Elissa Kozlov

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159 appearances 1 recordings 1 series first heard Jan 2020 last heard Jan 2020

Elissa Kozlov’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Depression at the end of life: Podcast with Elissa Kozlov and Claire Ankuda · 23 Jan 2020 podcast

You know, I've I trained in that uh throughout graduate school and internship and

It's just not available to the majority of patients.

And I think what we're trying to do with this study is build the case that

We need to start thinking more.

um innovatively about how to deliver mental health care to people who are really vulnerable and in need of these services.

And we should note it's a screener, not a diagnostic.

So that 60% in the last month are people who would have screened positive for further assessment based off of their scores on this SD.

Um and one another kind of number that I think is important to know, so Claire mentioned that the numbers stay fairly stable and then skyrocket in the last three months, but that stable number is still about a third.

Yeah.

So in the last year of life, about a third of the

the population would screen positive for depress for m further screening for depression.

Um and that's significant.

That's a lot of people who are suffering for the entire year before they died, and then m a m a majority, almost two thirds, who are who are meeting those criteria in the last month.

That's that's a that's a in my opinion, a public health issue that needs further uh research and further strategies to address.

So these are important questions about measurement.

Um and the CESD is a fairly robust scale f in geriatric population.

So there's been other papers written that essentially validate the use of this scale with this particular population.

I think you bring up a good point, but I think

It almost speaks a little bit to the idea of some symptoms might be expected at end of life.

And I think we need to kind of scale back that that.

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