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

Seasons Hospice

MAY 21, 2024

Medicare, the primary health insurance program for seniors in the United States, does not typically cover routine dental care, leaving many seniors to pay out-of-pocket for dental services or rely on supplemental insurance plans that may have limited coverage.

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

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

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

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. So we looked at Medicare data, we called out everything that had this 1% cutoff or higher. Joel may know. Joel: Yeah.

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Medicare Geriatrics 2016 2017 202

GeriPal

APRIL 27, 2023

And I think with the Medicare hospice benefit not meeting the needs of older adults, it’s very hard to even have a segue to have those conversations because you can’t really offer people a path forward in a way that aligns with their values. Alex: Nursing homes. Eric: Buying GeriPal podcasts. Eric: BlackRock.

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Palliative care Palliate Hospice Social worker 175

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. Alex: … in other words, than you might be in a Medicare-regulated hospice facility? Michele: So that number’s really growing. Michele: Yeah.

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Chaplain Hospice Palliative care Palliate 293

Comfort Home Care

NOVEMBER 5, 2021

As we saw during the early stages of the COVID-19 pandemic, seniors living in nursing homes and other residential facilities face a significantly higher risk of contracting diseases. Aging in place with the assistance of qualified caregivers provides significant benefits as compared to living in a nursing home or residential facility.

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ADLS Bathing Geriatrics Nursing home 52

GeriPal

MARCH 24, 2023

Lauren: And looking in the Medicare data, you cannot figure out when a hospice changed ownership. So they looked at those that died in 2019, did a year back look at total cost of care that showed at six months, if somebody lives six months on average, those in hospice cost the Medicare trust fund 11% less than those who never enrolled.

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Hospice Article Hospice care Medicare 223

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. In 1984, there were only 31 Medicare-certified home hospice agencies. Now, there are between four and five thousand. Bereavement Services.

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Bereavement Hospice 2004 2009 52

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

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

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. And the nurse can’t dose it, they have to individually dose it.

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Palliative care Palliate Informed consent Article 318

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? That’s the problem.

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Palliate ADLS Palliative care Chaplain 295

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. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Anne: Right. Why are they doing this?

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Geriatrics Palliative care Palliate Blog 252

GeriPal

OCTOBER 6, 2022

Medicare, on their brochures, frail hands. 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.” You need to show them how palliative care could help them live better. ” Okay.

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Palliative care Palliate Hospice Geriatrics 202

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Huge.

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Medicare Caregiver 2024 Social worker 241

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. On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities.

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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

MARCH 14, 2024

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. And so yeah, it’s really like a call to action for people to start working on this. Eric: Oh yeah. Raele: Yeah.

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Feeding Definition Article Geriatrics 238

GeriPal

MARCH 7, 2024

I was alone with her in the end of a long hallway at a nursing home health center. My entire career has been taken care of in primary hospitalists and palliative underserved populations, either dual-eligible, Medicaid, and Medicare or community health centers, so I’ve always worked in that environment.

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Hospice volunteer Presentation Palliate Palliative care 254

GeriPal

JUNE 2, 2022

I read this Twitter thread by Andy Slavitt, who was a former head of Medicare, Medicaid under Obama, former Biden White House senior advisor, host of In the Bubble Podcast. Let’s focus on outpatient management, nursing home management. And you said, “No, that’s too depressing. That’s not where we are.”

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Article Definition Geriatrics 2020 194