GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. We’re going to be talking about trauma informed care.

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Information Events Geriatrics Definition 172

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 Nursing home 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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Nursing home Nursing Long-term care Medical director 241

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 287

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 320

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 306

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. ” What we should say to our nurses is, “Thank you for letting me know.

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ADLS Geriatrics Nursing home Article 299

GeriPal

APRIL 10, 2025

Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes. The emergency physician knows it’s not new information. Corita 18:01 Into nursing homes, you know.

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Palliative care Palliate Resuscitation 2016 195

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 154

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. These results appeared in a 2019 New England Journal of Medicine study titled “Rehabbed to Death.”

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Palliative care Palliate 2006 2011 306

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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Palliative care Geriatrics Palliate Document 189

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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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 112

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 175

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 337

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 243

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 281

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 250

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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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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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 325

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 249

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 325

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 281

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 265

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 241

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 253

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

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

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 Geriatrics 2025 Books 59

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 288

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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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 200

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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Palliative care ADLS Nursing home Palliate 267

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 243

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 Social worker 2024 313

GeriPal

NOVEMBER 14, 2024

Eric 02:48 Well, I want to thank you for joining us because you’ve done a lot of the studies around falls and fractures and like, how we think about, especially like in, in frailer older adults, those in nursing homes. About one out of every three older adults falls each year in the nursing home that’s higher.

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Long-term care Nursing home Geriatrics Article 311