GeriPal

JUNE 15, 2023

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.

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Palliative care Geriatrics Palliate Document 250

GeriPal

MARCH 20, 2025

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.

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Feeding Article Palliative care Hospice 220

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. And that was the last time that he’d been seen by our healthcare system. I’m gonna put feeding tubes in advanced dementia as a pluot.

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Article Feeding Definition Palliate 179

GeriPal

OCTOBER 17, 2024

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.

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Geriatrics Feeding Assisted living Palliate 280

GeriPal

APRIL 4, 2024

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. Alex: Bernie.

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Document Feeding Resuscitation Article 281

GeriPal

MARCH 10, 2022

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.

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Nursing home Feeding Nursing Geriatrics 154

GeriPal

MARCH 13, 2025

You’re talking about a paradigm shift in healthcare. I’ll tell you, I’m going through the healthcare system with my husband and all I can think of, it’s not palliative care anymore. That’s what’s missing right now in our healthcare system. Eric 24:44 Why is that? Sue 24:46 I don’t know.

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Palliative care Palliate Books Social worker 262

GeriPal

SEPTEMBER 28, 2023

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.

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Article Palliative care Feeding Palliate 361

GeriPal

SEPTEMBER 1, 2022

When you think about leadership and we think about health care, we still live in a healthcare system that has a hierarchy. And so there are different levels of power within our healthcare system. And you feed the medicine in. Barbara: My first reaction is word, that’s really what happened. Who’s important to you? .”

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Social worker Palliative care Palliate Social work 254

GeriPal

MAY 9, 2024

Matt Tyler (aka Pallidad for those on Twitter ): Matt is the Hospice and Palliative care doctor who created How To Train Your Doctor , which helps patients living with serious illness find tips on “owning” their healthcare plan on his Instagram and YouTube pages. He was also the one who we have to thank for suggesting this podcast!

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Books Palliative care Palliate Hospice nursing 317

GeriPal

MARCH 3, 2022

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.

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Geriatrics Ventilator Events Palliative care 243

GeriPal

JANUARY 18, 2024

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. I mean, there is so much substance use stigma in healthcare. Katie: Sure.

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Palliative care Palliate Informed consent Article 337

GeriPal

SEPTEMBER 12, 2024

On today’s podcast, we talk with Jane Thomas , Naomi Saks , and Ishwaria Subbiah about the concepts of wellness, well-being, resilience, and burnout, as well as what can be done to truly improve the lives of healthcare providers and bring, I dare say it, joy into our work. I mean, in other work, hard work environments as well.

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Chaplain Palliative care Definition Healthcare 277

GeriPal

FEBRUARY 27, 2025

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.

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Palliative care Palliate Article Document 180

GeriPal

MAY 12, 2022

Alex: We are honored to welcome Dr. Rajagopal, who goes by Raj, who is the author of Walk with the Weary: Lessons in Humanity in Healthcare. The reasons are tied to the basically poor healthcare in low and middle income countries. We know that a department of healthcare cannot give it. Healthcare industry cannot do it.

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Palliative care Palliate Books Definition 282

GeriPal

JUNE 30, 2022

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. I mean, financially, the bulk of the American healthcare system is a fee-for-service system. Yep, for geriatrics?

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Medicare Geriatrics 2016 Palliative care 253

GeriPal

APRIL 6, 2023

These hick pick codes are available to any chaplain in a healthcare system. 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. It’s now available. Eric: So, let me ask this then.

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Chaplain Palliative care Social worker Palliate 249

GeriPal

OCTOBER 19, 2023

And whether tube feeding should be on there, that’s never an emergency decision. It would have a CPR section and then it would have a healthcare proxy section. Because POLST doesn’t, I believe, correct me if I’m wrong, you can’t assign a durable power of attorney for healthcare or healthcare proxy.

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Document Nursing home Healthcare proxy Ventilator 309

GeriPal

OCTOBER 5, 2023

And I think when COVID started, I was in a number of meetings about how we were going to think about CPR from this point forward, given that it was would really expose healthcare workers to easy transmission of this virus that we didn’t fully understand yet. Alex: A feeding tube. I know, man, I just screwed up. Alex: Thank you.

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Informed consent Article Palliative care Resuscitation 339

GeriPal

APRIL 28, 2022

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. And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care. Transcript. This is Eric Widera.

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Palliative care Palliate Grief Definition 363

GeriPal

SEPTEMBER 29, 2022

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-.

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Books Palliative care Palliate Feeding 254

GeriPal

MARCH 27, 2025

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. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. Is that right?

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Document Palliative care Definition Bereavement 200

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. If they had a healthcare agent, then this would be better, right? Or the cases where someone actually said, “I never want a feeding tube.” Eric: Yeah.

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Document Feeding Definition Palliative care 246

GeriPal

APRIL 21, 2022

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. ” Alex: Mm-hmm (affirmative).

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Palliative care Palliate Grief Books 237

GeriPal

JUNE 6, 2024

Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? 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.

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Palliative care Palliate Information Feeding 327

GeriPal

DECEMBER 12, 2024

Then they just looked at those people who were healthcare agents as assigned by durable power of attorney for healthcare and it didn’t really change anything. 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.

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Feeding Information Healthcare Informed consent 271

GeriPal

JANUARY 5, 2023

On the one hand, when I hear of Ob-Gyn’s in Catholic Healthcare systems using “workarounds” to provide reproductive care, I’m standing up and cheering on the inside. Would such ethical guidelines foster or feed suspicion of the motivations of bioethics? . Who will follow them, and what would be their incentive for doing so?

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Books Healthcare Article End-of-life care 49

GeriPal

DECEMBER 19, 2024

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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Palliative care Palliate Article Definition 255