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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.
So Daily Nurse spoke with Bei Wu, PhD, FGSA, FAAN (Honorary), Vice Dean for Research, Dean’s Professor in Global Health, New York University, Rory Meyers College of Nursing , and Xiang Qi, BSN, RN, PhD candidate at New York University, Rory Meyers College of Nursing about ChatGPT’s potential use in geriatric nursing education.
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).
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.
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.
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. “Then with taking on the risk of the management or the care in the home, we really have to be able to take on that primary care role.”.
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. “[Our program] is fiercely narrative and really focuses as much on the art of listening as the art of what we say,” Wu said.
The Door to NP Entrepreneurship Hanging one’s shingle as an NP presents many hoops to jump through. Idea #5: Gerontology Consultant As the society continues to see the rapid population growth of Americans over 65, the need for NPs specializing in geriatrics will expand.
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.
A Call for Action The increasing number of older trauma patients presents a challenge that cannot be ignored. Quality indicators for a geriatric emergency care (GeriQ-ED)-an evidence-based delphi consensus approach to improve the care of geriatric patients in the emergency department. The Lancet (British edition).
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. I think it’s time to do that.
Geriatric A nurse who specializes in geriatric care may be in the hospital setting or in a nursing home. Private practice Nurses working in a private practice setting typically deal with fewer patients, as there are fewer doctors present. Nurses are constantly presented with a number of challenges and stressful situations.
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.
Nikki Davis: I’m a nurse practitioner and have been working in geriatrics and palliative care for about 21 years now. Anthony Spano: We are very lucky to have Nikki Davis on stage, so I wanted to just open up and give her the chance to tell us a little bit about herself.
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. When you are number five, we should not settle for being relegated to choosing ‘other’ on a list of medical subspecialties.
You could also sort referral sources into categories, such as: Government agencies Other healthcare professionals Senior and geriatric advisors Miscellaneous other sources Are there places outside of the home that you can think of as potential partnership opportunities? One example could be a local house cleaning business or a pharmacy.
Senior and geriatric advisors. This could lead to community panel discussions, joint presentations, and cross-company in-services. One example could be a local house cleaning business or a pharmacy. You could also sort referral sources into categories, such as: Government agencies. Other healthcare professionals.
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. dr kasia bail. dr kasia bail.
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. She created TimeSlips which we talk about in our podcast. Anne, welcome to the GeriPal podcast.
She’s published and presented both workshops and talks about all aspects of telehealth—regionally, nationally, and internationally. Nurses have worked in a variety of settings in telehealth—such as school nursing, critical care, emergency care, specialty care, and geriatrics, Arends says.
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.
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. Kristine: Can I say age? I like to tease.
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?
These organizations got together to bring national experts together and to say, “Why during this unprecedented time of human longevity have evidence-based geriatric health care models not taken root? How can we promote this?”
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.
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.
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.
Listen to the entire presentation First Four Questions People Ask About In-Home Care Deciding if your loved one needs care can be difficult. Gerri was joined by Assistant Under Secretary for Health and Chief Medical Officer U.S. Department of Veteran Affairs, Erica Scavella for an in-depth discussion on healthcare.
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. Abstract presenters as well. Simone, welcome to GeriPal.
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.
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. Ashwin 23:46 Yeah. And I love the structured approach.
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: 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: 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.
If you’re an agency who also provides pt, OT of speech pathology, registered nursing at home, geriatric management, that’s a wonderful thing. Brett Ringold ( 21:34 ): And home care providers are just one piece of the larger puzzle. Our agency is strictly a personal care agency.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. However, I love, and I’m just going to quote from your paper here, this framing as an extension, this is enhancing our autonomy, particularly in geriatrics.
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. But I believe before we start, somebody has a song request for Alex.
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. Matthew 04:21 Well, I actually have been teaching, doing sessions about polypharmacy for many years. I don’t know.
Many patients also present with undiagnosed baseline cognitive impairments, a significant risk factor for postoperative delirium 4. While this method is cost-effective and easy to implement, it has limitations, particularly for the geriatric population.
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. As I cycle through these things, what I find is I’m suddenly extremely present. And thinking about how we can get into that space with them and meet them in that space. Eric 10:57 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?
He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. So, you know, I just wanted to present a couple options and give you a sense of, you know, the background for both. Who, his name was Terry. And no person should actually be experiencing homelessness. Alex 11:17 Thank you.
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