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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 Summary What does the future hold for geriatrics? Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. On today’s podcast, we are going to do a deep dive on the future of geriatrics with three amazing guests.
Physicians in training need greater exposure to geriatric training in order to better grasp the needs of older patients, including during transitions to hospice, according to Dr. Julia Lowenthal, a geriatrician from Brigham and Women’s Hospital. I think reflecting on one’s own feelings about aging is really important.
Artificial intelligence (AI) integration in healthcare has become more prevalent through the advancements of ChatGPT, an OpenAI-developed AI language model based on deep learning that produces human-like text. ChatGPT has many questioning its role in healthcare, specifically its use in nursing education.
His previous employers include Aveanna Healthcare (NASDAQ: AVAH), Nextaff, Saint Jude Hospice & Spirit Homecare, Iowa Hospice and Bon Secours Health System, among others. Through compassion, medication, education, listening, and just being present, we can alleviate suffering and preserve one’s dignity in their last earthly days.”
Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. ” Eric: Nice. So I agree.
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.
Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society. Alex: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. Welcome to the GeriPal Podcast, Ramona. Ramona: Thank you.
Alex 01:27 We’re delighted to welcome back Tim F a rrell, who’s a geriatrician, associate chief for Age Friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Tim, welcome back to GeriPal.
Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare.
And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. But I think there’s less nuance and understanding in the general population or even in healthcare providers, honestly. So we all went through a pandemic.
Because I don’t think we think about that so much in palliative care, but we do in geriatrics. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. But I believe before we start, somebody has a song request for Alex.
Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Wonderful work. Every Veteran has a story.
We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. What it found is that healthcare providers are better at identifying people that are connected more than disconnected.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. However, I love, and I’m just going to quote from your paper here, this framing as an extension, this is enhancing our autonomy, particularly in geriatrics.
Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. These hick pick codes are available to any chaplain in a healthcare system. It’s now available.
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.
Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursing home. Private practice Nurses working in a private practice setting typically deal with fewer patients, as there are fewer doctors present. Nurses are constantly presented with a number of challenges and stressful situations.
The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have. Really because of the structure and the nature of equianalgesic tables, similar information with simpler math, can easily be presented to our colleagues.
And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So I just can’t keep going. And so I think that’s why it has its moment now even in 2023.
And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. Alex 01:57 And we have Lingsheng Li who is a geriatrics and palliative care doc and illustrator and is currently a T 32 research fellow at UCSF. Frank, welcome to the GeriPal podcast.
Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. Welcome back, Rebecca. Rebecca: Agreed.
Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. Naomi: Great question.
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. Alex: Bernie.
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. Matthew 04:21 Well, I actually have been teaching, doing sessions about polypharmacy for many years. I don’t know.
How has AI integration become more prevalent with technological advancements in the healthcare field? For example, in late 2022, PSI and Babylon launched AI OI, a new digital health service focused on supporting people in low-income communities to make informed decisions about their health and efficiently navigate the healthcare system.
Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. We used a large online survey panel, the Ipsos Knowledge Panel, and we presented older adults with two vignettes. ” their minds have been elsewhere in terms of healthcare delivery.
I mean, I don’t want to speak to your healthcare system and what’s happened, but that to me seems inappropriate. And I pretty much present it as. And well, when we wrote this, I feel like I’m just doing everything in my presentation. We save healthcare. Nate 19:49 Yeah. I Recently, I turned 41.
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. Eric: Bill.
Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.
Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. How about transforming care in healthcare institutions? Anne: Great to be here. We have to.
Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.
And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. We get a lot in geriatrics and palliative care. I wonder if that rings true to your experience. Thomas 25:44 It is exactly the case.
Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board? Eric 00:42 Great.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But one of the things I’m really interested in is people have agency and autonomy, so we can present them with the scenarios of best case, worst case, and they will always choose what’s most important to them.
And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. It would have a CPR section and then it would have a healthcare proxy section.
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. Ruth: Thank you.
There are certification courses that are available for healthcare providers to take as well,” explains Robin Arends, DNP, CNP, FNP-BC, PMHNP-CE, CNE, FAAN, FAANP, the APRN Program Director at South Dakota State University as well as a nurse practitioner at Avel eCare. Nurses are the core of healthcare. Arends agrees.
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.
Many patients also present with undiagnosed baseline cognitive impairments, a significant risk factor for postoperative delirium 4. Such patients may struggle with post-operative instructions, wound care, medication management, and seeking healthcare if needed.
Well, it’s not just being present, though. I understand there’s a place for we have to justify our existence in a healthcare system that counts cost. But also culturally how can modern healthcare systems build back trust when people so often distrust systems? Eric: Yeah. There’s more to it than just showing up.
I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. And I described a code that I led as a senior resident. We’re giving some biologic information if they want it. Alex: Thank you.
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.
Hartford Foundation with a grant to the Institute for Healthcare Improvement in partnership with the Catholic Health Care Hospitals of America and the American Hospital Association. Hartford, the Institute for Healthcare Improvement, and the American Hospital Association. CHAP is helping to create that vision.
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