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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

Summary Transcript Summary We have a special extra podcast this week. Transcript Eric: Hey, GeriPal listeners, this is a GeriPal special episode. Attendee 13: I am most hopeful that we will continue to really promote culture change for our healthcare system that desperately needs it. Alex, what’s going on here? Eric: Yeah.

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Stump the VitalTalk Communication Experts: Gordon Wood, Holly Yang, Elise Carey

GeriPal

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. I heard that.

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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

For instance, a family meeting or an update or communication with families. I’ve worked in palliative care for years, and there’s some times where I’m in the family meeting, I’m facilitating the family meeting, and then I’m reporting out to the referring doctors, and I say, what happened?

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. I’ll say it.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. ICU care was pretty rudimentary.

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Who should get Palliative Care? Kate Courtright

GeriPal

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. By diagnosis? By prognosis?

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together?