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Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. He’s been a hospice and nursinghome director.
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. RCFEs, boarding cares, nursinghomes. Welcome back, Kenny. Welcome back.
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.
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.
valproic acid and gabapentin), in nursinghomes, particularly patients with Alzheimer’s disease and related dementias. J Am Geriatr Soc. Donovan Maust is a geriatric psychiatrist and health services researcher at the University of Michigan. Donovan discusses the growth of “mood stabilizers/antiepileptics” (e.g.
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 nursinghomes too? Anne, welcome to the GeriPal podcast.
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 Bob also noted documenting it. I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms. Welcome back, Rebecca.
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.
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. You’re not going to end up going back home after the surgery. Yep, for geriatrics? Samir: Yeah.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Why do we not have more palliative care access in nursinghomes? We provide critical education.
This includes sterilizing equipment, understanding and assisting with surgical procedures, managing fellow nurses/staff, and conducting post-operative administrative duties. Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursinghome.
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. . Alex: So the proven trial was that the video in the nursinghomes? Kate: Yeah, the nursinghomes.
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.
And these are a little bit more palliative care centric than things we might use with a general population of hospitalized old adults or people in the nursinghome or in the outpatient setting because there’s that feeling of life closure and legacy in some of these questions. Just go to www.geripal.org.
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.
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?” So it’s this tension that I constantly think about.
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.
I was alone with her in the end of a long hallway at a nursinghome health center. The post End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
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.
Jasmine Travers The pandemic shone a troubling spotlight on the unnecessary suffering resulting from substandard conditions in nursinghomes. HPRD—and nurse aides (NAs)—2.45 Several nursinghomes have been operating at critically minimal staffing levels for years calling for the necessity of some form of staffing level floor.
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