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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.
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. “[Our program] is fiercely narrative and really focuses as much on the art of listening as the art of what we say,” Wu said.
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.
He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. And this is really traumatic event for his street family and the street community that he knew. So, you know, I just wanted to present a couple options and give you a sense of, you know, the background for both.
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.
Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. Is that how we presented ourselves? Whats in a name? Ive got a name. No, you dont need to be Canadian. Canadians are welcoming. CME This episode is not CME eligible.
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.
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. We have recently, for our larger events, and even not as large events, we have people send us their stories. Alex 32:22 Geriatrics Palliative Care Podcast. And that works really well.
And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. 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. Frank, welcome to the GeriPal podcast.
But I think people would have an embolic event if you gave them a flipping range. Really because of the structure and the nature of equianalgesic tables, similar information with simpler math, can easily be presented to our colleagues. We present them like these ratios are linear across all doses.
Whereas in cultures that practice cremation properly, it’s a public event full of ceremony and ritual and expectation. And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. I won’t.
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. Matthew 04:21 Well, I actually have been teaching, doing sessions about polypharmacy for many years. I don’t know.
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.
Eduardo 25:39 I think that’s wonderful, Alex, because all our social and even religious events have metaphors of food. I think I’m preventing some potential extra non synthesis that is not happening because you are lacking that bottleneck little hydrosoluble vitamin that might be present. My daughter’s birthday.
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. She created TimeSlips which we talk about in our podcast. Anne, welcome to the GeriPal podcast.
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. Usually events open up some insight into the person themselves as they’re describing the suffering.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But one of the things I’m really interested in is people have agency and autonomy, so we can present them with the scenarios of best case, worst case, and they will always choose what’s most important to them.
And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people. And so it’s us within healthcare as a whole, pausing for half a second and validating ourselves and our reactions as this is us reacting to the stimulus that’s presented.
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. 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 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?
That we can’t predict when they’re gonna get sick or when they might go to the ED, when that big event may occur, but it’s also the uncertainty of who might be able to get transplanted. Sarah 24:24 See, I usually always present it as these are things we should think of. Brittany 15:07 Right.
I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. Gretchen: Yeah. This paper we submitted was called The Bin Of Bad S**t Has Three Layers.
There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. I was wondering if we can jump to the NSAIDs article because the geriatrics party line is avoid NSAIDs in older adults because the risk for including worsening renal disease. difficile infections. Tell me about this study.
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.
Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.
First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. Someone’s function in the future can depend on, like, a crisis event, like a fall and a hip fracture. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation.
So people are less able to have the language when the loss event actually happens. And we’ve been really private of doing the research of really doing the deeper thinking about what the loss event happens during the loss event and how we can impact how grief is experienced later. And we don’t talk about it as much.
And we had the date, if it was present in the EHR, to provide that context for the clinician. And when we presented it to the DSMC, which Alex was a member too, but we thought it was nice. ” And you miss this opportunity to say, “Hey, this is a major event in this person’s life.” Erin: Code status.
There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. I was wondering if we can jump to the NSAIDs article because the geriatrics party line is avoid NSAIDs in older adults because the risk for including worsening renal disease. difficile infections. Tell me about this study.
Check out other must-read articles here Shauna has a Diploma in Nursing from Kangan Batman TAFE and more than 8 years’ experience working within various healthcare fields including Geriatric, Community, Oncology, and currently as a civilian nurse contractor in the Defence environment. The old nature or nurture argument. Reach out.
We’re representing the American Geriatric Society today and we are delighted to be here in the podcast. So if you haven’t been to this event, there is a literature review where we. Nancy 24:04 So classic classic geriatrics keeping people functional, independent and at home with some very sensible intervention.
Alex 00:06 Today we’re delighted to welcome back Louise Aronson, geriatrician professor of medicine at UCSF in the division of Geriatrics, author of E lderhood. Alex 00:19 And we have Ken Co vinsky, frequent host, frequent guest on this podcast, who is also in geriatrics at UCSF in the division of Geriatrics.
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