GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Anne: Right.

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Geriatrics Palliative care Palliate Blog 311

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 213

GeriPal

MARCH 10, 2022

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Archives of Internal Medicine 2010.

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Nursing home Feeding Nursing Geriatrics 149

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. She had a respiratory arrest, and the nurse was really distraught.

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Document Feeding Resuscitation Article 274

GeriPal

MARCH 13, 2025

Sue Britton was the first nurse hired on that palliative care unit. Alex 01:08 And we’re delighted to welcome Sue Britton, who was the first nurse in the very first palliative care unit in Quebec at the Royal Victoria Hospital in 1975. She started her career as a nurse and probably her heightened that worked against her.

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Palliative care Palliate Books Social worker 254

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? We teach those.

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Article Palliative care Feeding Palliate 362

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 I think there’s a really good analogy when we talk about feeding tubes in people with advanced dementia. And your article dives into that.

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Article Feeding Definition Palliate 189

GeriPal

MAY 29, 2025

Our guests are Andrea Gilmore-Bykovskyi, a nurse researcher, and Andrew Peterson, a philosopher. Alex 00:15 We are delighted to welcome Andrea Gilmore-Bykovskyi, who’s a nurse, researcher, and associate professor at the University of Wisconsin. Andrew complicates this definition , stating it raises more questions than answers.

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Definition Events Resuscitation Information 227

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 239

GeriPal

MAY 9, 2024

We’ve invited: Julie McFadden (aka Hospice Nurse Julie ): Julie is a social media superstar, with 1.5 And then Hospice Nurse Julie. Julie McFadden goes by Hospice Nurse Julie. I’m going to start off with Nurse Julie, Hospice Nurse Julie, I think that’s your full title on TikTok. That was a lot of fun.

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Books Palliative care Palliate Hospice nursing 314

GeriPal

SEPTEMBER 1, 2022

But the team that I got to work with, physician, nurse, myself, child life, we work so well together that we finish each other’s sentences. But working long enough with my physician, nurse, pharmacy, colleagues, child life, I’m going to get to know them well enough to know where they’re going next. Barbara: Yeah.

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Social worker Palliative care Palliate Social work 254

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. And the nurse can’t dose it, they have to individually dose it.

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Palliative care Palliate Informed consent Article 339

GeriPal

FEBRUARY 27, 2025

I remember as a fellow, I would come in and our nurse practitioner on our hospice team, I would say the word narcotics, and f or half an hour, she would just lay into me. They often have behavioral issues stemming from their disorder, their life circumstances, all sort of feeding into each other. We just unlearn what we have learned.

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Palliative care Palliate Article Document 178

GeriPal

JUNE 30, 2022

And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. And the nurses says you’re making the right decision. You’ll have a feeding tube. Yep, for geriatrics? She wasn’t communicating, she couldn’t remember anybody’s name, nothing. Samir: Yeah.

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Medicare Geriatrics 2016 Palliative care 251

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Document Nursing home Healthcare proxy Ventilator 312

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Could it be the bedside nurse? It meets in-person, once a month, over nine sessions. For inquiries or to apply, please contact gayle.kojimoto@ucsf.edu.

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Chaplain Palliative care Social worker Palliate 245

GeriPal

MAY 12, 2022

Then I started reading about this and a British nurse started preaching palliative care all over India. 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. Came across her, got some training in Oxford, several people joined me. Raj: Thank you.

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Palliative care Palliate Books Definition 285

GeriPal

SEPTEMBER 29, 2022

The nurses say we can’t touch them anywhere. And you may have missed the turnoff between delirium and pain, or your nurses may have. And you want to go over it, the DAG with your colleagues, with the nurses, with the nurse manager; you want everybody to feel comfortable, and let them know what the side effects are.

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Books Palliative care Palliate Feeding 253

GeriPal

SEPTEMBER 12, 2024

Like, just even having that and normalizing it, and, like, after 13 years of training or 15 or whatever, chaplains, nurses, social workers, patient care assistants, everyone is working in these systems that are not built to take care of them. This whole idea that our worth is not equal to our productivity. And I think that’s just, like.

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Chaplain Palliative care Definition Healthcare 271

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 a lot of that work and effort has now been shifted onto a family who’s having to be doctors and nurses around the clock. Transcript. Eric: Welcome to the GeriPal podcast.

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Palliative care Palliate Grief Definition 363

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. A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursing homes.

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Document Palliative care Definition Bereavement 193

GeriPal

FEBRUARY 24, 2022

And I ran into a nurse in the stairwell eating, because we don’t have any space to eat and she’s eating. And then the infusion nurse comes and she walks a few steps and she talks about what it was like to hear that prognosis. Or the cases where someone actually said, “I never want a feeding tube.”

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Document Feeding Definition Palliative care 246

GeriPal

APRIL 21, 2022

She’s a palliative care nurse educator and a writer, and she’s joining us from the great state of Hawaii. 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. Alex: This is Alex Smith. Redwing: Thank you.

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Palliative care Palliate Grief Books 230

GeriPal

JUNE 6, 2024

I actually went to planned parenthood of Rhode island, and as a practicing oncologist, sat with folks, some of who had just graduated high school, others who were nurse practitioners, and they started from the very, very basics of pelvic anatomy. These are oncology nurse practitioners. Who asks about sexual health and intimacy?

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Palliative care Palliate Information Feeding 321

GeriPal

DECEMBER 12, 2024

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.

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Feeding Information Healthcare Informed consent 266

GeriPal

JANUARY 5, 2023

On the other hand, when I hear of workarounds to assist patients to die, or even euthanize them, I worry that we’ve gone back to a time when the doctor or nurse knows best – and should be morally permitted to do whatever they think is right, according to their conscience. Do we really trust all doctors and nurses so far?

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Books Healthcare Article End-of-life care 49