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#GERIonICE helps rehab & fitness pros get results with older adults. Brought to you by the Institute of Clinical Excellence, tune in to hear pertinent geriatric discussions, relevant research, & treatment ideas. Good for Physical Therapists, Occupational Therapists, Assistants, Students, New Grads, Seasoned Veterans, Geriatricians, & Fitness Professionals. Find out more at PTonICE.com
 
The American Journal of Geriatric Psychiatry is the authoritative source of information for the rapidly developing field of geriatric psychiatry. Published monthly, AJGP publishes peer-reviewed articles on the diagnosis and classification of psychiatric disorders of later life, epidemiological and biological correlates of mental health of older adults, and psychopharmacology and other somatic treatments.
 
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show series
 
In this podcast we talk about all things heart failure - from the culture of cardiology, how to impart palliative care on trainees, and practical tips on helping predict prognosis and symptom management. For more reading be sure to check out Haider's article in JPM on Top 10 Tips for Palliative Care Clinicians Caring for Heart Failure Patients and …
 
On todays podcast, we have Lauren Moo, a cognitive behavioral neurologist who has been doing video visits well before the COVID-19 pandemic to decrease the need for travel and to decrease the agitation in older adults with dementia that commonly occur when a clinic visits disrupts the usual routine. Now with COVID among us, Lauren talks to us about…
 
Last month we published a podcast with Sean Morrison that garnered a great deal of attention, in which Sean Morrison argued that Advance Care Planning is an idea that is “clear, simple, and wrong.”This week, we have a fresh updated counterpoint from Rebecca Sudore and Ryan McMahan. These two published a paper this week in the Journal of the America…
 
Curious about community-based exercise programs in the age of COVID-19? Patrice Hazan of GroupHab & the GERI Facebook group recently interviewed Jeff Musgrave of StrongerLife Fitness about lessons learned during COVID-19. This is a GREAT discussion if you're interested in community-based fitness programs for older adults. Lots of nuggets of wisdom …
 
In 1968 a committee at Harvard Medical School met to lay down the groundwork for a new definition of death, one that was no longer confined to the irreversible cessation of cardiopulmonary function but a new concept based on neurological criteria. Over the next 50 years, the debate over the concept of brain death has never really gone away. Rather …
 
Chris Callahan (of Indiana University) and Lee Jennings (University of Oklahoma) have some righteous anger. Why do we have comprehensive cancer care centers and not comprehensive dementia care centers? We have a body of evidence dating back 30 years to support people with dementia and their caregivers with Comprehensive Dementia Care. Lee Jennings …
 
Every year, about a third of older adults fall. About one in five of those falls result in moderate to severe injury. What can we do to help not only prevent those falls but also the complications of them?On todays podcast, we talk to Tom Gill, one of the authors of the recent Strategies to Reduce Injuries and Develop Confidence in Elders (STRIDE) …
 
No dear listeners and readers, that is not a typo. Eric Widera is indeed our guest today to discuss his first author publication in the New England Journal of Medicine, Family Meetings on Behalf of Patients with Serious Illness. Our other guests include other authors James Frank, Wendy Anderson, Lekshmi Santhosh, me and actress and frequent GeriPal…
 
COVID-19 has created a perfect storm in nursing homes. As noted in a recent Journal of the American Geriatrics Society (JAGS) article by Joe Ouslander and David Grabowski, the storm is created by the confluence risks, including a vulnerable population that develop atypical presentations of COVID-19, staffing shortages due to viral infection, inadeq…
 
As we rebrand this podcast to #GERIonICE, we (the GEROS team) wanted to share what GEROS means to us & our hopes for this amazing community! If you didn't listen to Monday's episode, you should go back & do that. In summary, here are the changes that are happening: Say "Goodbye" to the GEROS Recap and "Hello" to the MMOA Digest - Bi-weekly email of…
 
Sean Morrison dropped a bomb. It's a perspective I've heard before from outside of palliative care, most clearly by bioethicists Angie Fagerlin and Carl Schnieder in their landmark article Enough: The Failure of the Living Will. But Sean Morrison, Director of the National Palliative Care Research Center and Chair of the Department of Geriatrics and…
 
BIG NEWS - The Future of GEROS Health -> #GERIonICE Listen in to hear an update on the podcast & what things are going to look like going forward! In Summary: Say "Goodbye" to the GEROS Recap and "Hello" to the MMOA Digest - Bi-weekly email of relevant research, helpful podcasts, & insightful info. Click here to get the MMOA Digest. - https://insti…
 
Today's episode from Alex Germano is centered on programming EMOM style workouts/sessions for the older adult population. You can find Alex's E-Book here: https://institute-of-clinical-excellence.ck.page/59d3c8a175 Low Level EMOMs here: https://www.facebook.com/icephysio/videos/159782215331642/?comment_id=221710799138783¬if_id=1596978311135937¬if_t…
 
Many things have had to adapt due to safety concerns of COVID-19 and the upcoming CSM is no exception. In this podcast, Troy talks with HHS president Dee about why the decision was made. There are not many details that have decided yet so stay tuned for more updates. Get free resources from the Home Health Section! www.homehealthsection.org…
 
The 2 Minute Step Test (TMST) with Nicole Nexon & Tali Speizman We in the PT community continue to need to be adaptive to current events - and we need to continue to provide high quality, evidence based care. While we can all agree that the 6 minute walk test is highly useful for determining exercise capacity, shortage of space is an issue in inpat…
 
APTA Covid-19 Task Force Recommendations #HHRecharge In this week's episode, Troy talks about the recent Covid-19 resources particularly the new APTA Covid-19 Task force recommendations. Link to the Covid-19 task force recommendations: https://www.apta.org/your-practice/outcomes-measurement/covid-19-core-outcome-measures ----- If you enjoyed this e…
 
In this week's GeriPal podcast we talk with Louise Aronson, author of the Pulitzer prize finalist Elderhood (https://www.amazon.com/Elderhood-Redefining-Transforming-Medicine-Reimagining/dp/1620405466).Louise has been one of the (sadly) few voices beating a loud and urgent drum in the medical and lay press about the insidious ageism taking place in…
 
We all have them. Fun stories, funny stories, sad stories, epic fail stories. They are what teach us. What we use to help guide our decisions and they shape us as clinicians. In this week's episode, Christina Prevett talks about some of hers and the other GEROS crews' BEST GeriPT stories. What are some of your most wild, funny, sad GeriPT stories? …
 
Sick BUT Strong (Part 3/3): Give them a Dose of our Medicine In the last part of our "Sick BUT Strong" series, we are going to finish building that bike and ride it straight on home! Julie Brauer talks about why it is so important to show our patients what they are capable of by giving them a dose of exercise! Is it safe? What does it logistically …
 
SICK but STRONG (Part 2/3) Let’s get to know our Heroes Now that we understand the importance of building the bike in acute care, how do we do it?! Join Julie Brauer, PT, DPT, as she explains how we can revamp our Acute Care evaluations to fully get to know our patients, build trust, and get them imagining what life wound look like if they were hea…
 
SICK But STRONG: Inspiring Change in Tough Settings (Part 1/3) with Dr. Julie Brauer, PT, DPT If you’ve been a part of the GEROS Health crew for a while, you have heard all about the process of Building the Bike. But have you thought about how we can do this in acute care? Join Julie Brauer as she dives deep into why it is so important to reimagine…
 
Meet the Docs in the Box! Two Physiatrists that are working to blend the words of Physical Medicine & Rehabilitation with Fitness/CrossFit. Dustin & his wife, Dr. Meghan Jones, sat down with Dr. Amy West & Dr. Matthew Cowling to discuss all things Physiatry, CrossFit, & their new Podcast! We discuss: -What is Physical Medicine & Rehabilitation? -Ho…
 
PACE: A Job that sounds too good to be true Have you heard about PACE Programs (Program of All-Inclusive Care for the Elderly)? There have been a few people in the GEROS community share their love for PACE but we haven't really covered this special program on the podcast...until today! Meet Kaitlin Dodi-Monk - she's a Physical Therapist that works …
 
Despite being in the field over 15 years, I've never felt so far outside my comfort zone as as palliative care provider as I have felt in the last four months. A worldwide pandemic of a novel virus had me questioning how I communicate prognostic information when uncertainty was one of the few things I was certain about. It also pushed me to have th…
 
If you looked at the academic literature, you would think that elder abuse and neglect, collectively called elder mistreatment, did not exist before the 1990s. Of course that's not true at all, it was hidden, covered, and not a major subject of research. Several pioneers have placed elder mistreatment firmly on the map, including XinQi Dong, Mark L…
 
Less than 3 months ago, Troy, Tali, and Nicole recorded their first "corona virus" episode. Now, those same 3 clinicians regroup to discuss the professional and personal adaptations made since then. From telehealth to infectious disease prevention, being ambassadors of health and science, ageism, caring for the caregiver, and a personal experience …
 
This was a remarkable podcast. Eric and I were blown away by the eloquence of our guests, who were able to speak to this moment in which our country is hurting in so many ways.Today's topic is the impact of COVID19 on minority communities, but we start with a check in about George Floyd's murder and subsequent protests across the country. Our guest…
 
The question of who should get limited supplies of drugs that treat COVID-19 is not a theoretical question, like what seems to have happened with ventilators in the US. This is happening now. Hospitals right now have limited courses of remdesivir. For example the University of Pittsburgh hospital system has about 50 courses of remdsivir. They expec…
 
What Outpatient Clinicians Should Know about Home Health Changes Troy helps answer questions from outpatient clinicians in the GEROS Community relating to Home Health. What should your patients expect? What are the trends we're seeing in the Home Health industry? What changes are coming that outpatient clinicians should be aware of? ----- If you en…
 
Immune Checkpoint Inhibitors. They are revolutionary and transforming cancer care. They shrink tumors and extend lives. Plus they have a better side effect profile than traditional therapies for conditions like metastatic lung cancer, so when those with really poor performance status can't tolerate traditional chemotherapy, immune checkpoint inhibi…
 
As Ashwin Kotwal and Lynn Flint note in the introduction to their Annals of Internal Medicine essay (https://www.acpjournals.org/doi/full/10.7326/M20-1982?journalCode=aim), one year ago people were outraged at the thought of a physician using video to deliver bad news to a seriously ill man in the ICU. And look at where we are today. Video and tele…
 
With many of our older adult clients choosing to stay at home or being told to stay in place, we are seeing more people return to, pick up or become increasingly interested in gardening! Gardening is the second most-reported leisure time physical activity for older adults (behind walking). In today's episode, Christina goes through the physical and…
 
Parkinson disease affects 1% to 2% of people older than 65 years. Most known for its distinctive motor symptoms, other distressing symptoms are pain, fatigue, depression, and cognitive impairment. About 2/3rds of individuals with Parkinson's will die from disease-related complications, making it the 14th leading cause of death in the United States.…
 
Eight of the 10 largest outbreaks in the US have been in correctional facilities. Physical distancing is impossible in prisons and jails - they're not built for it. Walkways 3 feet wide. Bunk beds where you can feel your neighbor's breath. To compound the issue, prisoners are afraid that if they admit they're sick they will be "put in the hole" (so…
 
Join Alex Germano as she dives into current literature about aging and cerebral palsy and what evidence is available for appropriate treatment protocols. The next episode of this 2 part series will feature an interview with one of Alex's patients who has cerebral palsy (Publishing in June). Articles mentioned: https://www.ncbi.nlm.nih.gov/pmc/artic…
 
One million inpatient falls occur annually in U.S. acute care hospitals. Sitters, also referred to as Continuous Patient Aids (CPA's) or safety attendants, are frequently used to prevent falls in high-risk patients. While it may make intuitive sense to use sitters to prevent falls, it does beg the question, what's the evidence that they work?We dis…
 
We are rationing in the US. We may not be explicitly rationing, as we're going to discuss on this podcast, but we are rationing - in the way we allocate fewer tests and less PPE to nursing homes compared to hospitals, in the way we allow hospitals and states to "fend for themselves" resulting in those hospitals/states with better connections and mo…
 
Social / Cultural norms and germs. Who's not re-evaluating their stance on both during a pandemic? Tali and Nicole continue to explore the changes COVID -19 has brought to our daily patient and colleague interactions, including how we greet each other. ----- If you enjoyed this episode, consider joining the GEROS Community! You'll get: Access to th…
 
The cross-over episode is an American tradition that is near and dear to my heart. My childhood is filled with special moments that brought some of my very favorite characters together. Alf crossed over with Gilligan's Island. The Fresh Prince of Bel Air crossed over with The Jeffersons. Mork and Mindy crossed with Happy Days and Laverne and Shirle…
 
We are delighted to have Dani Chammas, psychiatrist and palliative care physician, back on the GeriPal podcast to talk about emotional PPE. None of us can recall who originated the term, but we've all heard it bandied about much needed for front line providers treating patients with coronavirus. Headlines about the New York emergency room doctor co…
 
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