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Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. This article is based on a discussion with Anthony Spano, Director of Client Development at Netsmart and Nikki Davis, Vice President of Palliative Care Programs at Contessa Health.
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.
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. Summary Transcript Summary Diabetes is common. When I’m on nursing home call, the most common page I receive is for a blood sugar value. Goldilocks zone). Nadine: Thank you, guys.
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.
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?
Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? In todays podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care. by Kearney.
Summary Transcript Summary. In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. Barbara: Yay.
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. Alex 00:03 This is Alex Smith. Alex 00:07 We do.
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. They’ve all been laid out for you. Alex: Great Eric: These are the questions submitted by our audience? Anne: Right. So, we’re not totally winging it here. Alex: Oh no.
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.
They often have behavioral issues stemming from their disorder, their life circumstances, all sort of feeding into each other. Alex 00:15 We are delighted to welcome back Janet Ho, who is a palliative care doc and addiction medicine doc and associate professor at UCSF. Janet, welcome back to the GeriPal Podcast. Janet 00:26 Thank you so much.
Rajagopal (goes by “Raj”), one of the pioneers of palliative care in India. Raj is an anesthesiologist turned palliative care doctor. He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Social pain and loneliness. Community-based palliative care networks .
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. Alex 00:14 We have a very full house today. Hope 00:31 Thanks.
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. Heck, I’m not even sure to call it a podcast, as I think to get the most out of it you should watch it on YouTube. Why, because today we have Nathan Gray joining us. Transcript. This is Alex Smith.
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. Don, welcome to GeriPal. Welcome back, Abby. Abby: Thank you. Abby: Thank you. So glad to be here. Shunichi, welcome back to GeriPal. Shunichi: Thank you for having me. Eric: Yeah.
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.
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.
Summary Transcript Summary On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), all of whom focus their efforts on educating the general public about living and dying with a serious illness. Hsien, welcome to the GeriPal podcast. Hsien: Hey, great to be here. Sammy: Thank you so much.
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. That was from our what?
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 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 Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Welcome to the GeriPal podcast, Lexy.
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? Alex: But I’m talking about-. Joel: Talk about it.
Alex 00:15 We are delighted to welcome Jane deLima Thomas, who was a co-fellow with me back in the day in palliative care. Jane, welcome to the GeriPal podcast. Jane, welcome to the GeriPal podcast. Jane 00:37 Thank you so much for inviting me. Ishwaria, welcome to GeriPal. Ishwaria 00:59 Such a pleasure to be here. Thanks for having me.
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. Welcome to the GeriPal podcast. Jacky: Thank you. It’s a pleasure. Bob: Great to be here.
Hypnosis: uses and how to get training via the American Society of Clinical Hypnosis. Janet is the author of the 4th edition of the book Comprehensive Guide to Supportive and Palliative Care for Patients with Cancer, along with co-authors Molly Collins and BR Daubman. Janet, welcome to the GeriPal Podcast. That’s the main thing.
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. Welcome, Abby. Abby: Thanks for having me. Good to know.
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.
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. In the first podcast, we talked with Guy Micco and Marilyn MacEntyre about poetry and aging. Poetry puts us in our patient’s shoes. Institute for Poetic Medicine.
Or the cases where someone actually said, “I never want a feeding tube.” Summary Transcript Summary. There is a lively debate going on in academic circles about the value of Advance Care Planning (ACP). Juliet and I were co-fellows together at Dana-Farber and the Brigham way back in the day. Delighted to have you on our podcast.
Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. She was off immunosuppression, her disease was in remission. So it was more of a social visit.
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.
Summary Transcript CME Summary Weve talked a lot before about integrating psychiatry into palliative care (see here and here for two examples). Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. On this weeks podcast, we talk with two experts about palliative psychiatry.
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.
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