GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . hint: coping). Celine Dion. Transcript.

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GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) Alex 00:12 This is Alex Smith. Eric 00:13 And, Alex, who do we have with us today?

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Hospice News

DECEMBER 14, 2022

This began a series of discussions that led to what Jain called a “David and Goliath document” that sketched out the vision for HealthRight and its potential differentiators from the for-profit giants in the space. As the prospect of the combination started to bloom, the SCAN term broached the idea in a letter to CareOregon leadership.

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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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Document Feeding Resuscitation Article 253

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? Eric and I interviewed these presenters at the meeting on Thursday (before the pub crawl, thankfully). Who would/should be on that board? Yael 00:28 Hi, everyone.

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Bereavement Grief Palliative care Palliate 151

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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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. Don’t ask anybody.

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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. Summary Transcript Summary One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Eric: Okay.

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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. I think Bob also noted documenting it. Eric: So Susan, and would you say that a POLST is more of a care planning document rather than an advance care planning document?

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Palliative care Geriatrics Palliate Document 166

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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Assisted living Geriatrics Long-term care 2005 232

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. On the other hand, I agree with Karl that the POLST has face validity, and anecdotal evidence is overwhelming. Welcome, Abby.

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Document Nursing home Healthcare proxy Ventilator 306

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?” Summary Transcript Summary. Narrative medicine? Schilling, L.,

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Palliative care Palliate 2011 Healthcare 280

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. Emily’s expanded notion of consent is grounded in the concept of “relational autonomy.” Welcome back to the GeriPal podcast, Emily. Welcome back, Anne. Anne Rohlfing: Thank you. Welcome back, Lynn. Lynn: Thank you.

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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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Geriatrics Definition 2022 2021 269

GeriPal

MARCH 20, 2025

And so I think of it as more like the patient who’s on document dialysis, who. I mean, you can walk along some aside somebody making a choice you disagree with and still palliate their symptoms and care for them. Alex 00:14 We have a very full house today. Hope Wechkin brought this topic to us. Hope 00:31 Thanks. People do.

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Feeding Article Palliative care Palliate 197

GeriPal

DECEMBER 15, 2022

Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, Heather. So Alex and I had to find another one, and Brandi and her ballads are very near and dear to me because you can imagine that’s related to narrative and telling of people’s stories. Why is this a research focus of you?

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Palliative care Palliate Healthcare 2011 254

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 302

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. Who do we have with us today? Katie, welcome back to GeriPal. That was from our what?

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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

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. Today Liz Dzeng discusses her journey towards studying this issue in detail. Alex: Yeah.

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Palliative care End-of-life care Palliate Article 291

GeriPal

APRIL 6, 2023

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. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Welcome to the GeriPal podcast, Lexy.

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Chaplain Palliative care Social worker Palliate 232

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. Yep, for geriatrics? Alex: But I’m talking about-. Joel: Talk about it. Alex: You probably did, yes. Joel: Yeah.

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Medicare Geriatrics 2016 Palliative care 242

GeriPal

OCTOBER 5, 2023

You’ve had three documented conversations to “clarify code status.” And I think part of the problem is for many people who are doctors, and I’m not talking to our palliative care geriatric audience, there is a sense of what it is to be a doctor is to fix things, is to save lives. Welcome to the GeriPal podcast.

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Informed consent Article Palliative care Resuscitation 325

GeriPal

AUGUST 24, 2023

Alex: So it was motivated essentially by an effort to understand and palliate the sources of suffering that were leading people to choose to end their own lives. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. This is Eric Widera. Who is with us today?

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Article Palliative care Palliate Geriatrics 245

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. It’s a big episode covering a lot of topics. Annals of IM.

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Geriatrics Nursing home Definition 2009 227

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild.

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Presentation Hospice volunteer Palliate Palliative care 284

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. Eric: Don’t even have to document. This is Eric Widera. Alex: This is Alex Smith.

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Nursing home Books Chaplain Caregiver 243

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. Alex: Today we are delighted to welcome three first-time guests.

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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 157

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

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.

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Article Resuscitation Nursing home Document 246

High Peaks Hospice

MARCH 1, 2022

He stopped in to request information and instead received an immediate call back from who would turn out to be the most formative person in his life, David Weissman, MD, the founding Director of the Geriatric and Palliative Medicine program at the medical college. Curt Gedney, and our Assistant Medical Director, Dr. Noelle Stevens!

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Medical director Hospice Palliative care End-of-life care 98

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 262

GeriPal

MAY 26, 2022

So I think the practical implementation may be very challenging for this as well as just the documentation of whether or not somebody’s been vaccinated. Govind Persad and Emily Largent appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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Article Definition Healthcare Geriatrics 200

GeriPal

SEPTEMBER 21, 2023

What that looks like, to some degree, by having a conversation, by documenting wishes, we can potentially influence what that looks like and what that experience is for that person who is dying and then also for family members who are left behind. Alex: I was going to say Fayron, you can go second.

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Caregiver Nursing 2030 Bereavement 302

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. Jennifer, welcome to the GeriPal Podcast.

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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