Do Dementia Care Management Programs Work? A Podcast with David Reuben and Greg Sachs
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
2 speakers
4 chapters
transcribed 10 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the main focus of this episode on dementia care management?
Welcome to the JerryPal Podcast. This is Eric Quidera. This is Alex Smith. And Alex, today we're going to be talking about comprehensive dementia care management. Does it work? Does it work? Does it work? Who are our guests with us today?
Our guests today, we're delighted to welcome back David Rubin, who's a geriatrician, professor of medicine, director of the Alzheimer's and Dementia Care Program, and director of the Guide program at UCLA. David, welcome back to the JerryPal Podcast. Glad to be here. Thank you.
Who are the expert guests and what are their roles in dementia research?
It
seems like a good guest for answering that question. We have another guest with us.
We also have Greg Sachs, who's a geriatrician and palliative care doc and chief of general internal medicine and geriatrics at Indiana University. Greg, welcome to the JerryPal podcast.
Thanks. It's a pleasure to be here. So recently we just got two JAM of publications authored by our guests that we have links to a podcast around this question about dementia care management programs. But before we go into this topic, Greg, I think you have a song request for Alex.
Yes, um John Lennon's Give Peace a Chance. Why did you pick this song? Um when my team and I were working on the pilot grant for this program, um were enough of us of an age where the Beatles and John Lennon sort of resonate. So this is the mug my team got me.
What does your mark say for our people listening on audio?
Give in peace a chance. And the other side the other side of the mug is not a picture of my face, but it's John Lennon. So the the
trial was called in peace. How long did it take you to come up with that acronym at IN Peace?
Um, not long because we had done a study uh previously at the University of Chicago called Peace, Paleo to vaccines and Alzheimer's care efforts. And when you move to Indiana, you can slap IN on the beginning of anything. That's great. All right, here's
a little bit.
Everybody's talking about bagism, tagism, dragism, badism, ragism, tagism. This isn't that isn't, isn't it the most? All we are saying. Give these a chance. All we are saying. Skip piece a chance Everybody's talking about ministers, sinisters, banisters and canisters, bishops and bishops and rabbis and papeys. Bye-bye bye-bye. Are we saying? Is give these a chair. Are we a safe? This gift be such a hand
We will talk more whether or not we should give in peace a chance, but I was wondering maybe we could take a big step back. I'm gonna start with you, Greg. How did you get interested in it sounds like you've been interested in this a while, this idea of comprehensive dementia care management?
Well, you could go back to uh an editorial I had the fortune of writing in in the New England Journal in two thousand nine. Uh where I go into it in more depth, but basically I grew up watching my grandmother die from dementia, receiving very poor care, dying with no palliative care in place, and with lots of bad things happening to her eventually in the nursing home. And so for essentially decades, the idea of trying to improve care for people with dementia and their families has been a a real core of what I I've been driven by.
And for our listeners who may have not read it, we will have a link to that New England Journal uh editorial. If you can describe like what were the biggest things that you were seeing that was wrong with the care that we were delivering? Well,
at that time, I think it was very frequent for people to end up in nursing facilities without any kind of supportive care. They were sedated or given psych psychotropic medications. Um, and things were done to manage them at the convenience of the staff rather than trying to improve the quality of life with residents and support their families. And there was literally nothing uh in the way of palliative care or hospice that was provided to patients with dementia at that time. And that's changed dramatically, and I think that's a good thing, but it's still is a piece that needs to be integrated into dementia care management programs, the palliative care part.
Yeah. And we'll talk about your your trial in peace about layering that palette of care into these comprehensive uh care management programs before we do.
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Chapters
4 chapters
1
What is the main focus of this episode on dementia care management?
0:00–0:26
2
Who are the expert guests and what are their roles in dementia research?
0:26–15:11
3
How did personal experiences shape Greg Sachs’ interest in comprehensive dementia care?
15:11–31:05
4
What is the design and purpose of the D‑CARE trial?
31:05–48:09
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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