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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. Thanks for having me.
As the study explains, nursing homes are incentivized to hospitalize residents eligible for both Medicare and Medicaid because those patients can later return to the nursing home with a higher-paying Medicare benefit before transitioning back to long-termcare with lower Medicaid day rates.
He’s a geriatrician and Chair of Public Policy for the California Association of Long-TermCare Medicine. When you hear, “We need more money to pay for staff,” you have to say to yourself, “Where’s the money presently going?” It needs to be presented in a way that they can understand.
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: Sure.
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. But when you’re asking someone to make a decision about code status, you’re asking them to make a decision that is in effect right now in the present, right?
Her most recent book is Creative Care: a revolutionary approach to dementia and elder care . Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Anne, welcome to the GeriPal podcast. Anne: Great to be here.
Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s President of National POLST and recent past president of AMDA, the Long-TermCare Association. He’s been a hospice and nursing home director. Welcome, Karl. Karl: Thanks for having me.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. And he had a deadly fear of being institutionalized, based on his previous present experience. Eric 00:13 And, Alex, who do we have with us today? Her most recent book is Elderhood. His hands were gone.
Certified in Advanced Hospice and Palliative Nursing, she provides care for patients in all settings, both pediatric and adult in Palliative Care and Hospice services. She has been part of the long-termcare faculty for Bootcamp at the CAPC annual seminar for 3 years and facilitated Virtual Office Hours since 2018.
Alex: First is Darrell Owens, who’s Associate Medical Director of Palliative Care at the University of Washington Northwest Campus. Alex: And second is Jim Wright, who is medical director of two long-termcare and skilled nursing facilities in Richmond, Virginia: Our Lady of Hope and Westminster Canterbury.
The experts settled on a range of key services, from more palliative care focused (e.g. end of life care and advance care planning) to more geriatrics focused (e.g. staff training in person centered care). AlexSmithMD (still on Twitter at present). toenail trimming) to things in between (e.g. Transcript.
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.
This office is tasked with providing aging policy research and recommendations within ASPE, including longtermcare and the National Alzheimer’s Project Act. We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-termcare.
Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. Eric: So as long as Medicare is not paying for the… Or Medicaid, I guess, for nursing. Long-termcare.
Sarah 03:08 Yeah, you know, when I went into my geriatric fellowship or even during residency, I think that I thought that I was going to be interested in dementia and that maybe that would be my line of focus. Was trazodone, something that we sort of, you know, typically consider to be a safer geriatric drug. Sarah 07:37 Yeah.
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