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She is a guest host and she’s a palliative care socialworker. And I think that I love this paper you wrote because the audience or the patients that you focused on in the last four years in particular also in a Venn diagram, like many of the same patients I care for in home based primary care. Alex 00:07 We do.
She started her career as a nurse and probably her heightened that worked against her. She retrained as a socialworker, and it was while she was a socialworker that she began to formulate her ideas for better kind of end of life care, which was to become hospice care, modern hospice care. She put her back out.
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 nursinghome care. We have Alice Bonner, who’s Chair of the Moving Forward NursingHome Quality Coalition.
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 nurses who have extra training in palliative care.
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. Alex: Nursinghomes. Eric: Buying GeriPal podcasts. Eric: BlackRock.
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 nursinghomes? ” She didn’t know.
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 nursinghomes and I’ve seen POLST forms. I was on service and I had a geriatrics fellow and a palliative care fellow.
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 nursinghomes 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.
I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursinghome 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.
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.
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 was alone with her in the end of a long hallway at a nursinghome health center. What the socialworkers are … Eric: Yeah.
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. Kate: Yeah, the nursinghomes.
Ira: Just to support the for-profits, again in the long arc of things I saw in 1996, ’97 when the office of OIGs Operation Restore Trust came out that under the direction of NHO, frankly the nonprofits retreated from caring for people in nursinghomes, including dementia care patients. And I personally was sent to the desert.
Next, we talk with James Deardorff about whether we can accurately predict nursinghome level of care in community-dwelling older adults with dementia. First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. Good to be here. James, welcome back to GeriPal.
Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs. Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services.
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.
Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursinghome with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursinghome. People start thinking about putting them in a nursinghome. Diane: Huge.
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