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 240

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 Palliate 205

GeriPal

FEBRUARY 29, 2024

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. Lynn: Great.

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Geriatrics Palliative care Palliate Blog 301

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. There’s so much other information that goes into their understanding and how it might differ from a clinician’s understanding. What motivated you to dive into this?

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Article Palliative care Feeding Palliate 361

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.

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Document Feeding Resuscitation Article 264

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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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 146

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 235

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And Katie, I was going through your Twitter feed, and a tweet I noticed was this one, “All opioid guidelines caution long-term use in people with active substance use disorder.”

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Palliative care Palliate Informed consent Article 337

GeriPal

MAY 9, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. laughter] Eric: Well.

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Books Palliative care Palliate Hospice nursing 307

GeriPal

OCTOBER 5, 2023

And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informed consent. And I think a lot of that leads to extreme moral distress. Sunita: Oh, yeah.

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Informed consent Article Palliative care Resuscitation 332

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. But they don’t really have a lot of condition-specific or procedure-specific information at all. Samir: Yeah.

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Medicare Geriatrics 2016 Palliative care 247

GeriPal

FEBRUARY 27, 2025

They often have behavioral issues stemming from their disorder, their life circumstances, all sort of feeding into each other. It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. They’re often angry.

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Palliative care Palliate Article Document 173

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. 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, is it okay if I ask?

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Chaplain Palliative care Social worker Palliate 239

GeriPal

SEPTEMBER 12, 2024

But we can’t lose sight of the system level, the x individual outside of the individual, the system level factors that inform our day to day workplace experience. 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. We should be writing.

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Chaplain Palliative care Definition Healthcare 261

GeriPal

OCTOBER 19, 2023

And whether tube feeding should be on there, that’s never an emergency decision. So I do think it’s useful to have that additional information. We do have the information of both our emergent call center and our electronic methods to access those forms. But yeah, full treatment. Karl: Yeah, very much so.

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Document Nursing home Healthcare proxy Ventilator 309

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. It was information about our ACP facilitator. So intubation, cpr, feeding tubes. We’re not collecting any of this information directly from patients.

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Document Palliative care Definition Bereavement 186

GeriPal

FEBRUARY 24, 2022

And that kind of prognostic information can be just as valuable, really, to patients and their families planning as time-based information. ” But I think what I’m trying to model is that we got some really valuable information, even though we have no decision. Why did they choose to be DNR or not have a feeding tube?

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Document Feeding Definition Palliative care 246

GeriPal

JUNE 6, 2024

So cancer.net has information on this. I mean, there are many professional societies that all have patient facing resources now with a lot of information around, I would say, sexual health and chronic illness. I think there’s a lot more good, high quality information available to folks, and. I have as well.

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GeriPal

DECEMBER 12, 2024

And then once we have the surrogate, let’s really try to give them the information they need to make decisions. And so there’s chances that we could do better with this information. 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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