Minority Nurse

NOVEMBER 14, 2024

These types of patients might request home infusions of vitamins and minerals, immunoglobulins, or perhaps IV fluids for hydration or even getting over a hangover. Idea #5: Gerontology Consultant As the society continues to see the rapid population growth of Americans over 65, the need for NPs specializing in geriatrics will expand.

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Magazine Geriatrics Assisted living Nursing 52

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. How high is too high?

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Nursing home Geriatrics Palliative care Palliate 174

GeriPal

MARCH 14, 2024

Summary Transcript Summary Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” I got a question then, because I see one in 12 nursing home patients with dementia are placed on thickened liquids. I think it’s around one in 12 nursing home patients But it’s a lot.

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Feeding Definition Article Geriatrics 297

Seasons Hospice

MAY 21, 2024

Limited availability of dentists specializing in geriatric care or trained to address the unique oral health needs of older adults can further exacerbate access issues for seniors. Geriatric Dentistry Programs Increasing the number of dentists trained in geriatric dentistry can help meet the unique oral health needs of older adults.

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Geriatrics Medicare End-of-life care Long-term care 52

GeriPal

JANUARY 20, 2023

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. We have Alice Bonner, who’s Chair of the Moving Forward Nursing Home Quality Coalition.

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GeriPal

FEBRUARY 29, 2024

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. He wants to know what do you guys think about the effect of private equity on hospice and long-term care? They’ve all been laid out for you. Anne: Right.

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Geriatrics Palliative care Palliate Blog 301

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.

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Assisted living Geriatrics Long-term care 2005 237

Hospice News

JANUARY 26, 2024

Many elderly Americans follow one of three place of care trajectories during the last three years of life, researchers from Rutgers, The State University of New Jersey, found in a study recently published in BMC Geriatrics. These include the home, skilled home care and institutional care.

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Geriatrics 2018 Medicare End-of-life care 307

GeriPal

APRIL 10, 2025

They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion. hospice use). But what we don’t know is are they already on hospice? It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. No, no, no.

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Palliative care Palliate Resuscitation 2016 182

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. Chrissy: Hospice? Welcome to the GeriPal podcast, Chrissy. I am so excited to be here.

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ADLS Geriatrics Nursing home Article 297

GeriPal

AUGUST 25, 2022

Two major shifts are transforming the landscape of hospice. First, private equity firms are gobbling up hospices. Thus, they have little in the way of long term vision for hospices, instead focused on cutting costs and maximizing profits. . People with dementia make up about half of hospice admissions. AlexSmithMD.

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Hospice Geriatrics Palliative care Definition 256

GeriPal

MARCH 24, 2023

Summary Transcript Summary In November of 2022, Ava Kofman published a piece in the New Yorker titled “How Hospice Became a For-Profit Hustle.” Some viewed this piece as an affront to the amazing work hospice does for those approaching the end of their lives by cherry picking stories of a few bad actors to paint hospice is a bad light.

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Hospice Article Hospice care Medicare 275

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Keith per many reports, is the heart and sole of the hospice unit and oversees the Pastoral Care Workers. Eric: Wait, so Bonnie Raitt sang a song about hospice in prison?

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Chaplain Hospice Palliative care Palliate 325

Hospice News

FEBRUARY 20, 2024

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. The post How Palliative Care Could Help Break the SNF-to-Hospital Cycle appeared first on Hospice News.

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Palliative care Palliate 2006 2011 307

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. Rehabbed to Death.

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Nursing home Feeding Nursing Geriatrics 146

GeriPal

MAY 18, 2023

The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people. We’re delighted to welcome Mike Steinman, who’s a geriatrician professor of medicine at UCSF in the division of geriatrics, prior guest on this podcast.

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GeriPal

MARCH 13, 2025

Justin Sanders wants to be sure the newer generations of palliative care clinicians understand the early principles and problems that animated the founders of hospice and palliative care, including: Origins of the word palliative – its not what I thought! To learn more about CME for other GeriPal episodes, click here.

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Palliative care Palliate Books Social worker 243

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. 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.

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Geriatrics Definition Healthcare Article 220

GeriPal

FEBRUARY 17, 2022

Alex: Today, we are delighted to welcome James Deardorff, who is a geriatrician and a T-32 research fellow in UCSF’s Division of Geriatrics. He’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. I guess my question, too, is I’m caring for hospice patients right now.

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Geriatrics Definition Article Palliative care 162

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. GeriPal podcast with Linda Fried on frailty.

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Geriatrics Ventilator Events Palliative care 235

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’ve had people dying on hospice that don’t have pain.

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Palliative care Palliate Informed consent Article 337

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. We additionally discussed hospice care as an option for care that might follow the trial of rehabilitation. Why do we not have more palliative care access in nursing homes? That’s the problem.

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Palliate ADLS Palliative care Chaplain 325

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 309

GeriPal

JUNE 9, 2022

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . Alex: So the proven trial was that the video in the nursing homes? Kate: Yeah, the nursing homes.

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Palliative care Palliate Geriatrics Definition 241

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. She went to an inpatient hospice and they kept her comfortable for a couple of weeks and she passed away. Joel: And they kept her comfortable.

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Medicare Geriatrics 2016 Palliative care 247

GeriPal

APRIL 4, 2024

I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. They didn’t come up in geriatrics very much. And we see that too in geriatrics. Alex and Eric, both of you attend in geriatrics. And that helps us get to the decision.

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Document Feeding Resuscitation Article 264

GeriPal

APRIL 14, 2022

Zachary: I mean, I did my med school and residency training in Louisville, Kentucky, and I had a second year med student lecture from Joe Rotella who was, I think the chief medical officer at Hospices at the time. Eric: And that pain protocol significantly reduced behavioral issues in dementia nursing home patients.

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Palliative care Palliate Article Blog 254

GeriPal

OCTOBER 6, 2022

What struck me most was not that palliative care was a question, nor that it made it seem that palliative care isn’t provided alongside care directed at curing, nor was it that hospice was the first buzzed in response, but it was that palliative care was the $2000 question in the Double Jeopardy round! Marian: I do. That’s a fun one.

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Palliative care Palliate Hospice Geriatrics 247

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Heather: Thanks Alex.

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Palliative care Palliate Healthcare 2011 258

GeriPal

OCTOBER 24, 2024

Like, you were talking with one patient who was in hospice, and he got a lot out of medical cannabis. He actually joined a hospice. The post Medical Cannabis Revisted: A Podcast with David Casarett and Eloise Theisen appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric 26:42 Yeah.

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Books Definition Palliative care Healthcare 231

GeriPal

MARCH 7, 2024

We also invited Beth Klint to speak about the doula’s role within a traditional hospice organization. Alex: We’re delighted to welcome Beth Klint who is executive director of Goodwin Hospice and is joining us from the DC, Northern Virginia area along with Jane. Hospice volunteers do lots of things. Why Beth?

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Presentation Hospice volunteer Palliate Palliative care 288

GeriPal

OCTOBER 27, 2022

She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.

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GeriPal

DECEMBER 8, 2022

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. The post Storycatching: Podcast with Heather Coats and Thor Ringler appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Bennett, C.R., Schilling, L., Doorenbos, A. Eric: And Alex, who do we have with us today?

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Palliative care Palliate 2011 Healthcare 282

GeriPal

MARCH 31, 2022

He’s also a part-time hospice and palliative care clinician. Guy: And I personally like it because, well, it reminds me of a time when I was a young physician, like you two, and could have used this song in my mind when I went into nursing homes to care for people. Those were great days and he is no longer growing old.

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Books Geriatrics Palliative care Nursing home 167

GeriPal

SEPTEMBER 5, 2024

Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. There have been nursing homes that have been sued for patient chokes on some food is DNR DNI, and nobody goes to help the patient perform a simple Heimlich because they’re DNR DN I.

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Article Resuscitation Nursing home Document 246

Hospice and Nursing Homes Blog

DECEMBER 4, 2022

According to the "Journal of the American Geriatrics Society," b y the year 2025, an estimated 7.2 Frances Shani Parker, Author Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes is available in paperback and e-book editions in America and other countries at online and offline booksellers.

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Hospice volunteer Geriatrics 2025 Books 59

1-800-HOSPICE

JANUARY 18, 2022

More and more people are choosing to die at home. However, by 2017, home surpassed hospitals, nursing homes, and every other place as the most common place of death. Hospice Supports Families as Well as Patients. In 1984, there were only 31 Medicare-certified home hospice agencies.

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