well, I think even in that example of choking in a nursing home, you don’t actually require cardioversion or a breathing tube.

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Article Resuscitation Nursing home Document 220

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Alex: This is Alex Smith. Heather: Sure.

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Palliative care Palliate Healthcare 2011 220

GeriPal

OCTOBER 13, 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.

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Article Definition 2021 Geriatrics 184

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. I was very excited about the opportunity, and very excited about everything that’s going on at AGS, so when she asked me, I said, “Yes, definitely.”

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Geriatrics Definition Healthcare Article 174

Hospice and Nursing Homes Blog

JANUARY 1, 2023

The following is a true nursing home experience that my hospice patient shared with me about an unusual trip she said she had taken the day before I visited her: (Excerpt from my book Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes ) “What did you do today?” Oh, I’ll definitely be going back.

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Hospice volunteer Bereavement Feeding Books 52

GeriPal

OCTOBER 27, 2022

James: Definitely not-. Eric: Yeah, this is definitely… If you grew up in the ’80s, this is the slow dancing song. Most of them are dealing with older adults with dementia who are living in the nursing home or have severe dementia. Welcome back to GeriPal, James. James: Thanks for having me. Welcome back, Sei.

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GeriPal

FEBRUARY 17, 2022

So it might just be the case that there’s a lot of background GI complaints, that people could be taking them inappropriately, so there are definitely ways to minimize it. which is kind of the typical definition of osteoporosis at that time. Welcome back to GeriPal, Sei. Sei: Great. Thanks for having me. James: Yeah.

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Geriatrics Definition Article Palliative care 141

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. I definitely do. Eric: And can I ask you, why did you choose geriatrics?

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GeriPal

MAY 18, 2023

But they were specifically looking at nursing home population. So you could definitely can do direct harm for many of these drugs if you stop them abruptly. There’s good data for de-prescribing more in the context of poly pharmacies or studies on nursing homes is where the best data is.

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Home Care Pulse

JUNE 21, 2022

Wendie Colvin is an amazing nurse author and community nursing subject matter in both acute and post-acute care. She is practiced at the bedside in multiple settings and has extensive experience as a manager and educator in both home health and hospice settings. So that kind of naturally made me wanna do home health.

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Caregiver Definition Webinar Home care 79

Living With Hospice

SEPTEMBER 1, 2021

So, as kids would say, definitely my bad! We lost my wife's Dad, four years ago, he was in a nursing home and basically died a miserable death. So if she stayed in a hospital or nursing home, we couldn't see her. We made the decision to bring her home to live with us. Her Mama lives three hours away.

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Vital signs Hospice Feeding Social worker 52

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 241

GeriPal

FEBRUARY 29, 2024

Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. So, in front of us today, we have a variety of hot sauces and chicken wings. Anne: Right. Alex: Oh no.

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Geriatrics Palliative care Palliate Blog 254

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. Why do this? First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. James, welcome back to GeriPal. Kara 04:09 Sure.

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Palliative care ADLS Nursing home Palliate 201

GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago. That will be the last one in his life.

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Geriatrics Ventilator Events Palliative care 191

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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Medicare Caregiver 2024 Social worker 244