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Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. In todays podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care. by Kearney. I promise its short. Canadians are welcoming.
Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. On today’s podcast, we talk to Nick Reed and Meg Wallhagen about hearing loss in geriatrics and palliative care. How to screen for hearing loss.
The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. So there’s an event or a series of events.
Ashwin Kotwal, assistant professor of medicine at the University of California San Francisco’s (UCSF) Division of Geriatrics. There are notable differences in the types of traumatic events, and these events were strongly associated with an increased burden of end-of-life physical and psychosocial needs.
Summary Transcript CME Summary I was very proud to use the word apotheosis on todays podcast. See if you can pick out the moment. I say something like, Palliative care is, in many ways, the apotheosis of great palliative care. And I believe that to be true. Today we talk with Naheed Dosani, a palliative care physician at St. Homelessness?
The 3-Act Model has been woven into various other programs across Johns Hopkins, including medicine residency at Bayview and multiple fellowship programs, spanning geriatrics to oncology. Now we’re trying to understand how to integrate that into our training and in our workflow so that we’re thinking about that,” he said.
Obstacles facing palliative care in the ICU One challenge to bear in mind is that some of the measures used in the literature are imprecise due to the traumatic, emotional nature of the event. A growing body of research touts the benefits of palliative care for patients, families, and even providers. “It’s not blood pressure.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Lynn Flint, author of the NEJM perspective titled, “Rehabbed to Death,” joins Eric and I as co-host.
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.
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?
Take a stab, Alex, in one sentence, I think more total time bias is when the start time for one group doesn’t begin until some event happens and therefore they have to survive until that event. And that biases them because they’re immortal in a sense, until that event happens. Maria 36:03 Yes. Yes, that’s fair.
More than half of women and roughly 60% of men reported experiencing at least one traumatic event in their lifetime in a National Comorbidity Study (NCS). This is according to Amber Ash, pediatric hospice and palliative care social worker at Ohio-based Hospice of the Western Reserve.
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. GeriPal podcast with Linda Fried on frailty. Eric: Yeah.
It was like kind of a co op with this common space that different groups could rent for events and meetings and things like that. Today’s podcast is both similar and different. Similar in that the underlying theme of the power of stories. There’s something magical that happens in small group storytelling. Ricky 00:38 Great to be back.
In our early studies in the same nursing home population, we found about 70% of residents had a deprescribing event of antihypertensives during their stay. And unfortunately, that trial was stopped early because of some current concerns about increased adverse events in the deprescribing group.
Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. Wallace, C.L., In Donesky, D.,
In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. He’s a palliative care doc and oncologist. He’s chair of the department of Palliative Rehabilitation and Integrative Medicine at MD Anderson Cancer center.
Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. 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-life care.
Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. ” Eric: Nice. So I agree.
Summary Transcript Summary Last week we talked about a trial of a nurse and social worker outpatient palliative care intervention published in JAMA. See also our accompanying editorial , first author Ashwin Kotwal who joins today as a co-host, and a podcast I recorded with JAMA editor Preeti Malani). Alex, who are our guests today?
Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society. Alex: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. The same thing happens in geriatrics. Ramona: Thank you.
And then I did a geriatric orthopedic fellowship and that was really an exciting opportunity to help hip fracture patients, but then someone knocked on our door. Eric: What’s a geriatric orthopedic fellowship? So I got to help create one of the first geriatric orthopedic fellowships. Eric: Oh, that’s fabulous.
But I think people would have an embolic event if you gave them a flipping range. The post Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric: And Alex, I have a feeling I’m going to love this podcast.
And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Eric 00:05 And Alex, who do we have with us today? Because I think we have someone special, a guest host.
Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. Legalization is moving forward in several states , following the lead of Oregon and Colorado. Potential use in palliative care , chronic pain , and for mood disorders is tantalizing.
Whereas in cultures that practice cremation properly, it’s a public event full of ceremony and ritual and expectation. Not an event planner, kind of a ritual planner, is that you’re the guide for the family, who often is dealing with this for the first time. We get a lot in geriatrics and palliative care.
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.
But I think what I didn’t know was that when somebody makes a decision to get to a certain event that the work isn’t done then. Alex: We are delighted to welcome Jacky Kruser, who’s a pulmonary critical care doctor and health services researcher at the University of Wisconsin. Welcome to the GeriPal podcast. Bob: The fish.
We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Brienne: Thank you for having me.
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. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: Great.
Alex 01:57 And we have Lingsheng Li who is a geriatrics and palliative care doc and illustrator and is currently a T 32 research fellow at UCSF. And what’s important about this for your listeners is that we begin to see that dying is not just a medical event, and we need to stop treating it as if it were just that. I forgive you.
Alex 00:15 We are delighted to welcome Jane deLima Thomas, who was a co-fellow with me back in the day in palliative care. Jane, welcome to the GeriPal podcast. Jane, welcome to the GeriPal podcast. Jane 00:37 Thank you so much for inviting me. Ishwaria, welcome to GeriPal. Ishwaria 00:59 Such a pleasure to be here. Thanks for having me.
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. So these are really relevant outcome events. James: Thanks for having me.
Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. We provide a $300 stipend for like food and marketing or whatever we provide all the materials needed for the event. And usually we want like 20 to 50 people to come to one of our group events. Sarah: Thank you.
She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.
AAHPM (American Academy of Hospice and Palliative)
JULY 1, 2024
Dr. Olusegun Apoeso was one of my attendings during my Geriatric Medicine fellowship at the Icahn School of Medicine at Mount Sinai in NY. In doing so, we can effectively “palliate” clinicians and our patients! Who has most influenced your work and how have they shaped your contributions?
But I think it’s artificial, as we’ve already shown in this conversation, to talk about that as a isolated event. The post Surgical Communication: A Podcast with Gretchen Schwarze, Justin Clapp and Alexis Colley appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Justin: Hello.
This church member who participated in the board meetings, events, and more was diagnosed with pancreatic cancer and shortly after, passed. Admiral Senn later was admitted and ultimately passed in the local VA hospital. His third exposure to death and dying was with a very active member of the church.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones. Eric 00:13 And, Alex, who do we have with us today?
I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. difficile infections. Eric: That’s helpful. Tell me about this study.
So if you already have a condition, you might be able to prevent events. And I think that’s something that we can really focus on, especially with geriatric patients. Not just about like we think in geriatrics training, it was about like, you had one category about, like, obesity, in one category about inadvertent weight loss.
Because those experiments show that the actor being targeted, lipids for example, is part of the causal pathway to an undesired event. I do think that creates a little bit of disquiet where the borders between the expert physicians will decide what is a disease, freed of all conflicts, simply is a historical event. Jason: Yeah.
Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. This is Eric Widera. Alex This is Alex Smith Eric A nd Alex, who do we have with us today? Jennifer 00:44 Thanks. Chris, welcome to the GeriPal podcast.
In the first podcast, we talked with Guy Micco and Marilyn MacEntyre about poetry and aging. In this second part in our series, we welcome Mike Rabow and Redwing Keyssar to talk about palliative care and poetry. . As with aging, poetry operates on multiple levels within the palliative care space. . Poetry puts us in our patient’s shoes.
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