Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
2 speakers
8 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the scope of the “unrepresented” older adult problem?
Hey Jerry, pal listeners. Before we begin the show, we just like to do a quick shout out. Alex, who do we have with us today?
Miguel, this who we last saw singing. Why can't I stop prescribing GABA pen 10 at the AGS conference?
Miguel Penagua is organizing ACPs annual meeting. Miguel, where is it this year? in
the big easy new orleans april 1st through the
5th i love it i'm actually going to be there i'm going to be part of a pre-conference on geriatrics and palliative care you can learn new stuff geriatrics palliative care and if you register now you can get the early bird discount before january 31st so join us in april miguel in addition to the pre-con there's like 20 other sessions in geriatrics and palliative care excited about one or two that you can mention real quick
Absolutely. In fact, our Prasad lecture in physiology is on the pathophysiology of dementia by Jason Karlawich. So it'll be amazing.
We've got tons of great stuff going on in ACP. So join us in New Orleans. And if you do, maybe at night we can all go to Alex's like 2 a.m. favorite place. Where is that, Alex?
Café du Nord. Is that what it's called? Café
du Nord. Last time I was there, Alex had beignet powder all over his face. Face full
of beignets.
So join us in New Orleans. Miguel, what dates? April 1st through 5th. And on to the show. Welcome to the Jerry Pal podcast. This is Eric Widera. This is Alex Smith. And Alex, who do we have with us
today? We're delighted to welcome back Tim Farrell, who's a geriatrician, associate chief for age-friendly care at the University of Utah and chair of the American Geriatric Society Ethics Committee. Tim, welcome back to Jerry Pal. Wonderful
to be here.
Thanks
for
having me. And we're delighted to welcome from my home state of Michigan, Joe Dixon, who's a geriatrician and palliative care doc at Trinity Health. Joe, welcome to the Jerry Pal podcast.
Thanks so much. Really excited to be here talking with you all.
Joe, which city are you joining from? Ann Arbor. Ann Arbor, where I went to undergrad. All right. And finally, we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Yael, welcome to Jerry Pal.
Thank you. I'm excited.
So we got a lot to cover today. We're going to be talking about the American Geriatric Society position statement on making medical treatment decisions for unrepresented older adults. But before we go into that topic, Tim... I think you have a song request.
Yeah, it's such an honor to make a song request. Thank you. You know, I could not think of a better song than All By Myself. Can you guys do that one? Absolutely. Tim, there are multiple versions out there. What's your favorite one? I'm partial to the Eric Carman version. I'm a little bit of a throwback kind of 70s, 80s guy. So if you wouldn't mind indulging that request, that'd be great.
That's great. And Eric Carman died this past year. He died in 2024. And this song, interestingly, he admitted that it was inspired by the second movement of Rachmaninoff's Second Piano Concerto, which is one of my favorite pieces of music. So I found that little bit of history interesting. This one's a little high, so we'll see what happens here. This could be exciting.
Why did the AGS replace the term “unbefriended” with “unrepresented”?
Yeah.
When I was young I never needed anyone And making love was just for fun Those days are gone Living alone I think of all the friends I've known But when I dial the telephone Nobody's home All by myself Don't wanna be all by myself anymore Initially, when
you said Eric Cartman, I thought you said Eric Cartman. So I thought we were going to have a very different tone on that one.
Well, there's my Eric Carman trying this and very high, almost Celine Dion-ish high. Well, you get what you get.
That's lovely. Thank you guys.
I love lovely is the right term.
So I know I'm getting old in academia when I was part of a published AGS position statement on unbefriended older adults many years ago, which has been replaced.
It's obsolete.
It's obsolete. Like many things I do nowadays, obsolete. I'm wondering if, maybe I'll turn to Joe. Why come up with a new position statement on unbefriended older adults?
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Chapters
8 chapters
1
What is the scope of the “unrepresented” older adult problem?
0:00–3:18
2
Why did the AGS replace the term “unbefriended” with “unrepresented”?
3:18–10:04
3
How large is the population of unrepresented older adults in the U.S.?
10:04–16:06
4
What steps should clinicians take for an unrepresented ICU patient with an advance directive but no surrogate?
16:06–23:05
5
Which capacity‑assessment tools are recommended for unrepresented patients?
23:05–28:23
6
How can outpatient clinicians prevent patients from becoming unrepresented?
28:23–34:09
7
When is guardianship appropriate and how should it be pursued?
34:09–40:21
8
What “magic‑wand” solutions did the panel suggest for preventing unrepresented older adults?
40:21–47:26
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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