GeriPal

DECEMBER 14, 2023

Eric and I are joined today on this podcast by Anne Kelly palliative care social worker to discuss these issues with Liz. Alex: And joining us as she has many times, Anne Kelly is a social worker at the San Francisco VA. At the end we also pay tribute to Randy Curtis, senior author on this paper and mentor to Liz.

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Palliative care End-of-life care Palliate Article 291

GeriPal

MARCH 7, 2024

It was started by a social worker who really saw some gaps in care with those at end-of-life, particularly those with chronic long-term illness, having important conversations. What the social workers are … Eric: Yeah. Beth: From a hospice standpoint, we obviously have the nursing support, social work chaplaincy.

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Presentation Hospice volunteer Palliate Palliative care 284

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. We have our social workers and our psychologists and we know how to manage these symptoms. Kate: These are very sick patients.

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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. . You’re not hiring a bunch of social workers or nurses or docs to do it. Summary Transcript Summary.

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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

JULY 11, 2024

It used to also be a social worker and myself who would actually go to clinic and spend some time up there. Said social worker has left since then, so it’s now just me. And I will document everything they express to me in a obviously non encephalopathic state. Sarah 06:23 It’s just me.

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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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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. So I think about social workers, pastoral care professionals, like spiritual care clinicians. We know that these conversations are recorded and transcribed and then edited.

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Article Palliative care Palliate Geriatrics 245

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. ” Or for a social worker, “Where are we going to discharge them to?”

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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. So our outpatient palliative care team does not have psychiatrists or psychologists or frankly, social workers. And the kicker was they lived, what, two to three months longer?

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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

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.

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