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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.”
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.
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.
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.
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.
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.
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.
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.
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?
Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today? I’m busy.
Ariel: As we all know, as geriatricians in geriatrics research, people accumulate conditions and accumulate medicines over the years. We used a large online survey panel, the Ipsos Knowledge Panel, and we presented older adults with two vignettes. And as we’ve all witnessed, it gets to a point where things are just unmanageable.
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.
You still need all the speciality skills of dealing with different illnesses that might present in one person, plus additional skills in recognising medication interactions, side effects and aspects of polypharmacy that might need attention. Geriatric complications and preventable complications. Meet Dr Kasia Bail! dr kasia bail.
She has presented at regional and national meetings on a variety of topics related to serious and advanced illness as well as operation of community-based programs and has served on the American Academy of Hospice and Palliative Medicine (AAHPM) Task Force for Quality, and on the Home-Based Workgroup for the Center to Advance Palliative Care.
There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. I was wondering if we can jump to the NSAIDs article because the geriatrics party line is avoid NSAIDs in older adults because the risk for including worsening renal disease. Eric: That’s helpful.
Alex 01:56 And returning guest, Vicki Jackson, who’s a palliative care doc, chief of the Division of Palliative Care and Geriatric Medicine at MGH , professor at Harvard Medical School, and co director of the Harvard Medical School center for Palliative Care. But watch out! Who will emerge victorious? Alex 01:06 Yeah, go in person.
Kristine: I like to tease my geriatric friends about age. I presented this at the big clinical trials meeting in November in San Francisco. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric: A minute-and-a-half. So, there you go.
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?
We’re representing the American Geriatric Society today and we are delighted to be here in the podcast. So first, I want to thank you and commend you for what you have contributed to the American Geriatric society and to all of our collective learning. Ken 26:17 You presented that. Medina Walpole. Annie 01:42 Hi, everyone.
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.
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.
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.
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 I was very proud to use the word apotheosis on todays podcast. See if you can pick out the moment. I say something like, Palliative care is, in many ways, the apotheosis of great palliative care. And I believe that to be true. Today we talk with Naheed Dosani, a palliative care physician at St. Homelessness?
Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? They got feedback.
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.
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.
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.
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?
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.
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.
end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). 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. staff training in person centered care).
Alex Smith 10:59 As Alex was talking, it reminded me of a concept that may be familiar to our geriatrics listeners about disability and ableism. On today’s podcast, we’ve invited Alex Gamble and Brianna Williamson to talk to us about anxiety. Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency.
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.,
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.
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?
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.
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.
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.
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?
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:
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.
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.
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