GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Because we haven’t done our job to document the value of what we’re doing. And I use that as that documentation about what they want, recognizing that not everybody does that.

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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

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. It’s what happens in lots of different fields, including geriatrics.

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GeriPal

JUNE 15, 2023

We talk on this podcast about potential uses of AI in geriatrics and palliative care with natural language processing guru Charlotta Lindvall from DFCI, bioethicists and internist Matt DeCamp from University of Colorado, and prognosis wizard Sei Lee from UCSF. Sei Lee is Professor of Medicine at UCSF in the division of geriatrics.

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Palliative care Geriatrics Palliate Document 240

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. Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. I think Bob also noted documenting it.

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Palliative care Geriatrics Palliate Document 173

GeriPal

AUGUST 15, 2024

Alex 00:20 And we’re delighted to welcome in studio Lingsheng Li, who is a geriatrician and palliative care doc and currently a t 32 research fellow in the UCSF division of Geriatrics. And this actually happened just a few minutes away from where I was practicing geriatrics medicine as a part of my fellowship. Geriatrician?

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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. They had it, the note then documents that they don’t have it. Emily’s expanded notion of consent is grounded in the concept of “relational autonomy.” Anne Rohlfing: I think that is a positive aspect.

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GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare.

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Palliative care Palliate Healthcare 2011 258

GeriPal

MARCH 2, 2023

J Am Geriatr Soc. 2017 The Illegal Marketing Practices by Pharma promoting ineffective: The Neurontin Legacy — Marketing through Misinformation and Manipulation NEJM 2009 Narrative review: the promotion of gabapentin: an analysis of internal industry documents. Cochrane Database of Systematic Reviews Review. Annals of IM. Tasce: Right.

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GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Every Veteran has a story. Our mission is to help them tell it.

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Palliative care Palliate 2011 Healthcare 282

GeriPal

FEBRUARY 13, 2025

Does every institution need to get a community advisory board to tailor their rural tele-palliative care initiative (or geriatrics intervention) to the local communities served? Like, would you include the doctors that I work with, healthcare providers where I live in Marin? We are going to have healthcare utilization data as well.

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GeriPal

MARCH 20, 2025

Yeah, but I mean, in healthcare you need to appreciate the risks, benefits and alternatives of the proposed intervention. And so I think of it as more like the patient who’s on document dialysis, who. It’s a, it’s a, it’s a past self directing healthcare for a future self. But it’s a risk, right?

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Feeding Article Palliative care Palliate 205

Daily Nurse

MAY 2, 2023

This foundation of nursing excellence, combined with the support and collaboration of all our healthcare professionals, is the essence of what makes us a Magnet hospital.” The Magnet recognition has proven beneficial to healthcare organizations, their patients, and their communities.

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Geriatrics Document Healthcare Nursing 94

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. I mean, financially, the bulk of the American healthcare system is a fee-for-service system. Yep, for geriatrics?

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Medicare Geriatrics 2016 Palliative care 247

Daily Nurse

AUGUST 7, 2023

There are certification courses that are available for healthcare providers to take as well,” explains Robin Arends, DNP, CNP, FNP-BC, PMHNP-CE, CNE, FAAN, FAANP, the APRN Program Director at South Dakota State University as well as a nurse practitioner at Avel eCare. It is important to stay current with this trend. Arends agrees.

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GeriPal

DECEMBER 2, 2022

Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. How about transforming care in healthcare institutions? Anne: Great to be here. We have to.

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Nursing home Books Chaplain Caregiver 248

Nurse.com

NOVEMBER 30, 2023

Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursing home. In-home Nurses working in the in-home environment have similar responsibilities to the geriatric nurse. Learn about some best practices of a supportive healthcare environment here.

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Geriatrics Nursing Presentation 2020 97

GeriPal

APRIL 6, 2023

These hick pick codes are available to any chaplain in a healthcare system. And I told her I quote LaVera every year when I teach the geriatrics fellows, the palliative care fellows, I would love for you to tell the story that I quote because you experienced it. It’s now available. Eric: So, let me ask this then.

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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. How do you clearly articulate the value in what you deliver when we can’t even fully document it in our notes so that we can sit at tables and boardrooms and say, “Look, we’re more than just mobility training.

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GeriPal

MARCH 28, 2024

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. I’m just stunned even writing that! We’ve come so far as a field. And also leveraging that idea that we all have these biases. Eric: 3,500 people.

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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. It’s not well-documented. AMA PRA Category 1 credit(s) ™. Katie: Sure.

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GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. There’s a consistency of understanding and approach that I think is helpful.

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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

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. There’s more to it that you should be documenting than DNR DNI, which seems like. We need more.

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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. . And so it’s within normal practice to have a reasoning and be accountable for it and document that.

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Palliative care Palliate Geriatrics Definition 241

Hospice News

JUNE 9, 2022

I am an acute care and adult and geriatric certified nurse practitioner. Taylor: Yes, I think, too, in light of the pandemic, number one, we’ve seen healthcare providers that cannot meet the demands of their patients, so who do they rely on? Axxess empowers healthcare in the home with technology solutions to make lives better.

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Palliative care Palliate Hospice Definition 246

GeriPal

SEPTEMBER 21, 2023

I think as researchers, we need to do our due diligence to follow that and healthcare providers, of course, ’cause we want to be sensitive. Even when we’re engaging with the healthcare system, there’s a lot of literature that talks about the discrimination that is often Black families face, and then it is true.

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GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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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. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, James.

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Geriatrics Definition Article Palliative care 162

GeriPal

DECEMBER 14, 2023

And what my goal was was to try to get a 360 degree view of the healthcare system by interviewing as many different types of people that will influence care for people who are at the end-of-life or people with serious illness in the hospital. Alex: I found your quotes particularly hard hitting here.

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Palliative care End-of-life care Palliate Article 300

GeriPal

MAY 26, 2022

I’d also think, is it reciprocity if we prioritize frontline healthcare workers or is it like that instrumental value where actually, we don’t care what they did in the past, we care that they’re able to work in the future. Govind: Yeah. Govind: So you’re right that those often go together. Govind: Yeah.

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Article Definition Healthcare Geriatrics 208

GeriPal

MAY 25, 2023

Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. Hillary: And then I also see us measuring advance care planning documents on file in the health system so that that’s not where I want us to be. We have Sarah Nouri, who is a palliative care doc and researcher at UCSF.

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GeriPal

AUGUST 31, 2023

Why don’t people want to document serious illness conversations? I think this is actually bread and butter geriatrics. And then there’s this other time, and this gets to the geriatric patients, where you’re adapting to change and loss and then it’s a new normal that you’re trying to adapt to.

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Books Blog Palliative care Palliate 310

GeriPal

OCTOBER 5, 2023

And I think when COVID started, I was in a number of meetings about how we were going to think about CPR from this point forward, given that it was would really expose healthcare workers to easy transmission of this virus that we didn’t fully understand yet. You’ve had three documented conversations to “clarify code status.”

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GeriPal

AUGUST 24, 2023

And it’s a bit of a hokey title, but what I try and impress on readers there is that, the reflection that patients see of themselves, at least metaphorically in the eye of the healthcare provider, needs to be one that is affirming of patient dignity. I mean, we all give lip services saying, “Person-centered care is important.”

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Article Palliative care Palliate Geriatrics 246

GeriPal

DECEMBER 1, 2023

And if you look, who gets to define this, it’s pretty well documented. Then you have to actually look at the document and ask, did any one of these 36 people read the document from cover to cover? Then the question is, who gets to define these diseases? The who in the room who defines it is heavily industry biased.

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Definition Document 2011 Events 273

GeriPal

JULY 28, 2022

And the big findings were better quality of life scores, less depression, more documentation of preferences, less aggressive care at the end of life. Most people aren’t coming to UCSF or MGH for their healthcare. And the kicker was they lived, what, two to three months longer? Jennifer: Yep. Eric: So I got another question.

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Palliative care Palliate Article End-of-life care 265