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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.
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. . Summary Transcript Summary. This was in part due to the tremendous support of the National Institute on Aging. By diagnosis?
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?
Heck, I’m not even sure to call it a podcast, as I think to get the most out of it you should watch it on YouTube. Why, because today we have Nathan Gray joining us. Nathan is a Palliative Care doctor and an assistant professor of Medicine at Johns Hopkins. His work has been published in places like the L.A. Welcome to the GeriPal podcast, Nathan.
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 don’t need a checkbox form, I don’t need to know about CPR or mechanical ventilation. Susan: Thanks so much, Alex. Welcome back, Bob. Bob: Thank you.
This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren. Don’t ask anybody.
And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. Summary Transcript Summary One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. They study palliative care. Welcome, Corita and Kate and Tom. Kate: Thank you.
Don, welcome to GeriPal. Don: Thanks for having me, Alex: And we’re delighted to welcome back Abby Rosenberg, who’s Chief of Pediatric Palliative Care at Dana-Farber Cancer Institute and Director of Palliative Care at Boston Children’s Hospital and Associate Professor of Pediatrics at Harvard Medical School in Boston. Eric: Yeah.
And now ICU care has flourished, and we can keep people alive in the sense that their heart is beating and we can sustain their ventilation and circulation. For example, I had another patient in the ICU who she was on a ventilator. They didn’t come up in geriatrics very much. And we see that too in geriatrics.
I’d be willing to take some time on a mechanical ventilation machine to live longer.” And so the idea that patients are walking around with these on their shoulder like, “Hey, I got the mechanical ventilation preference, just want to make sure.” This is Eric Widera. Alex: This is Alex Smith. Amber: I do.
I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.” ” You talk about this too, even in your own training, where even around CPR, the training is like he might need a ventilator if he couldn’t protect his airway.
I can on one hand count the patients I’ve cared for who didn’t want mechanical ventilation. I can correspondingly count on one hand the number of patients I’ve cared for who said I want to be on mechanical ventilation at all costs, even if it means I will never come off. Welcome, Abby. Abby: Thanks for having me.
Interested in your thoughts on revising this framework at a national level, the NIH framework versus clinicians making individual choices about who to allocate this, a scarce treatment to whether it’s Paxlovid or an ICU bed or a ventilator or a dialysis compounds. Emily: Yeah.
So whether or not somebody wants to be on CPR or ventilator, that sort of thing. The post Black/African American Caregivers of Older Adults Living with Dementia: Fayron Epps and Karen Moss appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.
Alex 00:54 And Jasmine Santoyo-Olsson, who’s a social behavioral scientist and a fellow in the T32 Research Fellowship at the UCSF Division of Geriatrics. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life. Jennifer, welcome to the GeriPal Podcast. Excited to be here.
So legally dead in California, family moved to New Jersey, where she was kind of alive despite having a death certificate for another four years, and then died four years later after being actually home on a ventilator for a while, too, we talked more about that with the Bob Truog podcast. They don’t need a heart. Winston 14:17 Right.
We invited Jim back with us along with Darrell Owens , DNP, MSN, who is the head of palliative care for the University of Washington’s Northwest campus. . What I loved about this March 2020 podcast was that Darrell pushed us to think differently: “Expect that it’s not business as usual. Welcome back to GeriPal, Darrell. Darrell: Pretty amazing.
We did the Geriatric 5M approach to telemedicine with Lauren Mo. So now that the emergency response has ended, what’s to be done? Alex: We are delighted to welcome Joe Rotella, who’s the Chief Medical Officer of the American Academy of Hospice and Palliative Medicine. Joe, welcome to the GeriPal podcast. Joe: Great to be here.
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