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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.
This is particularly true for people living in the nation’s 15,000-plus nursinghomes. The grant, spread out over a five-year period, will be put toward the team’s creation of a national network structure that seeks to include more nursinghome residents in clinical trials. As the U.S. Dr. Kathleen T.
Palliative care is grossly underutilized in nursinghome settings, but providers can develop new tools that could bring those services to more residents, a recent study has found. It’s inherent in the nature of the people we serve in the nursinghome setting.
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.
As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursinghome residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursinghome. Let it be (hint hint).
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. Ashwin 23:46 Yeah. And I think that universal approach to trauma informed care is really important.
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 nursinghome in their last year of life. Older adults frequently utilize such services, often in skilled nursing facilities (SNF).
If you develop dementia, odds are you will spend the last months to years of your life in a nursinghome or assisted living facility. This study explored nursinghome organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.
Many elderly Americans follow one of three place of care trajectories during the last three years of life, researchers from Rutgers, The State University of New Jersey, found in a study recently published in BMC Geriatrics. These include the home, skilled home care and institutional care.
ISNPs are Medicare Advantage plans that are designed to serve beneficiaries who live in skilled nursing facilities. In addition, they offer very complementary service lines with their PACE programming, their home health and hospice programming and their geriatric practice.”
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 nursinghome clinicians versus a clinical guideline. ” What we should say to our nurses is, “Thank you for letting me know.
Many incarcerated seniors who could benefit from palliative care do not receive adequate access or referrals to these services, according to Katherine Supiano, associate professor in the College of Nursing at the University of Utah. The prison system was never designed to become a nursinghome or hospice, but it has become one.
The company employs nurse practitioners and other clinicians to provide palliative care in the home. At the same time, PalliCare helps nurse practitioners interested in setting up their own palliative care practices. We’re growing pretty exponentially right now, especially in skilled facilities like nursinghomes and such.
Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Sue Britton was the first nurse hired on that palliative care unit. Alex 01:08 And we’re delighted to welcome Sue Britton, who was the first nurse in the very first palliative care unit in Quebec at the Royal Victoria Hospital in 1975. She started her career as a nurse and probably her heightened that worked against her.
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. Alex: Could we touch on nursinghomes too? Anne, welcome to the GeriPal podcast.
When new nurse practitioners graduate from school, they’re ready to hit the ground running and find jobs in their respective areas of specialization. Here are five ideas for nurse practitioners keen to be their own boss. We find NPs in acute care, family practice, cardiology , neurology, and all clinical settings.
valproic acid and gabapentin), in nursinghomes, 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. Donovan discusses the growth of “mood stabilizers/antiepileptics” (e.g.
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. Everybody has a primary care doctor, a primary care nurse, a team.
Nursinghomes with the highest proportion of Black residents have the greatest number of hospitalizations and emergency department visits, according to a new study led by researchers at NYU Rory Meyers College of Nursing. nursinghomes using national datasets from 2019.
Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursinghome 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. nursinghomes.
For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursinghomes, hospitalization, and nursinghome care Karl’s GeriPal post on appropriate use of POLST Enjoy!
Recipients of home health and hospice distinction must demonstrate their ability to proactively ensure patient safety and provide goal-concordant care, in addition to implementing four evidence-based practices in geriatric care known as the “4Ms”: What Matters, Medication, Mentation and Mobility. It’s very patient-centered care.”
Recently, nurses have navigated their careers through a global pandemic, a travel nursing boom, supply issues, and continue to face an ongoing nursing shortage. Nearly 30% of nurses considered leaving the profession in 2021, compared to 11% in 2020, according to Nurse.com’s 2022 Nurse Salary Research Report.
When I’m on nursinghome 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 nursinghome or hospice? Summary Transcript Summary Diabetes is common.
Second, as we discussed in last week’s podcast , older adults, particularly those in nursinghomes, 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.
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.
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.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge.
Alex: We are delighted to welcome to the GeriPal podcast, Susan Hickman, who is professor at the Indiana University schools of nursing and medicine, and is director of the IU Center for Aging Research at the Regenstrief Institute. I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms.
And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. And the nurses says you’re making the right decision. And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. Samir: Yeah.
She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. What happens after hours if you have an emergency in your home? How many patients is my hospice nurse case manager responsible for on any given day? Does the hospice offer continuous home care?
We need good nurse practitioners. Alex: Nursinghomes. laugher] Alex: I’m hopeful that there will be some people listening to this who are the future content creators in the geriatrics and palliative care space, and I look forward to what they have to offer. Attendee 13: I am worried about workforce shortage.
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.
Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
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.
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.
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 social workers or nurses or docs to do it. Kate: Yeah, the nursinghomes.
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. Welcome to the GeriPal podcast, Heather.
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. The head nurse spoke up. Eric: And Alex, who do we have with us today?
She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.
According to the "Journal of the American Geriatrics Society," b y the year 2025, an estimated 7.2 Frances Shani Parker, Author Becoming Dead Right: A Hospice Volunteer in Urban NursingHomes is available in paperback and e-book editions in America and other countries at online and offline booksellers.
Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Marian: I have been a palliative care nurse practitioner for a number of years. Welcome back to GeriPal, Tony.
September’s Healthy Aging Month designation brings an awareness for nurses who want to offer appropriate care for their aging patients and who also want to be mindful of healthy aging practices for their own health. ” Gerontological nurses also adapt their approach to tune into the ways older adults thrive, she says.
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