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Showing posts from November, 2019

Patient Priorities Care: Podcast with Mary Tinetti

We have had some amazing guests on our Podcast.  True luminaries in geriatrics and palliative care. This week we are fortunate to be joined by none other than Mary Tinetti, MD, to talk about her recent JAMA Internal Medicine trial of Patient Priorities Care. In this study of older adults with multiple chronic conditions, patients are guided through a process of identifying their health priorities and objectives, and this information is communicated to their primary care physicians.  The trail resulted in more medications discontinued, fewer self-managment and diagnostic tests, and less report of treatment burden.  This podcast builds on our prior podcast on this topic with Aanand Naik (awesome song choice, Lumineers' Gun Song). We talk with Mary Tinetti about what exactly Patient Priorities Care is, how it differs from geriatrics and palliative care (or does it?), and how to disseminate this program widely (hint: start by going to their amazing website ). And...ah...Ma

The 100th GeriPal Podcast Special - It's a Celebration

On today's podcast we take a moment to celebrate 100 episodes of the GeriPal podcast.  Yes, 100 episodes that have covered everything from cranberry juice for UTIs to medical aid in dying. In this episode, Anne Kelly, Lynn Flint and Ken Convinsky lead us down memory lane, asking Alex and me hard hitting questions about the birth of the podcast, our favorite episodes, and our most memorable moments.   We also take time to listen to the feedback that we received from our call in listener line (929-GeriPal) and maybe, just maybe, a song is sung to celebrate the occasion.   Lastly, we also have two very special thank you's.  First is to Archstone foundation, who just became GeriPal's first sponsor!   It's really is an honor to be backed by such a wonderful organization with a mission so aligned with our podcast.  We also want to thank all of our listeners for your support and encouragement.  It is really touching every time we hear some feedback about our show

Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block

Nursing homes are a tough place to do palliative care.  There is extremely high staff turnover, physicians are often not present except for the occasional monthly visit, many residents die with untreated symptoms usually after multiple hospitalizations and burdensome life-prolonging treatments, and specialty palliative care - well that is nowhere to be found in most nursing homes outside of hospice.  So what can we do to improve the palliative care outlook in nursing homes? On todays podcast we talk with Lieve Van den Block about her recent palliative care intervention that was published in JAMA IM this week .  Lieve led a multicomponent intervention to integrate basic nonspecialist palliative care in in 78 nursing homes located in 7 different European countries.  Just take a moment to grasp the size of this study - 7 counties, 78 nursing homes.  I struggle with just trying to improve palliative care in one site! We discuss with Lieve the results of the study, her take on w

State of the Science in Hospice in Palliative Care: Who should go and why?

If you're like me, then you can't get enough of these exciting meetings with high concentrations of hospice and palliative care researchers: the National Palliative Care Research Center's Annual Foley Retreat, the Palliative Care Research Cooperative Group meetings, the Beeson meeting , and more.  All of these meetings have high concentrations of engaged palliative care researchers.  Similarly, the annual palliative care assembly sponsored by AAHPM and HPNA has a considerable amount of research programming.  So, you might ask, why would one attend the brand-new-first-ever-of-it's-kind State of the Science in Hospice and Palliative Care Meeting? This new meeting, which will overlap with the end of the annual assembly and continue through Sunday in San Diego (March 20-22). How is this meeting different from the regular assembly meeting?  I put the question to the meeting's co-chair Nick Dionne-Odom, who replied: The Annual Assembly Meeting has primar