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Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. Precision medicine?
Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. In todays podcast we welcome some of the early pioneers in palliative care to talk about the roots of palliative care. by Kearney. I promise its short. Canadians are welcoming.
We implemented the caregiver self assessment questionnaire, which is a validated brief metric developed by the American Geriatric Society. Even when a caregiver is present, that person may be elderly or ill themselves, or unable to be in the home around the clock due to work or other obligations.
This is according to Dr. Anand Iyer, a pulmonary critical care physician scientist and associate professor in the Division of Pulmonary, Allergy, and Critical Care Medicine; the Division of Gerontology, Geriatrics, and Palliative Care; and the School of Nursing at the University of Alabama at Birmingham (UAB). There are so many things.”
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.
In the study, researchers present the case of an independent 87-year-old woman with moderate dementia admitted to the hospital with pneumonia. 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.
The 3-Act Model has been woven into various other programs across Johns Hopkins, including medicine residency at Bayview and multiple fellowship programs, spanning geriatrics to oncology. Now we’re trying to understand how to integrate that into our training and in our workflow so that we’re thinking about that,” he said.
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. Eric 27:45 Yes.
Physicians in training need greater exposure to geriatric training in order to better grasp the needs of older patients, including during transitions to hospice, according to Dr. Julia Lowenthal, a geriatrician from Brigham and Women’s Hospital.
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.
Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. This article is based on a discussion with Anthony Spano, Director of Client Development at Netsmart and Nikki Davis, Vice President of Palliative Care Programs at Contessa Health.
Summary Transcript Summary In our podcast with palliative care pioneer Susan Block , she identified the psychological/psychiatric aspects of palliative care as the biggest are of need for improvement. As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved.
Through compassion, medication, education, listening, and just being present, we can alleviate suffering and preserve one’s dignity in their last earthly days.” Dopf is board-certified physician in internal medicine, geriatric medicine and hospice and palliative medicine.
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. Tim, welcome back to GeriPal.
Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board?
Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) Alex 00:12 This is Alex Smith. Eric 00:13 And, Alex, who do we have with us today?
The gradual move of reimbursement systems to value-based care models is partly fueling a resurgence in home-based primary care, according to a 2018 study in the journal Geriatrics. The providers are participating in the Illinois House Care Project, an initiative by the Home Centered Care Institute (HCCI). million primary care visits in 2016.
Summary Transcript Summary. In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. Barbara: Yay.
And I pretty much present it as. And well, when we wrote this, I feel like I’m just doing everything in my presentation. And I think that is a sign that geriatrics has a really important role in the future of dementia care. And then let’s talk about the bleeding and the swelling that could go on in your brain.
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.
Alex: And we’re delighted to welcome back Sharon Brangman, who is a SUNY Distinguished Service professor and chair of the Department of Geriatrics and director of the Center of Excellence for Alzheimer’s Disease. The field of geriatrics has been, I would say, somewhat negative on these drugs. ” Eric: Nice. So I agree.
If geriatrics is on there, so are we. We should be including this in our presentations on Hospice and Palliative Medicine 101, or frankly anytime we are asked to speak to outside audiences. by Christian Sinclair ( @ctsinclair ) We have entered a new age! Spread the word! If rheumatology is on there, so are we.
Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. They study palliative care. Eric: Okay.
Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. Wallace, C.L., In Donesky, D.,
Really because of the structure and the nature of equianalgesic tables, similar information with simpler math, can easily be presented to our colleagues. So, my idea is, let’s cut out the middle stuff and just present people a simple way of doing it, or at least simpler. Who do we have with us today? Is that right?
A recent Human Rights podcast discussed the story of a Canadian seeking MAID because he could not afford to stay housed. We talk about how Canada got to this point, including the degree to which offering MAID to anyone who is eligible has become standard practice in many places. Bill, welcome back to GeriPal. Bill: Thank you.
And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. Alex 01:57 And we have Lingsheng Li who is a geriatrics and palliative care doc and illustrator and is currently a T 32 research fellow at UCSF. Frank, welcome to the GeriPal podcast.
Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. 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. SPONSOR:
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: And speaking of the American Geriatric Society, we are delighted to welcome Nancy Lundebjerg. The same thing happens in geriatrics. Ramona: Thank you.
Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? J Palliat Med. J Palliat Med. J Palliat Med. The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. doi:10.1089/jpm.2021.0256
So I allow family members to be present if they want them to. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, Heather. Heather, since you started off with the song request, I’ll start off with you. Why is this a research focus of you? How did you get into this? Heather: Sure.
Because I don’t think we think about that so much in palliative care, but we do in geriatrics. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Emmy: Thank you so much for having me. Eric: Okay. Is it you, Emmy? Absolutely.
Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. It meets in-person, once a month, over nine sessions. Welcome to the GeriPal podcast, Lexy.
We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. Welcome back to the GeriPal podcast. Carla: Thanks so much. Nice to see you all. You just knew it? Thomas: Yeah, yeah.
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?
And we’ve accrued over a hundred different clinicians and we analyzed their language when presenting treatment options. Summary Transcript Summary Amber Barnato is an expert in simulation studies. This is Eric Widera. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Welcome to the GeriPal Podcast, Amber.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Emily’s expanded notion of consent is grounded in the concept of “relational autonomy.” Welcome back to the GeriPal podcast, Emily. Welcome back, Anne. Anne Rohlfing: Thank you. Welcome back, Lynn. Lynn: Thank you.
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. Rehabbed to Death.
And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. We get a lot in geriatrics and palliative care. This emergent reality that someone we love has just died. Eric 05:11 Yeah. And oftentimes unexpected.
People would present with horrible opportunistic infections, not just pneumocystis pneumonia, but CNS infections with toxoplasmosis and wasting syndrome, of course. 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 in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Eric 00:05 And Alex, who do we have with us today? Because I think we have someone special, a guest host. I don’t know.
And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people. Alex 00:15 We are delighted to welcome Jane deLima Thomas, who was a co-fellow with me back in the day in palliative care. Jane, welcome to the GeriPal podcast. Jane, welcome to the GeriPal podcast.
I felt like I was always told to present people with a buffet of options and, really, without guidance, ask them to choose, which is, it would always make me feel sick to my stomach. Alex: We are delighted to welcome Jacky Kruser, who’s a pulmonary critical care doctor and health services researcher at the University of Wisconsin.
Well, it’s not just being present, though. . – Anticipatory corpse book mentioned several times on the podcast. – GeriPal post about teaching using YouTube (some links are old and don’t work, but you get the idea, I recently gave a spontaneous talk to the palliative care fellows and was able to find the video snippets).
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