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Elevate Eldercare

Center for Innovation

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Let’s Elevate Eldercare Together! Every great eldercare community has a unique story, and there are many paths toward providing high-quality, person-directed services and supports for older adults. That’s why we launched “Elevate Eldercare”: to bring together thought leaders, activists, and advocates in the field of aging services and give them a space where thoughtful discourse and diverse perspectives flow freely. Join Susan Ryan, Alex Spanko, and other GHP team members every Wednesday for ...
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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. CME available!
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Absolute Trust Talk

Kirsten Howe: Attorney and podcaster

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Absolute Trust Talk is your navigational compass that brings together the business of trusts, estate planning, and aging – your homebase to find the knowledge you’re seeking on what lies ahead. With over 30 years of experience combined, the Absolute Trust Counsel team has seen their fair share of clients confused and overwhelmed with the complexity of estate planning and the challenges and obstacles that life can throw your way. On a mission to take the vast team expertise and experience to ...
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As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits? In the ICU at the bedside? Nurses. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. We talk tod…
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From a very young age, Paddy Moore learned the value of speaking her mind and advocating for those facing discrimination and exclusion, and she turned those lessons into a lifetime of fighting for others – whether it was creating anti-poverty programs under the federal Office of Economic Opportunity, working to de-institutionalize care for people l…
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Breaking the silence on dementia care: Are non-pharma interventions the missing link? Join us as we unravel the silent signals of holistic care in nursing homes, unveiling transformative strategies for those battling dementia. In this week’s episode, nursing home abuse attorney Rob Schenk welcomes guest Dr. Kales to talk about pioneering non-pharma…
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Eric asks the question that is on many of our minds - is the future of AI more Skynet from Terminator, in which AI takes over the world and drives humanity to the brink of extinction, or Wall-E, in which a benevolent and empathetic AI restores our humanity? Our guest today is Bob Wachter, Chair of Medicine at UCSF and author of the Digital Doctor: …
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You can’t fix what you can’t measure, and for too many years, advocates and officials have attempted to reform the nursing home system without an accurate accounting of multiple metrics – including the flow of money and the track records of owners. CFI strategic advisor Anne Montgomery joins the podcast to discuss her efforts to bring greater trans…
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Family conflict after a loved one has passed is very common, but that doesn’t mean it can’t be avoided. In our years of experience in estate planning, we’ve seen many different scenarios play out and have a thorough understanding of the nuances that tend to cause these conflicts. The number one reason for disputes over a trust lies in the feeling t…
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Ambivalence is a tough concept when it comes to decision-making. On the one hand, when people have ambivalence but haven't explored why they are ambivalent, they are prone to bad, value-incongruent decisions. On the other hand, acknowledging and exploring ambivalence may lead to better, more ethical, and less biased decisions. On today's podcast, J…
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When Jennilie Brewster first started inquiring about volunteering at the Coler nursing campus on New York City’s Roosevelt Island, she never imagined that her work with the residents would have a national impact. Brewster – a writer, painter, and film producer – joins the podcast to discuss her work with OPEN DOORS NYC and the Reality Poets, a grou…
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When we first begin working with a client who is setting up their estate plan and, more specifically, building a trust, the number one question we always get is whether they need a revocable or an irrevocable trust. For us, this is always an interesting and fun conversation because as soon as the client hears the difference, they immediately know w…
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In 1983, a 25 year old Nancy Cruzan was thrown from her car while driving home in Missouri, landing in a water filled ditch. She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that…
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The topic of responsibly integrating technology into eldercare communities is so rich and complex that we needed two episodes with Joe Velderman, vice president of innovation at Cypress Living in Fort Myers, Fla. to capture it all. Velderman returns to dive into the specific tech solutions that his organization has adopted across its life plan comm…
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Welcome back! In our last episode of Absolute Trust Talk, we were joined by expert psychotherapist and certified coach Tess Brigham, MFT, BCC, to discuss the differences between generations and, more specifically, examine the unique dynamics between Baby Boomer parents and Millennial children. In this episode, we continue our conversation with Tess…
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One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. Well, as a kick off to this ye…
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Marvell Adams, Jr. not only talks the talk when it comes to fostering diversity, equity, and inclusion in eldercare – he walks the walk, holding multiple roles across the eldercare spectrum where he brings people of all ages, races, socioeconomic backgrounds, and points of view together to move the sector forward. Adams, who serves on the Center fo…
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The battle between the generations is real and seems to be everywhere. Yes, generational divides even play a role in estate planning. In fact, estate plans nowadays are built around more diverse and multigenerational families than ever before. In this new episode of Absolute Trust Talk, we are joined by psychotherapist and certified coach Tess Brig…
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What is frailty? Kate Callahan relates a clear metaphor on today’s podcast. A frail person is like an origami boat: fine in still water, but can’t withstand a breeze, or waves. Fundamentally, frailty is about vulnerability to stress. In 2021 we talked with Linda Fried about phenotypic frailty. Today we talk with Kate Callahan, Ariela Orkaby, & Dae …
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Reminiscent of the ageist discourse around the “silver tsunami,” the concept of people aging without the support of children or a spouse – once referred to as “elder orphans” – is far too often discussed as a problem, and not a wonderful opportunity to enjoy a new phase of life with friends, neighbors, and other people who bring us joy. Sara Geber …
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Unlock the secrets of healthcare assessments! Ever wondered what MDS assessments really mean for your loved one in a nursing home? Discover simple tips on how to read MDS assessments, empowering families to make informed decisions about their loved one's care. In this week's episode, nursing home abuse attorney Rob Schenk discusses practical insigh…
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Almost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. The rules of the challenge were simple: fluids must be thickened to “honey consistency” using a beverage thic…
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The idea that structural racism has a direct impact on all facets of American life – including the experiences of elders in care settings – shouldn’t be a controversial statement in 2024, but far too often, the question of equity and race-conscious policymaking gets wrapped up into a broader political discourse. Shekinah Fashaw-Walters, an assistan…
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Recently, the entertainment world has been abuzz with numerous high-profile conservatorship battles, and the latest to emerge involves iconic singer Cher. She has initiated a conservatorship petition concerning her son, Elijah Blue Allman, aiming to oversee the financial benefits he inherits from his father, the late Greg Allman's trust. Legal fili…
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In the last several years, I’ve seen more and more articles about end-of-life doulas (like this NY Times article from 2021). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild. I’m unsure what they do, how often they’re used, and who pays for their work. So, on today’s podcast, we try to g…
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Naomi Feil, who originally developed the Validation method of supporting and communicating with people living with dementia, died this past December 24 at the age of 91. This week, we’re celebrating Naomi’s life with her daughter – and fellow champion for the dignity of people living with dementia – Vicki de Klerk-Rubin, executive director of the V…
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When you think of the Beach Boys, what comes to mind? We’re betting it’s not a complicated conservatorship case. Unfortunately, that’s what’s happening with the Beach Boys Founder, Brian Wilson. Mr. Wilson’s long-time wife had been his healthcare directive, but with her recent passing, it was discovered that no one was ever named as a backup. Now, …
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Today we celebrate eight years, around 2 million listens, and 300 podcasts! Eric and I take questions from you, our listeners, about: why we podcast, our most controversial podcast, which podcast changed our practice, favorite song request, should all nursing home residents complete the POLST, expanding access to durable medical equipment, palliati…
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Tetyana Shippee first became fascinated with the power of structural forces to shape individual lives as a grad student from Ukraine studying the sociology of addiction in the United States. That academic interest soon expanded into gerontology and elder issues – including a two-year stint living in a continuing care retirement community as part of…
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In our podcast with palliative care pioneer Susan Block, she identified the psychological/psychiatric aspects of palliative care as the biggest are of need for improvement. As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. That rings true to me. Toda…
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