show episodes
 
Nursing homes rarely garner positive attention, particularly from the media, and especially since the onset of COVID-19. Join Susan Ryan, senior director of The Green House Project, each Wednesday for enlightening, provocative, and sometimes uncomfortable conversations with thought leaders who offer diverse perspectives aimed at elevating eldercare. Susan and her guests explore the opportunities and challenges to actualizing a vision for dignified eldercare through the lens of the Green Hous ...
 
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Absolute Trust Talk

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Absolute Trust Talk

Kirsten Howe: Attorney and podcaster

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Educating at every step. Absolute Trust Talk is not your run of the mill general counsel show filled with legal jargon that doesn’t resonate. Through her 20+ years of practice, Absolute Trust Counsel managing attorney Kirsten Howe found herself working with clients who were confused and overwhelmed by the complexity of estate planning and saw a need to help clients with education and specific client-centered estate planning services. Now Kirsten is taking her expertise and experience to a ne ...
 
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GeriPal

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GeriPal

Alex Smith, Eric Widera

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A geriatrics and palliative care podcast for every health care professional. We invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn and maybe sing along. Hosted by Eric Widera and Alex Smith.
 
Welcome to the SmartLinx Podcast! Each podcast runs about 10 to 20 minutes in length and covers topics ranging from human resources to compliance, scheduling, recruiting, payroll and more. Our own Darcy Grabenstein interviews subject matter experts, both internal and external, to provide you with actionable insights. And now, on to today’s podcast!
 
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show series
 
The great resignation is upon us. One in five health-care workers has left their job since the pandemic started. Geriatrics and palliative care are not immune to this, nor are we immune to the burnout that is associated with providers leaving their jobs. In today’s podcast, we talk with Janet Bull and Arif Kamal about what we can do to address burn…
 
The arc of Dr. Edith Eger’s life took her from unimaginable despair to peace and a calling to help others. This week, she joins “Elevate Eldercare” to discuss her unique and powerful perspective on grief, hope, and forgiveness – as well as the continued need to fight ignorance and hatred with love and understanding. As a teenager, Dr. Eger survived…
 
I don’t consider myself spiritual. For some in palliative care, this would be considered heresy as we are told “everyone is spiritual.” But, hey, I’m not. So there. However, despite not being spiritual, I do believe that spiritual care is fundamental to the care I give patients and families. I also recognize it is the one palliative care domain I a…
 
This Thanksgiving week, “Elevate Eldercare” hands the mic over to three dedicated caregivers from the Green House Cottages of Homewood in Mena, Ark. Administrator Vicki Hughes, RN Toni Lawrence, and Shahbaz/CNA Kerri Rye gather around a virtual gratitude table to discuss their reasons for working in eldercare, the power of the Green House model for…
 
Though “breath” is in the title of Wes Ely’s book (and his song choice by the Police), relationships are its beating heart. The book operates on two levels. On one level, Wes Ely’s book is an autobiography of a critical care doctor’s horror and shame at discovering that his ICU practice of heavily sedating patients for days on end was leading to li…
 
As leaders from across the long-term care continuum continue to search for solutions to the worsening workforce shortage Robert Espinoza has a simple piece of advice: Learn more about caregivers’ challenges and solve them to help them stay in the sector. Espinoza is the vice president of policy at PHI – an eldercare workforce advocacy and research …
 
If you have a family member with special needs, financial concerns are more than likely always top of mind. Family members or friends who want to help by gifting or leaving an inheritance to them may have good intentions. Unfortunately, many times there are unintended consequences that do more harm than good. For people who rely on certain needs-ba…
 
Anyone who cares for individuals with serious illness must live in a messy space where tough conversations about treatment decisions are common and complicated. On today’s podcast we talk with James Tulsky about living in this messy space of medical decision making and the challenges that come with communication around advanced treatment decisions.…
 
As leaders from across the long-term care continuum continue to search for solutions to the worsening workforce shortage, Robert Espinoza has a simple piece of advice: Learn more about caregivers’ challenges, and solve them to help them stay in the sector. As the vice president of policy at the eldercare workforce advocacy and research group PHI, E…
 
“The secret sauce of the Transitions, Referral and Coordination (TRAC) team was including a lawyer.” This is brilliant and will ring true to those of us who care for complex older adults who end up in the hospital for long, long, long admissions. On today’s podcast we talk with Kenny Lam, Jessica Eng, Sarah Hooper, and Anne Fabiny about their succe…
 
What might be the answer to the workforce crisis in long-term care? In this edition of “Let Me Say This About That” we explore the possibilities that Robyn Stone recently shared on Elevate Eldercare. Robyn is the senior vice president for research at non-profit provider organization LeadingAge and co-director of the LeadingAge LTSS Center at UMass-…
 
Is anyone ever really prepared to deal with a severe illness or injury? Most people find themselves unprepared when thrust into the patient or caregiver role, understandably so. Roberta Carson knows first-hand just how overwhelming it can be to make the immediate transition. Her experience caring for her teenage son, Zachary, during his 27-month ba…
 
Most studies in geriatrics have used metrics such as survival time or disability in activities of daily living as their outcome measure. Many palliative care interventions are evaluated on the basis of ability to change symptoms such as pain. But these outcomes represent a thin view of the human experience. What older adults and those with serious …
 
With the workforce crisis in long-term care more dire than ever, providers face difficult decisions on an almost daily basis around maintaining a high level of care while managing a growing shortage of qualified candidates. Robyn Stone – senior vice president for research at non-profit provider organization LeadingAge and co-director of the Leading…
 
The FDA label for the amyloid antibody aducanumab (Aduhelm) started off exceedingly broad, basically including anyone with Alzheimer's disease, but was subsequently narrowed to to patients with mild cognitive impairment (MCI) or mild dementia due to Alzheimer disease (AD). Should, though, the label be even more restrictive to mirror the populations…
 
This past summer, the American Bar Association overwhelmingly passed a resolution urging Congress to make private rooms and bathrooms, along with other small-home touches, a prerequisite for nursing homes to receive Medicare and Medicaid funding. In this episode, Mary and Marla take a closer look at the work of the longtime director of the ABA’s Co…
 
“The take home message of this study is NOT that primary palliative care does not work.” So says Yael Schenker of the negative study of an oncology nurse-led primary palliative care intervention for people with advanced cancer. And we pushed Yael and Bob Arnold (senior author) on this point - we have several negative studies of primary palliative c…
 
Do you have a spouse or loved one who has dementia? Hearing them say “I love you” or share a memory is something that every caregiver hopes for. And in those rare instances, it truly gives a renewed sense of purpose in life. Unfortunately, often, after being diagnosed with dementia, patients are prescribed drugs that, in some cases, cause depressio…
 
This past summer, the American Bar Association overwhelmingly passed a resolution urging Congress to make private rooms and bathrooms, along with other small-home touches, a prerequisite for nursing homes to receive Medicare and Medicaid funding. To learn more about this attempt to overhaul the landscape by radically changing the financial incentiv…
 
Time-limited trials. We’ve all probably used them before. We meet with patients and families. We agree to either start or continue a particular treatment to see if it helps in some specific way over some defined period of time. If it works as hoped, great, we continue the treatments. If not, we stop them. At least that is how it’s supposed to go. O…
 
Research gives you a solid foundation on which you can build your ideas and opinions and in this episode of “Let Me Say This About That” we explore the work from two leading researchers in the aging sector. University of Chicago researcher R. Tamara Konetzka, who was behind some of the earliest research into COVID-19 and nursing homes, which often …
 
Caregiving is certainly not an easy job. Often, caregiving responsibilities are given to family members who are learning as they go—especially with the case of dementia. While caregiving for someone struggling with dementia is no easy task, Jennifer Fink understands and has created many resources to help. After experiencing the difficulties behind …
 
University of Chicago researcher R. Tamara Konetzka was behind some of the earliest research into COVID-19 and nursing homes, which often generated provocative and unexpected results: While media coverage focused on individual outbreaks and historic lapses in infection control, Konetzka’s work suggested that past quality didn’t have much of an impa…
 
I’m going to start this introduction the way Eric ended our podcast. You are a GeriPal listener. Like us, you care deeply about our shared mission of improving care for older adults and people living with serious illness. This is hard, complex, and deeply important work we’re engaged in. Did you know that most GeriPal listeners have given us a five…
 
Evidence-based practices form the bedrock of quality health care services, but as we continue to seek real reforms in long-term care, Sheryl Zimmerman believes researchers need to flip the script – and also embrace practice-based evidence. Instead of waiting years to see which new theories and ideas may eventually pan out into best practices, Zimme…
 
Did you know that, according to the National Cancer Institute, approximately 37 to 39% of all Americans will be diagnosed with cancer at some point in their lives? Whether you or a loved one are struggling with cancer, the damages cancer incurs to one’s physical self can be just as difficult to deal with as the emotional effects. While it can be ea…
 
Safe and effective COVID-19 vaccines brought a long-overdue end to a blanket federal ban on nursing home visitations this past March, but the surging delta variant has brought back the isolation and uncertainty of 2020 to nursing homes and other communal care facilities across the country. This week, Susan Ryan and Alex Spanko sit down with a pair …
 
Randy Curtis, a paragon of palliative care research, was diagnosed with ALS in March. Randy is in a unique position as someone who studies and cares for people living with serious illness, who now shares his reflections on being on the other side, to reflect on the process of living with serious illness. His reflections are illuminating and inspiri…
 
Safe and effective COVID-19 vaccines brought a long-overdue end to a blanket federal ban on nursing home visitations this past March, but the surging delta variant has brought back the isolation and uncertainty of 2020 to nursing homes and other communal care facilities across the country. This week, Susan Ryan and Alex Spanko sit down with a pair …
 
alliative care has a diversity problem. The workforce of palliative care looks nothing like the patient population that we care for in the hospital and in our clinics. For example, in 2019-2020 academic year only 4% of Hospice and Palliative Care fellows identified as black, compared to 12% of the overall US population using the most recent census …
 
It can be physically and emotionally draining to care for an elderly or disabled family member. Just like anyone else, caregivers can often feel lonely, isolated, and overburdened as they try to balance their other commitments. But what resources are there for caregivers when dealing with these difficult emotions? Elaine Sanchez is here to help. Ha…
 
As president of the National Association for Home Care and Hospice, Bill Dombi is a prominent supporter of the Choose Home Care Act of 2021 – a piece of federal legislation that would expand Medicare coverage of in-home health care services. In this episode Marla takes a closer look at what is included in the Choose Home bill – what does it mean fo…
 
Much has been written in geriatrics and palliative care about anticipatory grief, about the grief of caregivers, and even the grief clinicians experience following the deaths of their patients. Krista Harrison, in a Piece of My Mind essay in JAMA, writes about something different. She writes about coping, as an academic hospice and palliative care …
 
As the CEO of National Association for Home Care and Hospice, Bill Dombi is a prominent supporter of the Choose Home Care Act of 2021 – a piece of federal legislation that would expand Medicare coverage of in-home health care services. Addressing the relative lack of home care alternatives to nursing facilities has become a rallying cry for lawmake…
 
Being named a trustee is an honor, but it comes with a lot of responsibility. Legal work has to be done, and if you’re not familiar, the process can seem more like a burden. The tasks on hand aren’t necessarily rocket science, but there are a few things that we see clients tend to miss. In a new episode of Absolute Trust Talk Live, Kirsten is joine…
 
Today’s podcast is on academic life hacks, those tips and tricks we have seen and developed over the years to succeed in academic medicine in fields that are somewhat generalist in nature. While the podcast is meant for fellows and junior faculty, we hope some of it applies to the work that all of our listeners do, even in non-academic settings. Wh…
 
In this episode of “Let Me Say This About That” Marla and Mary explore the conversation that took place between Susan Ryan and Shawn Bloom, the CEO of the National PACE Association (NPA) in Episode 109 of Elevate Eldercare. PACE, or the Program for All-Inclusive Care for the Elderly is community-based and provides a comprehensive set of services de…
 
“Loneliness is different than isolation and solitude. Loneliness is a subjective feeling where the connections we need are greater than the connections we have. In the gap, we experience loneliness. It’s distinct from the objective state of isolation, which is determined by the number of people around you.” - Vivek Murthy, two time (and current) Su…
 
COVID-19 continues to spur loud calls for expanded home- and community-based services for elders, which are too often lacking in many parts of the country. But there’s an already powerful blueprint that organizations have followed, gradually but steadily, for decades: PACE, or Program for All-Inclusive Care for the Elderly. Across the United States…
 
With the delta variant surging among the unvaccinated and the looming specter of increased restrictions even for those who’ve gotten their jabs, the cycles of uncertainty that defined most of 2020 are currently making an unwelcome comeback. In Episode 107, Susan Ryan welcomes Tammy Marshall and Alex Spanko back on the podcast to talk about strategi…
 
The last thing grieving family members want to think about is money. Making preparations with your finances should be at the top of that list to help relieve your loved ones of any added stress when the time comes. But, you might think, what’s the big deal? It’s just an account that holds my money. That may be true, but did you know that a bank wil…
 
With the delta variant surging among the unvaccinated and the looming specter of increased restrictions even for those who’ve gotten their jabs, the cycles of uncertainty that defined most of 2020 are currently making an unwelcome comeback. But for people who live and work in communal settings for elders, the stakes are much higher than the return …
 
Larry Polivka spent more than a decade as executive director of the Claude Pepper Center at Florida State University before his retirement this past May. In episode 105, Susan Ryan and Alex Spanko explore both leaders’ powerful legacies in the fight to revolutionize eldercare in America. In this edition “Let Me Say This About That”, Marla and Mary …
 
On June 7th, 2021 FDA approved the amyloid beta-directed antibody aducanumab (Aduhelm) for the Treatment of Alzheimers. This approval of aducanumab was not without controversy. Actually, let me restate that. The approval of aducanumab was a hot mess, inside a dumpster fire, inside a train wreck. After the approval, three members of the FDA advisory…
 
Larry Polivka spent more than a decade as executive director of the Claude Pepper Center at Florida State University before his retirement this past May. In this episode, Susan Ryan and Alex Spanko explore both leaders’ powerful legacies in the fight to revolutionize eldercare in America. Pepper’s life took him from extreme poverty in Alabama to a …
 
Many people assume that when they turn 65, they are automatically covered by Medicare and that everything will be paid for. Unfortunately, that is not exactly true. When it comes to signing up for Medicare, there are many decisions to be made and things to consider. Just because you are healthy right now doesn’t mean you won’t have health issues in…
 
Stephen Gordon has dedicated his career to improving eldercare services and supports, and during his time as a geriatrician and educator, he observed a trend among his fellow travelers: People tend to fall in love with a specific reform idea or organization, and then have trouble seeing the potential for connections and overlap with other novel mod…
 
Cannabis use by older adults has increased substantially over the last decade, a trend that has paralleled the legalization of its use for medical and recreational purposes. In that same time, there has been a decreased perceived risk associated with cannabis use in older adults as noted in a recent study published in JAGS. On today’s podcast we ta…
 
Stephen Gordon has dedicated his career to improving eldercare services and supports, and during his time as a geriatrician and educator, he observed a trend among his fellow travelers: People tend to fall in love with a specific reform idea or organization, and then have trouble seeing the potential for connections and overlap with other novel mod…
 
Jennifer Sodo and Max Winters share a core belief about architecture: It’s not just supposed to look nice, but actually improve people’s lives. The senior associates at architecture and design firm Perkins Eastman joined Susan Ryan on “Elevate Eldercare” in Episode 101, to discuss how the built and natural environments are essential to creating inc…
 
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