This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
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?
So Daily Nurse spoke with Bei Wu, PhD, FGSA, FAAN (Honorary), Vice Dean for Research, Dean’s Professor in Global Health, New York University, Rory Meyers College of Nursing , and Xiang Qi, BSN, RN, PhD candidate at New York University, Rory Meyers College of Nursing about ChatGPT’s potential use in geriatric nursing education.
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.
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.
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.
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.
Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. So just to make that more concrete, Scott and I did a study a couple of years ago as well looking just at OHSU patients who presented to the emergency department with POLST. Why are they doing that?
end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). 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. staff training in person centered care).
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 ). Who would/should be on that board? Eric 00:42 Great.
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?
So I allow family members to be present if they want them to. I’m not going to have time to read 22 pages of this legacy document. They’re just a 20-page document because there’s so much detail in there that we as clinicians type, but it’s not first-person. That’s fine. Just go to www.geripal.org.
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.
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 I allow family members to be present if they want them to.
Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursing home. Private practice Nurses working in a private practice setting typically deal with fewer patients, as there are fewer doctors present. Nurses are constantly presented with a number of challenges and stressful situations.
In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.
Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.
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.
She’s published and presented both workshops and talks about all aspects of telehealth—regionally, nationally, and internationally. Nurses have worked in a variety of settings in telehealth—such as school nursing, critical care, emergency care, specialty care, and geriatrics, Arends says.
Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. Welcome to the GeriPal podcast, Sarah. Sarah: Thank you.
Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. So I just want to say that I agree with you that it is frustrating that we have to prove our worth.
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. And he had a deadly fear of being institutionalized, based on his previous present experience. We need more.
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.
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. Anne, welcome to the GeriPal podcast.
I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. You’ve had three documented conversations to “clarify code status.” And I described a code that I led as a senior resident.
Sarah 24:24 See, I usually always present it as these are things we should think of. This is a normal thing we need to talk about and not present it as something, oh, because of how sick you are, we’re going to talk about this, really try to normalize it. Sarah 24:19 Well, I don’t know. Amy 24:21 For me, I always.
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? Heather: But is that people who have presented because of some cognitive or memory concern?
I’m fully present. So it can create a generativity or legacy document, that will be given to that individual so they can bequeath it to loved ones. The post Dignity at the End of Life: A Podcast with Harvey Chochinov appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
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. I told her no one’s ever made it- Karen: It was great. It was great.
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. Did it increase documentation?
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.
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. Painstaking work to go through each outcome and really characterize and document what works and what doesn’t. They were slightly mischaracterized.
Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So we got a lot to cover on sexuality, sexual health, and serious illness.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content