This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team socialworker. But are we really taking full advantage of ALL socialworkers have to offer our field? I don’t know if this person was a socialworker or not. 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.
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.
Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. And I’m sad to say it, but I don’t think doctors are gonna listen to a socialworker. Is that how we presented ourselves? Whats in a name?
She is a guest host and she’s a palliative care socialworker. And I think there’s ways that geriatrics and palliative care can kind of add an additional layer to that because we’re unique in that we can draw on the expertise of an interdisciplinary team. Alex 00:07 We do. Welcome back, Anne. Anne 00:14 Thanks.
Wu added that with only 10 members, the palliative care team is “small but mighty” and includes physicians, a nurse practitioner, a nurse socialworker, a pharmacist, a chaplain and an administrator.
And I pretty much present it as. And well, when we wrote this, I feel like I’m just doing everything in my presentation. They need socialworkers like I have. And I think that is a sign that geriatrics has a really important role in the future of dementia care. I start by saying, these are the risks of this.
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. And it included the social factors. Who, his name was Terry. It’s been quite a ride.
I love this survey because it is mostly of physicians, which physicians are doing the lion’s share of the palliative care work here, but what you say you’re comfortable doing for depression care might not dovetail with what a psychologist or socialworker would do in the context of depression care. We have a socialworker.”
In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.
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. This is Eric Widera. Great to be here.
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.
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. link] Transcript Eric: Welcome to the GeriPal podcast.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But one of the things I’m really interested in is people have agency and autonomy, so we can present them with the scenarios of best case, worst case, and they will always choose what’s most important to them.
I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Alex: And a voice that will be very familiar to our listeners, a dynamic and enthusiastic socialworker in palliative care at the San Francisco VA, Anne Kelly. Welcome back, Lynn. Lynn: Thank you.
And Rachel Rush, who is a pediatric social. A palliative care socialworker now at Colorado. We are really trying to be mindful of the breadth of experience people bring, you know, to be sure that we have chaplains telling stories, socialworkers, physicians, apps, et cetera. We’re kind of a Covid baby.
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. The socialworkers and nurses you interact with may get busy, and they may also interact with your competitors. 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.
Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.
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. It was a lot of fun.
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?
You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, socialworkers, et cetera. I think this is actually bread and butter geriatrics. You interviewed some geriatricians. And so, that’s what we learned from them.
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 when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.
Like, just even having that and normalizing it, and, like, after 13 years of training or 15 or whatever, chaplains, nurses, socialworkers, patient care assistants, everyone is working in these systems that are not built to take care of them. But the present is not because I, as an individual healthcare professional, am not enough.
Why does CHAP have a national medical director, registered nurse and socialworker on staff who all specialize in hospice? 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?
Well, it’s not just being present, though. Forget you as a doctor right now, or as socialworkers, think about you as a person meeting this person at a bar. And oftentimes the existential landscape of serious illness, there’s no special thing. Oftentimes, it’s human presence that does the most healing.
It used to also be a socialworker and myself who would actually go to clinic and spend some time up there. Said socialworker has left since then, so it’s now just me. Sarah 24:24 See, I usually always present it as these are things we should think of. Sarah 06:23 It’s just me.
AAHPM (American Academy of Hospice and Palliative)
JUNE 6, 2024
Being present for the deaths of my father and a dear friend early in my residency deeply impacted who I became as a doctor and as a person. Years later, when I was a geriatric fellow, he gave me another gift by asking me to review James Hallenbeck’s remarkable book Palliative Care Perspectives for the Journal of Palliative Medicine.
I’m fully present. So I think about socialworkers, pastoral care professionals, like spiritual care clinicians. The post Dignity at the End of Life: A Podcast with Harvey Chochinov appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. I’m not distracted.
For example, bachelor’s degrees for socialworkers. When you hear, “We need more money to pay for staff,” you have to say to yourself, “Where’s the money presently going?” It needs to be presented in a way that they can understand. I’m glad that Alice brought it up. .
We are going to tackle this question and so many more about coping on this week’s podcast with Dani Chammas , a recurring GeriPal guest, psychiatrist, and palliative care doc at UCSF, and Amanda Moment , a Palliative Care SocialWorker at Brigham and Women’s Cancer Center. Dani, welcome back to GeriPal. Dani 12:05 Yeah.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. And he had a deadly fear of being institutionalized, based on his previous present experience. Eric 00:13 And, Alex, who do we have with us today? Her most recent book is Elderhood. His hands were gone.
Ann Kelly, who’s been on the podcast many times, socialworker on palliative care, she’s always under a minute. Kristine: I like to tease my geriatric friends about age. I presented this at the big clinical trials meeting in November in San Francisco. Alex: Just for our listeners, so they have benchmark here.
Alex: Sticking with this for a moment here, I remember, Karen, we were fortunate to have Karen Moss here the entire day, and she started off the day giving a Work in Progress presentation to our group who interrupted because that’s what we do in Work in Progress. I told her no one’s ever made it- Karen: It was great. It was great.
Just supporting each other too, because how many people are leaving healthcare, but especially leaving this geriatric medicine post-acute facet because they get frustrated or they get fearful of, of these kind of situations. I, I think people are a lot more open to that idea of somebody who’s not healthcare affiliated being present.
So before we became accredited by, with the Joint Commission in their home care program, we were already receiving referrals from local physicians, nurses, socialworkers, discharge planners, at a number of different healthcare systems in the area. Brett Ringold ( 08:11 ): Yeah, absolutely.
Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.
First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation. Good to be here. Alex 00:33 And we have two returning guests. James, welcome back to GeriPal. Do you remember it?
And then to see her, it sort of set up this sense of there’s an expectation that we have for the future that what we’re doing in the present moment is somehow going to continue and that we’re going to have an opportunity to maybe deepen a relationship, to provide some healing, to learn more about each other, to form bonds.
And we had the date, if it was present in the EHR, to provide that context for the clinician. And when we presented it to the DSMC, which Alex was a member too, but we thought it was nice. We grabbed, were there POLST, was there advanced directives in the EHR? POLST advanced directives, what am I forgetting? Erin: Code status.
And I think socialworkers, advanced practitioners, nurses, really feel comfortable giving functional prognoses more so than time-based prognoses. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself.
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 what about the socialworkers and the chaplains?
Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. And these care navigator, they can be community health worker with just 12 years of education. They can be a- Diane: Socialworker.
Dani 15:02 Speaking to the fact that we are talking about such a massive array of illnesses, of presentations of symptom severity, and trying to speak in generalizations. I think it’s very present in maid. We have psychologists, we have socialworker who’s very attuned to these issues.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content