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We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. He doesn’t prescribe thickened liquids, because he just puts in feeding tubes in everybody.
Easy job import: Post jobs quickly using job feeds or CSV file imports. Long-term care : Geriatric, hospice, and home health settings offering continuity of care. Built-in messaging system : Contact candidates directly through the platform for fast, efficient communication.
Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. Anthony Spano: We are very lucky to have Nikki Davis on stage, so I wanted to just open up and give her the chance to tell us a little bit about herself.
Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. ” So feeding them little soundbites that they might be able to take off the tip sheet and use if they had the opportunity. Eric: Now, that’s fabulous.
Force-feeding those who have lost their appetites and thirst may cause distress, even if it is well-intentioned by family or caregivers who feel compelled to get food into the patient. Board Certified Specialist in Geriatric Nutrition Consultant for Hospice of the North Coast. Harbord, MS, RDN.
Alex Smith: And we’re delighted to welcome back Alex Lee, who’s an epidemiologist and assistant professor at UCSF in the division of geriatrics. Nadine: I think for our geriatric friends that listen to the podcast, there’s a lot of discussion about de-intensifying management as people age. Happy to be here.
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 just by the nature of prognosis there, and I think, you know, this, this is really where I think the, the value of an interdisciplinary team, which we do so well in geriatrics and palliative care, is important in thinking about approach to these patients because perspective. Ashwin 23:46 Yeah. Mariah 28:32 It’s definitely not.
To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Eric 01:13 Yeah, you got to jump in. Take it over.
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. I’m most proud that when we started the blog, there was some tension between Geriatrics and Palliative care. They’ve all been laid out for you. Anne: Right.
We talk on this podcast about potential uses of AI in geriatrics and palliative care with natural language processing guru Charlotta Lindvall from DFCI, bioethicists and internist Matt DeCamp from University of Colorado, and prognosis wizard Sei Lee from UCSF. Sei Lee is Professor of Medicine at UCSF in the division of geriatrics.
Eric 02:37 Feeding the beast, Matthew, feeding the beast [laughing] Alex 02:41 All right, here’s a little bit. 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.
Because, if anybody hasn’t seen it, you’ve got a great Twitter feed that gives tons of pearls on palliative care and a lot on communication. Speaking of pearls, should we move to Shunichi’s Twitter feed? Alex: Shunichi, your Twitter feed is like haiku. What motivated you to dive into this? Don’t use that.
In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. In 1990 the Supreme Court ruled…for the state of Missouri.
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. Rehabbed to Death.
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. He, his Twitter feed though is brilliant. Eric: Yeah.
And you feed the medicine in. Eric: I got another question then, feeding on that, thoughts on how we can promote leadership in palliative care social work. And I’ve had the opportunity to participate in a couple of models where we call it a flipped model, right, where you begin with what matters most to patients and families.
For GeriPal, it’s really to bring geriatrics and palliative care together. And for Matt, when you’re giving people the advice, I was listening to one about how do you talk to somebody about a feeding tube that’s for pleasure? laughter] Eric: Well. I wonder if you’ve had a similar sort of experience.
The post The Roots of Palliative Care: Michael Kearney, Sue Britton, and Justin Sanders appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric 47:50 And t o all of our listeners, thank you for your continued support. CME This episode is not CME eligible.
They often have behavioral issues stemming from their disorder, their life circumstances, all sort of feeding into each other. The post PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
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. You’ll have a feeding tube. Yep, for geriatrics? You may end up there indefinitely. Samir: Yeah.
Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Who do we have with us today? Katie, welcome back to GeriPal.
So, she was in a pathetic stage and she had no way of coming and seeing the mother because she had to feed the children from her earnings. And her daughter can’t come visit her because she doesn’t have money for bus fare and her husband’s an alcoholic, demanding money from her and she has to feed her own children.
And I told her I quote LaVera every year when I teach the geriatrics fellows, the palliative care fellows, I would love for you to tell the story that I quote because you experienced it. Alex: I just want to note for our listeners, I told LaVera this when we just had a conversation a couple weeks ago before doing this podcast.
And I think part of the problem is for many people who are doctors, and I’m not talking to our palliative care geriatric audience, there is a sense of what it is to be a doctor is to fix things, is to save lives. Alex: A feeding tube. We’re giving some biologic information if they want it. I know, man, I just screwed up.
That, as you were saying, Eric, that bring me joy that I can pursue because they feed me, as well as whatever the reward system that I’m in. The post Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
Janet: And you could put the liquid methadone in the feeding tube, can’t you? Eric: So you can use the tablets in the feeding tube, too. Janet: Then put it in the feeding tube if you can’t get the liquid. Alex: Ah, I have not tried that. Janet: Also, the pills dissolve completely. Eric: And then-.
However if you want to take a deeper dive, check out his website “ The Ink Vessel ” or his amazing twitter feed which has a lot of his work in it. The post Comics and Humor in Palliative Care: A Podcast with Nathan Gray appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Transcript.
And whether tube feeding should be on there, that’s never an emergency decision. The post POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. But yeah, full treatment.
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. So intubation, cpr, feeding tubes. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life. Excited to be here.
Or the cases where someone actually said, “I never want a feeding tube.” Why did they choose to be DNR or not have a feeding tube? It’s kind of like the feeding tubes in advanced dementia. There has been a shift and that shift in the decline of feeding tube use in advanced dementia has been documented.
Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. Eric: What do you think attracted you to it? When I was about nine-years-old, they gave me a book of poems of Edna St. Vincent Millay.
The post Sexual Function in Serious Illness: Areej El-Jawahri, Sharon Bober, and Don Dizon appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. It’s more of multiple domains that all play together at the same time. It’s, you know, it’s the experience of touch.
But I do think that there’s a tension here, which is that in order for these algorithms to work, you need to feed them a ton of data. And then you think, well, what kind of data are you feeding it? Jenny 27:44 I mean, it’s that, yes, it is better than a coin flip. That’s what these algorithms need.
Would such ethical guidelines foster or feed suspicion of the motivations of bioethics? . Eric: This is a geriatrics and palliative care podcast and we’re talking about reproductive rights, abortions, looks like we’re talking about medical aid in dying, all encompassing this question of rights of conscious. It’s bigger.
I mean, if somebody has really bad depression and they stop eating and nobody bothers to feed them or make sure that they eat, then, yeah, they could die. The post Palliative Care for Mental Illness: A Podcast with Dani Chammas and Brent Kious appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
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