Hospice News

JULY 25, 2023

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.

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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. Eric 27:45 Yes.

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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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Hospice News

MAY 25, 2023

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.

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Palliative care Palliate Medicare Article 246

GeriPal

FEBRUARY 22, 2024

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.

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Palliative care Palliate Social worker Chaplain 269

Hospice News

SEPTEMBER 24, 2024

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.

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Medical director Hospice End-of-life care Homecare 265

GeriPal

JANUARY 16, 2025

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.

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Healthcare proxy Social worker Ventilator Geriatrics 228

GeriPal

JULY 11, 2024

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?

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GeriPal

FEBRUARY 13, 2025

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?

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Bereavement Grief Palliative care Palliate 151

Hospice News

JULY 11, 2022

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.

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2016 Hospice Geriatrics 2018 265

GeriPal

SEPTEMBER 1, 2022

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.

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Social worker Palliative care Palliate Social work 238

GeriPal

FEBRUARY 6, 2025

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.

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Definition Geriatrics Article Presentation 213

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 253

GeriPal

AUGUST 17, 2023

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.

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Geriatrics Definition Presentation Information 227

Pallimed

JULY 11, 2022

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.

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Palliate Hospice 2018 2005 135

GeriPal

MARCH 28, 2024

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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Palliative care Palliate Ventilator 2016 250

GeriPal

FEBRUARY 8, 2024

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.,

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Chaplain Palliative care Palliate Definition 324

GeriPal

MAY 19, 2022

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?

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Books Palliative care Palliate Geriatrics 326

GeriPal

JANUARY 11, 2024

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.

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Palliative care 2016 Palliate 2021 344

GeriPal

OCTOBER 3, 2024

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.

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Books Presentation Caregiver Hospice 261

GeriPal

DECEMBER 8, 2022

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:

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GeriPal

JANUARY 26, 2023

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.

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Geriatrics Definition Healthcare Article 191

GeriPal

FEBRUARY 16, 2023

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

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Palliative care Palliate Definition Geriatrics 232

GeriPal

DECEMBER 15, 2022

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.

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Palliative care Palliate Healthcare 2011 241

GeriPal

JULY 21, 2022

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.

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Geriatrics Palliative care Palliate Healthcare 238

GeriPal

APRIL 6, 2023

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.

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Chaplain Palliative care Social worker Palliate 212

GeriPal

APRIL 13, 2023

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.

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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. 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?

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Palliative care Geriatrics Palliate Document 154

GeriPal

FEBRUARY 9, 2023

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.

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Ventilator Vital signs Palliative care Resuscitation 235

GeriPal

FEBRUARY 23, 2023

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.

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Geriatrics Palliative care Palliate Information 206

GeriPal

MARCH 10, 2022

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.

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Nursing home Feeding Nursing Geriatrics 138

GeriPal

AUGUST 8, 2024

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.

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Books Grief Palliative care Geriatrics 302

GeriPal

APRIL 4, 2024

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.

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Document Feeding Resuscitation Article 233

GeriPal

OCTOBER 17, 2024

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.

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Geriatrics Feeding Assisted living Palliate 247

GeriPal

SEPTEMBER 12, 2024

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.

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Chaplain Palliative care Definition Healthcare 230

GeriPal

OCTOBER 5, 2023

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.

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Informed consent Article Palliative care Resuscitation 307

GeriPal

SEPTEMBER 22, 2022

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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Books Palliative care Palliate Geriatrics 227