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Rising competition in the hospice space has fueled pivotal changes in end-of-lifecare delivery both for better and for worse, according to Arizona-based Hospice of the Valley Executive Director Debbie Shumway. We also have a home-based primary care practice called Geriatric Solutions.
Data are reshaping the health care space, and hospice is no exception. Data has played a large role in the ability to gauge the impact of end-of lifecare. Hospice providers have needed a window into access and utilization, as well as how lawmakers are shaping policies around health care.
-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of lifecare Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex Smith: This is Alex Smith.
This certification equips you with the necessary information to care for older patients’ mental, physical, and psychosocial health. CGN coursework explores care planning for the elderly, geriatric nursing principles, medication management, and end-of-lifecare.
McMahon ascended to the role in 2021, serving in various other positions at UnitedHealth Group since 2003, including executive vice president of enterprise operations and CEO of Optum Rx, among other management positions in finance, information technology and operations.
Individuals with Alzheimers and dementia-related conditions could benefit from stronger caregiver programs upstream of end-of-lifecare. This is according to recent research findings, which could help inform approaches to care under the new Guiding an Improved Dementia Experience (GUIDE) payment model.
Hartford Foundation with a grant to the Institute for Healthcare Improvement in partnership with the Catholic Health Care Hospitals of America and the American Hospital Association. ” They were able to put together a set of evidence-based practices called the 4Ms Framework for Developing Age-Friendly Care. The post Voices: ??Dr.
Thats my main take-home point after learning from our three guests today when talking about trauma-informedcare, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. She is a guest host and she’s a palliative care social worker.
Alex 01:56 And returning guest, Vicki Jackson, who’s a palliative care doc, chief of the Division of Palliative Care and Geriatric Medicine at MGH , professor at Harvard Medical School, and co director of the Harvard Medical School center for Palliative Care. Simone, welcome to GeriPal. Vicki 02:10 Thank you.
Many elderly Americans follow one of three place of care trajectories during the last three years of life, researchers from Rutgers, The State University of New Jersey, found in a study recently published in BMC Geriatrics. These include the home, skilled home care and institutional care.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Our task is simple, we are going to be sampling each of these hot chicken wings while we ask Eric and Alex questions related to Palliative care and Geriatrics. Anne: Right.
We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-lifecare received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.
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. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. Welcome back, Rebecca. Rebecca: Yeah.
Kei Ouchi, associate professor of emergency medicine at Harvard Medical School/Brigham and Women’s Hospital, told Palliative Care News. “So, So, I think they have a harder time involving palliative care initially because they equate palliative care to end of lifecare.
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. . Palliative care, in contrast, saw explosive growth in US hospitals. There’s end of lifecare needs.
We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. And then we incorporated that information into the consultation process. Yael 21:10 Yeah.
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.
Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-lifecare. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-LifeCare at Three Academic Hospitals. And I was interested in intensity of end-of-lifecare and differences in intensity of end-of-lifecare. Liz: Right.
It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice. Eric: So Jasmine, we hit on care delivery, we also hit apparently on health information technology.
You might be able to extend your life a little bit, but at what cost? So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-lifecare, and similar consequences. Eric: So what do we do with the information? Yep, for geriatrics?
On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Sure.
So the reason why our palliative care team had those coping skills, which we often traditionally think is more on the purview of a psychologist, is just because of Mass General being a general hospital, palliative care grew up with a very close and collaborative relationship with psychiatry and psychology. How do you facilitate coping?
We have Sarah Nouri, who is a palliative care doc and researcher at UCSF. Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. Van Scoy who is a pulmonary critical care advance care planning researcher at Penn State Hershey Medical Center in Pennsylvania.
We didn’t really have any available information about changing from one opioid to the other, about… Medicines were used in a very unsophisticated way because we just didn’t know any stuff. There was a little bit of teaching about end of lifecare. And there was some teaching about pain. Brian: It is.
And people are getting life sentences. They’re going to get older, they’re going to struggle with geriatric conditions, and they’re going to need palliative services and eventually end-of-lifecare. It was built in 1955, so it wasn’t designed for a geriatric population.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. In the end, if you put those findings together, they really did rise to the top, the patients who were really the sickest.
You’re getting them with a little teeny slice of their information and you’re just trying to build some willingness for them to hear more. When you think about this and this toolkit, are there some really basic marketing ideas or tips that you have when we think about messaging, advance care planning, hospice or palliative care.
High Peaks Hospice would like to honor our Medical Director, Dr. Curt Gedney for National Doctors Day by sharing information about him with the team. During Dr. Gedney’s time in hospice, he has seen and understands many of the barriers to individuals receiving proper hospice and end-of-lifecare.
How did you get interested in end-of-lifecare, palliative care, and some of the work around dignity that you are really well known for? And a moral compass that’s informed by understanding that the world isn’t the way you see it necessarily. Here’s a little bit. Singing) Harvey: Love them.
And I’ve always looked to try to help people spiritually to better themselves through spirituality, and who more needs help than in the end of lifecare. Eric: Before we end up, and I really appreciate the time that you’re giving us. So that’s when I jumped into this all the way. Gerald: Yes, they do.
And then, I did a lot of introspection and realized that I’ve actually been doing this for folks in an informal way, family church members and friends, but I didn’t do it so well with my own mother. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago.
I’m the senior nurse educator at H C P, Speaker 1 ( 00:25 ): And you’re listening to Vision, the podcast for leaders and forward thinkers in the care industry. Today we’ll be discussing the importance of unifying the care continuum for end of lifecare. unique facts and information.
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. It was information about our ACP facilitator. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life.
And if they have symptoms, you address symptoms, and at some point, you might elicit goals and values, and at some point, you might talk about end of lifecare. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. 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.
And we’re delighted to welcome back Ken Covinsky , professor of medicine in the UCSF Division of Geriatrics, and frequent guest and co host of this podcast. So it is my experience that I can have conversations about end of life that none of you can have because I walk in the room and you do not have that trust.
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