Expelled from Hospice: Podcast with Elizabeth Luth and Lauren Hunt
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
38 min
4 speakers
8 chapters
transcribed 6 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the purpose of the podcast and who are the guests?
Jerry Pal podcast is brought to you by Archstone Foundation, improving the health of older Californians and their caregivers.
Welcome to the Jerry Pal podcast. This is Eric Guadera.
This is Alex Smith. Oh,
I
almost didn't come in. I was going to say,
are you going
to join us? That's happened before. Alex,
who are our guests today?
Today, we are delighted to welcome Elizabeth Luth, who goes by Libby. She is a postdoc at Weill Cornell in geriatrics and palliative care. Welcome to the GeriPAL podcast, Libby.
Thanks for having me.
And we have Lauren Hunt, who is an assistant professor in the UCSF Department of Physiologic Nursing and a senior Atlantic fellow in the Global Brain Health Institute. Is this your first time on the Jerry Pell podcast, Lauren?
I think it's my fourth. I'm not
sure. Okay, yeah. I didn't think it was your first.
Glad you remember. Remembering those amazing commentary I had on those other three
episodes. Alex is on service. I heard service is busy, so I'm going to give him a pass. We're going to be talking about survival in hospice patients with dementia. An article that Libby came out with. It was just recently was published in Jags,
I
believe.
It was either end of January, beginning of February.
Yeah. And then an accompanying editorial article. by Lauren and Krista Harrison. I love this title. I think it's really important to talk about how we use words. Live discharge from hospice for people living with dementia isn't graduating. It's getting expelled. We're going to be talking about both of those. But before we do, you got a song request for us. Who has a song request?
I do. I do. I'd like to request Landslide by Fleetwood Mac. Why this song? Well, first, because Fleetwood Mac. I'm dating myself, but they're a great band. And because I think it does a good job of alluding to some of the issues with how people change and dementia and lose themselves. Relationships change over time. And thinking about what happens with loss at the end of
life. Yeah. Great choice. I think I've done it before, but I'm always excited to try a redo.
Yeah.
Alex remembers the song, but not the gas. I took
my love and I took it down. I climbed a mountain and I turned around. And I saw my reflection in the snow-covered hills Till the landslide brought me down Oh, mirror in the sky, what is love? Can the child within my heart rise above? Can I sail through the changing ocean tides? Can I handle the seasons of my life without you? Well, I've been afraid of changing Cause I built my life around you But time makes you bolder Even children get older And I'm getting older too I took my love and I took it down
Wonderful. Thank you, Alex. Did you like this version better or the last one, Alex?
Oh, no, this one. Yeah, definitely. I think last time I didn't finger pick it correctly. So
I
appreciate the opportunity to learn these songs and hopefully they get better with time, not worse.
I thought it sounded great. Beautiful.
So let's dive into it. Again, topic around hospice patients with dementia. Olivia, how did you get interested in this subject?
But I'm interested in it for two reasons. The first is that my grandfather died of Alzheimer's and my grandmother was his caregiver for over 10 years, his sole caregiver for over 10 years. And so there is a personal angle. The other is that I'm a sociologist by training. So I am not a clinician and sociologists like to understand sort of patterns and what happens to folks and why. And death is the one thing that happens to everyone. You can't buy your way out of it. It doesn't matter what color your skin is. It doesn't matter what sex or gender you are. And so when I went back to get my PhD in sociology, I knew that I wanted to study end-of-life care and outcomes at end-of-life. So this is sort of the intersection of the two.
Death and taxes. Death and taxes. In fact, I have a slide on my... Why this? The slide has a picture of a quote from Benjamin Franklin.
My wife is a trust and an estate lawyer, and I do palliative care and hospice. So we always thought about opening up a shop right next to each other.
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Chapters
8 chapters
1
What is the purpose of the podcast and who are the guests?
0:06–8:59
2
Why did the hosts choose “Landslide” by Fleetwood Mac as the song request?
8:59–14:36
3
How did Libby Luth design the hospice‑for‑dementia study and what data were used?
14:36–20:05
4
What were the main findings about long stays and live discharges in hospice patients with dementia?
20:05–23:39
5
Why are home hospice patients at higher risk for live discharge or prolonged stays?
23:39–28:33
6
How do Medicare hospice policies and reporting metrics affect care for people with dementia?
28:33–32:46
7
If you could change one thing about the hospice benefit, what would it be?
32:46–36:08
8
What are the key take‑aways and next steps for improving hospice care for dementia patients?
36:08–38:25
Speakers
4 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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Weight loss, GLP-1s and Sarcopenia: A Podcast with John Batsis, Shen Dewar, Aruna Josyula
Who Should Palliative Care See? Diane Meier, Bob Arnold, and Justin Sanders
LATE vs Alzheimer's: Biomarkers, Mixed Dementia, and Clinical Realities with Nate Chin & Sterling Johnson