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Improved patient and staff satisfaction are among the most significant returns on investment for hospices that are pouring greater resources into trauma-informed training. This is according to Amber Ash, pediatric hospice and palliative care socialworker at Ohio-based Hospice of the Western Reserve.
However, he also emphasized the challenge of deploying skilled professionals to the home-based arena, where he said the best providers typically have combined skills in primary care, palliative care and even geriatrics. “We She also underscored workforce shortages.
Alex: We are delighted to welcome to the GeriPal Podcast, Kellie Flood, who is a geriatrician at the University of Alabama Birmingham and associate Chief Quality Officer for Geriatrics and Care Transitions. And also to have those folks proactively assessing and addressing geriatric syndromes. Kellie, welcome to the GeriPal Podcast.
Attendee 14: I am most hopeful that as palliative caregivers, we will continue to authentically welcome the voices of our interprofessional team members, chaplains, socialworkers, and so we have true interprofessional collaboration. Eric: Here’s our contact information. Eric: Buying GeriPal podcasts. Alex: Nursing homes.
Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. Anthony Spano: We are very lucky to have Nikki Davis on stage, so I wanted to just open up and give her the chance to tell us a little bit about herself. Anthony, I think this would probably be a good time.
You could also sort referral sources into categories, such as: Government agencies Other healthcare professionals Senior and geriatric advisors Miscellaneous other sources Are there places outside of the home that you can think of as potential partnership opportunities? One example could be a local house cleaning business or a pharmacy.
Senior and geriatric advisors. Here are some pieces of information that you should include: What do you offer. The socialworkers and nurses you interact with may get busy, and they may also interact with your competitors. One example could be a local house cleaning business or a pharmacy. Other healthcare professionals.
Why does CHAP have a national medical director, registered nurse and socialworker on staff who all specialize in hospice? These organizations got together to bring national experts together and to say, “Why during this unprecedented time of human longevity have evidence-based geriatric health care models not taken root?
Ann Kelly, who’s been on the podcast many times, socialworker on palliative care, she’s always under a minute. Kristine: I like to tease my geriatric friends about age. There’s not that much information on smoking and cognition. Alex: Just for our listeners, so they have benchmark here. I like to tease.
Gathering information and having it readily available will provide an important measure of control and stability. Use binders to gather and store financial records, medical records, names and contact information for the attorney, investment advisor, CPA, or other professionals. Geriatric Care Specialists. Record-Keeping.
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. This is Eric Widera.
Alex 01:56 And returning guest, Vicki Jackson, who’s a palliative care doc, chief of the Division of Palliative Care and Geriatric Medicine at MGH , professor at Harvard Medical School, and co director of the Harvard Medical School center for Palliative Care. But what about the socialworkers and the chaplains?
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. She is a guest host and she’s a palliative care socialworker.
People are not always well informed and have a mix of beliefs, born out of individual experiences, family background, and culture. IF you can figure out how public health guidance impacts a person in potentially negative ways, then you can acknowledge that (and sometimes work to mitigate with help of socialworkers, etc).
David Bekelman conducted a RCT of a nurse and socialworker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD). It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. David: Yeah.
Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. socialworker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. I think geriatrics very proud of interprofessional care.
So before we became accredited by, with the Joint Commission in their home care program, we were already receiving referrals from local physicians, nurses, socialworkers, discharge planners, at a number of different healthcare systems in the area. This is such valuable information for our audience. A fascinating discussion.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. Welcome back, Lynn. Lynn: Thank you.
We discuss the principles of harm reduction, social determinants of health, and trauma informed care. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. On bias and trauma as you.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So in the VA, psychologist and a socialworker and a chaplain and a doctor and a nurse are all mandated components of a palliative care team. We have a socialworker.”
We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical socialworker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). Aren’t young adults so much harder than the geriatric patients we take care of? Abby: Thank you.
We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Alex 01:35 And welcoming back as guest host Anne Kelly, who’s a socialworker in palliative care. I’ll just try to go with the information.
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. Rebecca: Yeah.
To Brian’s point, that we are also integrating chaplains, socialworkers, it’s not necessarily two psychotherapists. Brian: I mean, bottom line in clinical research or psychedelic medicines, we don’t have a lot of information on safety anyway, and we definitely don’t have it in older adults.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. They’re really great, the palliative care socialworker and chaplain. We need that information. This information is so vital. Hospitals should routinely collect functional information in the same way.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. laughter] Eric: Well.
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. They didn’t come up in geriatrics very much. And we see that too in geriatrics.
To me, that feels hard because I guess my inclination is that I want communication to be fixable, and there’s so much medical information and there’s a lot of reasons for families to feel like they’re struggling to understand. What was it, 5%? Eric: 2% of the time. Alex: 2% of the time.
Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. We welcome all professions, including but not limited to physicians, chaplains, socialworkers, nurses, nurse practitioners, case managers, administrators, and pharmacists.
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. . You’re not hiring a bunch of socialworkers or nurses or docs to do it. Summary Transcript Summary.
It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice. Eric: So Jasmine, we hit on care delivery, we also hit apparently on health information technology. Jasmine: Technology.
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. We have medical socialworkers who support the patients.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It used to also be a socialworker and myself who would actually go to clinic and spend some time up there. Said socialworker has left since then, so it’s now just me.
One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. Eric: Do you also think that there’s a role for increasing informality, because, oftentimes in these clinical encounters, things are incredibly formal.
We are going to tackle this question and so many more about coping on this week’s podcast with Dani Chammas , a recurring GeriPal guest, psychiatrist, and palliative care doc at UCSF, and Amanda Moment , a Palliative Care SocialWorker at Brigham and Women’s Cancer Center. Dani, welcome back to GeriPal. Is this adaptive?
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.
So my mother’s a socialworker and she did domestic violence counseling forever. And that’s another huge source of data and that’s the data that generally informs the USPSTF and other guidelines. And that’s why I want women to have an informed decision. How did you get interested in this?
Eric and I are joined today on this podcast by Anne Kelly palliative care socialworker to discuss these issues with Liz. Alex: And joining us as she has many times, Anne Kelly is a socialworker at the San Francisco VA. At the end we also pay tribute to Randy Curtis, senior author on this paper and mentor to Liz.
Keri: It’s all normal, and it’s all data that can better inform our practice. And the anger was… I was the one delivering the bad news, but the anger was very much directed at a socialworker on our service who’s female. Eric: Bored, thinking about- Dani: Feel helpless. Eric: Yeah. Dani: Yeah.
But we can’t lose sight of the system level, the x individual outside of the individual, the system level factors that inform our day to day workplace experience. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Summary Transcript Summary Last week we talked about a trial of a nurse and socialworker outpatient palliative care intervention published in JAMA. 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 see you.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. We have our socialworkers and our psychologists and we know how to manage these symptoms. They’re because of the treatment.
It was started by a socialworker who really saw some gaps in care with those at end-of-life, particularly those with chronic long-term illness, having important conversations. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago. That dawned on me.
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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