Implementing Palliative Care in Nursing Homes
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
3 speakers
6 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What are the specific palliative‑care needs of nursing‑home residents?
Hey JerryPow listeners. Before we start this podcast, we'd just like to say a very brief thank you to all of those who've recently donated more than a hundred dollars to the JerryPow podcast, including
Trisha Ghoshi, Paul Tatum, Brian Castle, Victoria Braun, Susan and John McFadden, Christopher Heck, Emise Samoji, Matthew Schuster, Carrie Hagen, and Lloyd Wolstatt.
And if you're interested in donating, just go to the JerryPAL website and click that blue donate button. And it's a tax uh deductible. Deductible, nonprofit, all that fun stuff. And on to the show. Welcome to the Jerry Pal podcast. This is Eric Wadera. This is Alex Smith. At Alex, we have three amazing guests to talk about palliative care and nursing home settings. Who do we have on the podcast with us today?
We are delighted to welcome back Kathleen Unro, who is a geriatrician and palliative care doc and researcher, and a professor of medicine at Indiana University, and founder and CEO of Pro Bari. Kathleen, welcome back to the JerryPal Podcast.
Thank you.
And we're delighted to welcome Carrie Levy, who's a geriatrician, palliative care doc, researcher, and professor of medicine at the University of Colorado. Carrie, welcome to the JerryPel Podcast.
Thank you. Very happy to be here.
And we're delighted to welcome Connie Cole, who is a nurse researcher and assistant professor at the University of Colorado. Connie, welcome to the JerryPal podcast.
Thank you for
having me. So we got a lot to talk about palliative care and nursing hub settings from specialty to primary palliative care to hospice, the barriers, what's working, the solutions. But before we do. I think someone has a song request for Alex.
I would like to request hallelujah, one of my favorite songs. And I love hearing you sing. And so it's an excuse to have you sing a beautiful song. And it's a I think a very uplifting uh song. And I'm so pleased with Connie and that she's uh she's doing so well. And so it's a celebration of her too.
Okay, I got a question for you. Uh who is the f your favorite singer of the song? Leonard Cohen. Leonard Cohen.
Oh okay. That's uh well oops, I learned the Jeff Buckley version.
Oh, that's okay. No problem.
I won't do my growl I won't try to change it up quickly to do my growling Leonard Cohen voice version. All right, here's a little bit.
Well I heard there was a secret chord that David played and it pleased the Lord, but you don't really care for music, do ya? Well it goes like this the fourth, the fifth, the minor fall and the major lift, the baffled king composing Hallelujah. Hallelujah. Halleluja, Halleluja, Halleluja.
That was wonderful, Alex. Such a beautiful song. Thank you so much. So we have a lot to talk about, but I I'm wondering if we can kind of take a big step back. And just talk about the patient population that's in nursing homes like Do they have Palliative care needs, and if so, what do we think they are? Anyone wanna take that first gander? That's a big question.
I I think any of us who've spent any time in nursing homes have spent time working in a nursing home setting, um, have visited, had family members in nursing homes and looked around and seen the population there. You know, the the reason that you're in a nursing home is because you have some mix of serious illness. And you know, multimorbidity usually, functional impairments, you need help with very basic activities, getting to the bathroom, getting dressed, um, and memory issues, cognitive impairment. And so as you think about the conditions that mean that you need care and support in a nursing home. It's easy to see why many of us feel that palliative care there are a lot of palliative care needs um of nursing home residents just because of the nature of the conditions and reasons that got you there.
And I think about like J we are the Jerry Pal podcast. And you think about geriatric palliative care, like you think nursing homes ought to be the paradigmatic like location, an example, an exemplar of like the combination of geriatrics and palliative care. And yet
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Chapters
6 chapters
1
What are the specific palliative‑care needs of nursing‑home residents?
0:00–15:16
2
Why is integrating primary and specialty palliative care so difficult in nursing homes?
15:16–30:55
3
What financial and reimbursement barriers limit palliative‑care referrals?
30:55–37:50
4
How does the four‑step referral process (identify, assess, consensus, consult) work in practice?
37:50–41:54
5
What role can Minimum Data Set (MDS) nurses play in screening for palliative needs?
41:54–46:48
6
How can tele‑health and remote consultation overcome specialist shortages?
46:48–48:04
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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