GeriPal

JULY 6, 2023

Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.

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Geriatrics Medicare Caregiver Social worker 166

GeriPal

JULY 27, 2023

We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Brienne: Thank you for having me.

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Geriatrics Information Caregiver Events 159

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 Clearly, Alzheimer's is a challenge many people must face with preparedness by becoming as informed as possible in putting forth their best efforts in ways that benefit themselves as well as meeting needs of those living with the disease.

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Hospice volunteer 2025 Geriatrics Books 59

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Summary Transcript Summary Diabetes is common.

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Nursing home Geriatrics Palliative care Palliate 146

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. Eric: Can I ask? Eric: Yeah.

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Nursing home Article Presentation Nursing 205

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. She had a respiratory arrest, and the nurse was really distraught. And that helps us get to the decision.

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Document Feeding Resuscitation Article 208

GeriPal

MARCH 24, 2022

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. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. Welcome back, Rebecca.

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Geriatrics Palliative care Palliate Document 145

GeriPal

NOVEMBER 7, 2024

As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursing home. Let it be (hint hint).

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2009 Article Nursing home Medicare 230

GeriPal

APRIL 27, 2023

Alex: Nursing homes. Eric: Here’s our contact information. laugher] Alex: I’m hopeful that there will be some people listening to this who are the future content creators in the geriatrics and palliative care space, and I look forward to what they have to offer. Eric: Buying GeriPal podcasts. Eric: BlackRock.

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Palliative care Palliate Hospice Social worker 175

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 217

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. But the cancer specific databases just don’t have this information. It’s opening this stock box of, all of a sudden, now what do I do with this information? Katie: Yeah.

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Palliative care Palliate Informed consent Article 318

Minority Nurse

SEPTEMBER 18, 2023

Promoting healthy aging means that gerontological nurses want to acknowledge cardiovascular and cognitive decline and give patients information and education to help them in those areas. And nurses and families can introduce the idea of planning for healthcare emergencies with advance directives.

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Nursing Geriatrics Events Healthcare 59

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.

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Geriatrics Medicare 2016 Palliative care 202

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 280

GeriPal

JUNE 22, 2023

They’re going to get older, they’re going to struggle with geriatric conditions, and they’re going to need palliative services and eventually end-of-life care. It was built in 1955, so it wasn’t designed for a geriatric population. Michele: So that number’s really growing. The doors aren’t locked.

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Chaplain Hospice Palliative care Palliate 293

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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Geriatrics Article ADLS Information 182

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Why do we not have more palliative care access in nursing homes? We need that information.

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Palliate ADLS Palliative care Chaplain 295

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

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. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, James.

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Geriatrics Definition Article Palliative care 140

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 191

GeriPal

AUGUST 25, 2022

She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Alex: We’re delighted to welcome back to the GeriPal podcast, Krista Harrison, who is a Health Policy Researcher, an Associate Professor of Medicine, UCSF Division of Geriatrics.

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Hospice Geriatrics Palliative care Definition 203

GeriPal

MARCH 24, 2023

But I think what we’re missing a lot of information on what Joe is talking about is just how much variation there is in that within both non-profit and for-profit, and I think these issues are coming up in non-profit hospices as well, and we just don’t have the data because the information is not reported to anybody.

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Hospice Article Hospice care Medicare 223

Caregiver Support Services

DECEMBER 16, 2022

You may also identify reports published by governing bodies and potential third parties (such as nursing home abuse lawyers ) if a facility has been investigated. Pay careful attention to reviews left by residents or family members of residents that discuss their experiences.

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Long-term care Events Information Caregiver 52

GeriPal

OCTOBER 6, 2022

You’re getting them with a little teeny slice of their information and you’re just trying to build some willingness for them to hear more. In that, again this is GeriPal Podcast, geriatrics falls into the same boat. There are 86-year-olds living in a nursing home with frailty, who I say, “I’m a geriatrician.”

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Palliative care Palliate Hospice Geriatrics 202

GeriPal

OCTOBER 24, 2024

David 12:31 Yeah, if you believe the results of an informal. And maybe Eloise, like, in your Stanford perspective as a nurse practitioner, not in, like, your cannabis clinic perspective, I’m guessing. They set up a medical cannabis clinic, has some great slides and information. Where can we get good information?

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Books Definition Palliative care Healthcare 181

AJN Off the Charts

OCTOBER 19, 2023

Jasmine Travers The pandemic shone a troubling spotlight on the unnecessary suffering resulting from substandard conditions in nursing homes. HPRD—and nurse aides (NAs)—2.45 Several nursing homes have been operating at critically minimal staffing levels for years calling for the necessity of some form of staffing level floor.

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Nursing home Long-term care Nursing 2001 100

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. I’m going to turn to you Lauren.

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Geriatrics Ventilator Events Palliative care 188

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.

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Geriatrics Palliative care Palliate Blog 252

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Good to be here.

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GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home. I could walk down the hall and get information. And I was terrified.

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Medicare Caregiver 2024 Social worker 241

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. Summary Transcript Summary.

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Long-term care Grief 2020 Medical director 292

GeriPal

MARCH 14, 2024

So, we use that information to formulate a treatment plan. 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. Eric: Oh yeah. I see this in a lot in dementia. Eric: Great.

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Feeding Definition Article Geriatrics 238

GeriPal

DECEMBER 29, 2022

Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. I’ll tell you, when I first started out, I was using very advanced techniques when we first started doing it with our nurses and our hospitalists and our social workers. Prof Case Manag.

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Social worker Caregiver Geriatrics Books 187

Chicago Caregiving

FEBRUARY 22, 2023

The Care Plan also serves Black and Brown communities, says Boyd, who, prior to founding The Care Plan, spent more than a decade in various leadership roles at geriatric care facilities in Chicago. Hospital administrators placed the woman in a subpar nursing home, at which her health declined. This includes the 2.4

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Caregiver 2011 2015 Social worker 111

GeriPal

MARCH 7, 2024

I was alone with her in the end of a long hallway at a nursing home health center. And then, I did a lot of introspection and realized that I’ve actually been doing this for folks in an informal way, family church members and friends, but I didn’t do it so well with my own mother. That dawned on me.

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Hospice volunteer Presentation Palliate Palliative care 254

GeriPal

OCTOBER 31, 2024

Our conversation covers: The current state of COVID Evidence for COVID boosters, who should get them, and preferences between Novavax and mRNA vaccines COVID treatments like Molnupiravir and Paxlovid Differences in COVID impact on nursing home residents and those with serious illnesses We wrap up with a “magic wand” question.

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Nursing home 2025 2020 Definition 249

GeriPal

JUNE 2, 2022

But we have very little information, almost no information. Let’s focus on outpatient management, nursing home management. And so there are other new treatments that I hope also will inform RSV and other RNA viruses. We are going to have a massive outbreak in China. Their vaccines aren’t as effective.

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Article Definition Geriatrics 2020 194