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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Nurse.com

NOVEMBER 30, 2023

Recently, nurses have navigated their careers through a global pandemic, a travel nursing boom, supply issues, and continue to face an ongoing nursing shortage. Nearly 30% of nurses considered leaving the profession in 2021, compared to 11% in 2020, according to Nurse.com’s 2022 Nurse Salary Research Report.

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Geriatrics Nursing Presentation 2020 97

GeriPal

MARCH 24, 2022

Alex: We are delighted to welcome to the GeriPal podcast, Susan Hickman, who is professor at the Indiana University schools of nursing and medicine, and is director of the IU Center for Aging Research at the Regenstrief Institute. I think Bob also noted documenting it. Who do we have with us today? Welcome to the GeriPal podcast Susan.

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Palliative care Geriatrics Palliate Document 166

Daily Nurse

AUGUST 7, 2023

While the average person probably thinks that nurses working via telehealth is something new that came about during COVID, that couldn’t be further from the truth. “I Georgia Reiner, MS CPHRM, a Risk Analyst at the Nurses Service Organization (NSO), agrees that telehealth has been around for a while. The answer is yes and no.

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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. And it has fairly well documented biases.

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Caregiver Geriatrics Document Medicare 271

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge.

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Palliate ADLS Palliative care Chaplain 322

GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. J Am Geriatr Soc. 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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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 ). I’m a PhD candidate at Yale School of Nursing.

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Bereavement Grief Palliative care Palliate 151

GeriPal

FEBRUARY 23, 2023

We also talk with Emily Largent, a bioethicist and former ICU nurse, who argues in a Hastings Center Report for an expanded vision of patient consent. I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. That’s a huge amount of news all at once.

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Geriatrics Palliative care Palliate Information 226

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. Welcome to the GeriPal podcast, Heather.

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Palliative care Palliate Healthcare 2011 254

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! And also leveraging that idea that we all have these biases. Kate: These are very sick patients.

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Palliative care Palliate Ventilator 2016 268

GeriPal

MARCH 20, 2025

There was a patient who was living in Seattle at a skilled nursing facility. I just, I started thinking about our CNA from West Africa who was very devout Christian, and started imagining that person trying to instruct and work with the skilled nursing facility staff to stop all food and drink. Well, how can I be.

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Feeding Article Palliative care Palliate 197

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. Alex: Could we touch on nursing homes too? Anne, welcome to the GeriPal podcast.

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Nursing home Books Chaplain Caregiver 243

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?” Bennett, C.R., Schilling, L., Doorenbos, A. That makes sense.

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Palliative care Palliate 2011 Healthcare 280

Daily Nurse

MAY 2, 2023

Cedars-Sinai’s commitment to excellence in nursing is again being celebrated because the organization has earned its sixth-consecutive Magnet designation, widely considered the highest honor in nursing. Klinenberg, MD, and Lynn Klinenberg Linkin, Chair in Nursing, in honor of Linda Burnes Bolton.

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Geriatrics Document Healthcare Nursing 94

GeriPal

SEPTEMBER 5, 2024

Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. There’s more to it that you should be documenting than DNR DNI, which seems like. Eric 00:13 And, Alex, who do we have with us today? Her most recent book is Elderhood. We need more. Bill 16:01 To.

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Article Resuscitation Nursing home Document 246

GeriPal

JUNE 30, 2022

And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. And the nurses says you’re making the right decision. She wasn’t communicating, she couldn’t remember anybody’s name, nothing. And she said, we didn’t want this. Joel: And they kept her comfortable.

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Medicare Geriatrics 2016 Palliative care 242

GeriPal

SEPTEMBER 21, 2023

Today we talk with Fayron Epps and Karen Moss, two nurse researchers who are focused on improving the experience of Black/African American caregivers of persons living with dementia. Why are nurse researchers in particular critical to the study of these issues? You both are nurse leaders who are doing this unique work out there.

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Caregiver Nursing 2030 Bereavement 302

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. . You’re not hiring a bunch of social workers or nurses or docs to do it. Kate: Yeah, the nursing homes.

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Palliative care Palliate Geriatrics Definition 234

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. And the nurse can’t dose it, they have to individually dose it.

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Palliative care Palliate Informed consent Article 335

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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Geriatrics Article 2010 2019 237

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. The head nurse spoke up. Eric: And Alex, who do we have with us today?

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Geriatrics Definition Article Palliative care 157

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Could it be the bedside nurse? It meets in-person, once a month, over nine sessions. For inquiries or to apply, please contact gayle.kojimoto@ucsf.edu.

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Chaplain Palliative care Social worker Palliate 232

Hospice News

JUNE 9, 2022

I am an acute care and adult and geriatric certified nurse practitioner. Over 100,000 who were given instructions to enter into the skilled nursing environment didn’t adhere to it. Tina Taylor: I’m Tina Taylor, vice president of palliative care at Compassus. I believe it’s like 1 in 10 for hospice.

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Palliative care Palliate Hospice Definition 246

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

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. Why don’t people want to document serious illness conversations? I think this is actually bread and butter geriatrics.

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Books Blog Palliative care Palliate 302

GeriPal

MARCH 7, 2024

I was alone with her in the end of a long hallway at a nursing home health center. Beth: I’m a nurse by training and then, obviously, the executive director. Beth: From a hospice standpoint, we obviously have the nursing support, social work chaplaincy. Jane: My mother died about 12 years ago. Beth: That is correct.

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Presentation Hospice volunteer Palliate Palliative care 284

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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Palliative care Palliate Healthcare proxy Caregiver 267

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying.

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Palliative care End-of-life care Palliate Article 291

GeriPal

AUGUST 24, 2023

So it can create a generativity or legacy document, that will be given to that individual so they can bequeath it to loved ones. For a palliative care physician, or a palliative care nurse to take the time out of their day to implement dignity therapy? We know that these conversations are recorded and transcribed and then edited.

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Article Palliative care Palliate Geriatrics 245

GeriPal

MAY 26, 2022

And that’s not so much an instrumental value argument because once they’ve been in the trial, unlike with your docs and nurses, it’s not to try to get them to be in future trials or something so much as it is to recognize that past contribution, so I think that’s another example.

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Article Definition Healthcare Geriatrics 200

GeriPal

MARCH 27, 2025

Potential that documenting advance directives without a robust conversation about prognosis might have led to these findings. Alex 00:54 And Jasmine Santoyo-Olsson, who’s a social behavioral scientist and a fellow in the T32 Research Fellowship at the UCSF Division of Geriatrics. Danny 00:52 Thank you very much.

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Document Palliative care Definition Bereavement 179

GeriPal

APRIL 18, 2024

I think it was, and they asked three questions about geriatrics, including about anti-psychotics, and it read perfectly. When I first thought about this AI and what are the potential uses in geriatrics and palliative care in particular, I thought, oh, this is the last place where we’d want it, right?

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Geriatrics Books Palliative care Palliate 336

GeriPal

JULY 13, 2023

They found a difference of 4% in documented goals of care discussions. At its heart, it’s always been a brief, hopefully one page document that can be delivered to clinicians and or patients to get them thinking about topics related to goals of care discussions. So that then closes by saying, “Please document a short note.

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Document Palliative care 2018 Palliate 190

GeriPal

FEBRUARY 24, 2022

And I ran into a nurse in the stairwell eating, because we don’t have any space to eat and she’s eating. So one that the primary outcome was supposed to be documentation, which it improved documentation, it wasn’t powered to actually look at any utilization or hard outcomes. They were slightly mischaracterized.

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Document Feeding Definition Palliative care 245

GeriPal

FEBRUARY 27, 2025

I remember as a fellow, I would come in and our nurse practitioner on our hospice team, I would say the word narcotics, and f or half an hour, she would just lay into me. We try to document that it’s for cravings or withdrawal symptoms or Sach. Alex 01:17 We had the wrong terms drilled into us. So that’s a caution we have.

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Palliative care Palliate Article Document 169

AJN Off the Charts

OCTOBER 19, 2023

Jasmine Travers The pandemic shone a troubling spotlight on the unnecessary suffering resulting from substandard conditions in nursing homes. HPRD—and nurse aides (NAs)—2.45 HPRD—and nurse aides (NAs)—2.45 Tara Cortes The proposed requirements.

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Nursing home Long-term care Nursing 2001 112