GeriPal

JUNE 20, 2024

Alex 00:16 Today we’re delighted to welcome George K u c hel, who is a geriatrician and chief of geriatrics and director of the UConn center on Aging at the University of Connecticut. Is this just a bladder problem, or is this a bigger geriatric syndrome problem? But the geriatric syndrome is really a condition of late life.

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Geriatrics Information Presentation Palliative care 291

GeriPal

DECEMBER 2, 2022

Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: Great.

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Nursing home Books Chaplain Caregiver 251

Hospice News

AUGUST 22, 2024

Right now it’s home health and hospice, but if you’re a home health or hospice, you can also have a Palliative Care or Behavioral Health distinction,” Susan Mills, senior program director for home health and hospice at ACHC, told Hospice News. It’s very patient-centered care.”

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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 181

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. nursing homes.

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Nursing home Article Presentation Nursing 257

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 209

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 we should say Eric, that that kind of took off beyond what we anticipated. Nicole: Yeah, it was huge. Eric: Oh yeah.

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Feeding Definition Article Geriatrics 302

GeriPal

OCTOBER 13, 2022

So I think when you start combining these trials and you’re faced with an older adult that the option would be to now put in a PICC line and send them to a nursing home and then you can have a really sit down with the patient through shared decision making decide we stop at seven days. Lona: Absolutely. Tell me about this study.

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Article Definition 2021 Geriatrics 239

GeriPal

NOVEMBER 2, 2023

Summary Transcript Summary What does the future hold for geriatrics? Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. On today’s podcast, we are going to do a deep dive on the future of geriatrics with three amazing guests.

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GeriPal

MARCH 13, 2025

Sue Britton was the first nurse hired on that palliative care unit. Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? by Kearney. I promise its short. Canadians are welcoming.

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Palliative care Palliate Books Social worker 251

GeriPal

APRIL 10, 2025

E.g. 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. This is not why I went into emergency medicine. They got training in Vital Talk and ELNEC. They got feedback. So did it matter?

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Palliative care Palliate Resuscitation 2016 187

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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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. Alex: Oh no.

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Geriatrics Palliative care Palliate Blog 309

GeriPal

FEBRUARY 20, 2025

So just by the nature of prognosis there, and I think, you know, this, this is really where I think the, the value of an interdisciplinary team, which we do so well in geriatrics and palliative care, is important in thinking about approach to these patients because perspective. Alex 00:03 This is Alex Smith. Alex 00:07 We do.

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Information Events Geriatrics Definition 165

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 284

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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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. . Summary Transcript Summary. This was in part due to the tremendous support of the National Institute on Aging. By diagnosis?

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Palliative care Palliate Geriatrics Definition 246

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.

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Assisted living Geriatrics Long-term care 2005 241

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Lynn Flint, author of the NEJM perspective titled, “Rehabbed to Death,” joins Eric and I as co-host.

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Palliate ADLS Palliative care Chaplain 325

GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. J Am Geriatr Soc. Donovan Maust is a geriatric psychiatrist and health services researcher at the University of Michigan. It’s a big episode covering a lot of topics. Nisha: Thank you so much.

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Geriatrics Nursing home Definition 2009 238

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. Welcome to the GeriPal podcast, Chrissy. Chrissy: Thank you so much for having me.

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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. I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. Susan: Thanks so much, Alex. Welcome back, Bob. Bob: Thank you.

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Palliative care Geriatrics Palliate Document 179

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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GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society.

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Geriatrics Definition Healthcare Article 227

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). Learn about using the low dose buprenorphine patch: .

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Palliative care Palliate Article Blog 254

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. Who do we have with us today? Katie, welcome back to GeriPal.

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Palliative care Palliate Informed consent Article 337

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 167

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. Don’t ask anybody.

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Geriatrics Ventilator Events Palliative care 239

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. I’ve known Michele a long time, since the Joint Medical Program.

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Chaplain Hospice Palliative care Palliate 325

GeriPal

DECEMBER 8, 2022

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet. Schilling, L., SPONSOR:

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Palliative care Palliate 2011 Healthcare 282

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. To learn more about CME for other GeriPal episodes, click here. Anything else?

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Books Definition Palliative care Palliate 239

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

APRIL 4, 2024

I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. They didn’t come up in geriatrics very much. And we see that too in geriatrics. Alex and Eric, both of you attend in geriatrics. And that helps us get to the decision.

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Document Feeding Resuscitation Article 271

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Alex: This is Alex Smith. Heather: Sure.

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Palliative care Palliate Healthcare 2011 260

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. The for-profits stepped up and they have been serving people in nursing homes, including with dementia who deserve our care, and the nonprofits haven’t. Alex: We have some wonderful guests.

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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. Lauren: Hi.

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