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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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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GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. Precision medicine?

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GeriPal

JANUARY 16, 2025

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.

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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 250

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

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 189

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

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

APRIL 4, 2024

Missouri set a very high bar, explicit written documentation that applies to this specific circumstance, which the Cruzan’s eventually cleared. But legislation can change, clinical practice can change, but I think what we’ll talk about today is how we’re now opening the door to conversations rather than legal rules and documents.

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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

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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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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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

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 261

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

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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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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

FEBRUARY 27, 2025

But you know, we’re told if, if we say we’re increasing it for pain and we document that and then send it back to the methadone clinic, the methadone clinic won’t be able to increase, continue with that increased dose. We try to document that it’s for cravings or withdrawal symptoms or Sach.

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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

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

APRIL 24, 2025

Alex 08:07 There’s no documented photographic evidence that I. And that was the last time that he’d been seen by our healthcare system. It’s from Michigan. Eric 08:00 Alex, you had a mullet. Alex 08:01 I had a mullet. Eric 08:03 Can we share that back online on GeriPal listeners? Eric 08:12 I think there probably is.

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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

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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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

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

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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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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Chaplain Palliative care Social worker Palliate 249

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

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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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

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 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 319

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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Hospice volunteer Presentation Palliate Palliative care 288

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

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 220

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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