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Nursing homes rarely garner positive attention, but COVID-19 brought the sector into the public eye like never before — bringing more negative headlines but also an unprecedented opportunity for change. Our podcast, “Elevate Eldercare,” was created in an effort to bring together thought leaders, activists, and advocates in the field of aging services to foster thoughtful discourse and diverse perspectives aimed at elevating eldercare. Join Susan Ryan, Penny Cook, Alex Spanko, and other GHP t ...
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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.
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Absolute Trust Talk
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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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There is a growing push to change how we define Alzheimer's disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. This proposed new definition, championed by the Alzheimer's Association (AA) and the National Institute on Aging (NIA), proposes that the …
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“Unpretentious” isn’t a word you see often in marketing materials for senior living communities, but it shows up several times in the description of Northaven Senior Living in Seattle. Darlene Storti, Northaven’s executive director, joins “Elevate Eldercare” to discuss this down-to-earth assisted and independent living community for lower- and mode…
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Each Thanksgiving, “Elevate Eldercare” centers gratitude by handing the mic over to the people who make Green House homes such great places to live. This year, we’re headed out west to Wyoming to meet three team members from Green House Living for Sheridan: licensed practical nurse Kiara Charlson, HR manager and education coordinator Jon Lanning, a…
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Stacey Bergmann joined the Center for Innovation this month as the new director of network and community relations – tasked with serving as the main liaison between the national organization and our local-level Green House Project and Pioneer Network partners – and today she joins the podcast to discuss her career, passions, and vision for the futu…
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Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. Sure, Atul Gawande wrote about coaching in surgery - having someone observe you and coa…
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Brian McGarry’s research at the University of Rochester has focused on the ways that financial and economic factors affect care in nursing homes — a particularly vital topic as the sector continues to debate a contentious proposed staffing mandate, which could have a significant impact on providers in the years to come. McGarry joins CFI’s Alex Spa…
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You’ve probably heard stories of celebrities leaving their fortunes to their beloved pooches and thought, “How silly!” Sure, it’s unlikely that an animal needs millions of dollars - after all, what will they do with it? But if you’re a pet person, have you stopped to consider what will happen to your sidekick after you’re gone? People don’t think a…
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What does the future hold for geriatrics? I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. But, it's also hard not to be bullish on the future of the field…
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For the last three years, many eldercare organizations haven’t had the ability to truly thrive, with leaders focused squarely on surviving the many challenges facing providers up and down the care continuum. But as we head toward the end of another year, it’s a good time to take stock and make plans for the year ahead — with an eye toward moving be…
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Often podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely does the podcast and clinical reality meet in the same day. Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including canc…
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In both the public and policymaker imagination, nursing home reform is strictly a health care issue, the domain of state health departments and the federal Centers for Medicare & Medicaid Services (CMS). But the prevalence of subpar nursing homes — and lack of empowering, person-directed alternatives to an aging long-term care infrastructure — is j…
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What level of evidence do we need for POLST to use it ourselves, to advocate for wider usage, and for establishing POLST completion as a quality metric? The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. Firmly. AND we are delighted that our guests modeled respectful disagreeme…
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David Simpson is an accomplished musician who’s been singing since the age of 12, performing alongside music legends like the Staples Singers, Dionne Warwick, and the Drifters. He’s a visual artist who uses his drawings and paintings to lift others’ spirits and push himself to improve his craft. He’s a father, a sibling, and heart transplant recipi…
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For surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. And, surgeons often spend the majority of their conversations with patients describing anatomical details and exactly how they plan to ‘fix it’, wit…
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The discourse around improving the eldercare landscape tends to focus on narrow, discrete metrics: What’s the correct number of nursing home staff hours per day? How can we reduce rehospitalizations? What types of services can be provided in the home most efficiently? Scott Townsley, professor at the University of Maryland, Baltimore County’s Erick…
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You may have heard that Senator Dianne Feinstein passed away on September 29, 2023, and there is pending litigation between the Senator and her deceased husband, Richard Blum, as well as some new litigation regarding her estate. Two petitions have been filed by the Senator’s daughter, Katherine Feinstein. The first petition concerns the joint revoc…
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Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Take for example the simple question: “If her breathing gets any worse, she will need to be intubat…
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Biophilic design – incorporating nature into the built environment – has grown in popularity in recent years, but the term itself may still seem daunting and strange, especially in an eldercare space where new development of nursing homes is exceedingly rare. Dr. Tuwanda Green, an adjunct instructor at Virginia Tech with more than 30 years of archi…
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You may have heard the sentiment that parenting is one of the most challenging yet most rewarding jobs there is. That is even more true when raising a child with special needs because they often come with unique challenges. It’s easy to quickly become overwhelmed mentally, emotionally, and even financially and physically at times. Your sense of nor…
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Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right? Not so much, as each one of these steps is fra…
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Faced with the workforce issues plaguing the entire eldercare sector, Goodwin Living in Northern Virginia developed a citizenship assistance program for its immigrant employees – simultaneously boosting recruitment and retention while also providing a new social outlet for residents, who help their caregivers prepare for the citizenship exam. Looki…
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The proportion of people living with dementia who identify as Black/African Americans is on the rise, and so too are the proportion of caregivers who identify as Black/African American. As our guests talk about today, caregiving for people living with dementia takes a tremendous toll, and when this toll is set atop the challenges of racism in all i…
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In 2021, Dr. Samir Sinha was given a potentially daunting job: serving as the technical committee chair for a group tasked with establishing new, national long-term care standards in Canada in the wake of COVID-19’s devastation. Dr. Sinha, an internationally renowned geriatrician who serves as the Director of Geriatrics at Mount Sinai and the Unive…
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Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). What if, for at least some older adults who need acute-level care, instead of treating them in the hospital, we treat them at home? That’s th…
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Building truly age-friendly communities starts with incorporating elders’ needs, wants, and goals into civic planning. As the executive director of Age-Friendly Greater Pittsburgh, Laura Poskin works across the city to build bridges between elders and the decision-makers who can help create accessible, integrated spaces for people of all ages and a…
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The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? Evidence has been mounting about the importance of the geriatric assessment for older adults with cancer, the subject of today’s podcast. The g…
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This week on the show, we take a break from eldercare policy and best practices with a story of mindfulness and adventure. Previous guest Natalie Yates-Bolton – a senior lecturer in nursing at the University of Salford, Manchester in the United Kingdom – returns with her mother, Myra, for a conversation about their recent pilgrim walk through Franc…
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How do people react when they hear they have a serious illness? Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast). After the shock? Many people strive, struggle, crawl even back toward a “normal” life. And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understa…
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The relationship between nurses and certified nursing assistants (CNAs) in nursing homes can often be fraught with hierarchy and disputes over tasks and responsibilities, as well as the normal conflicts that arise in any workplace. To gain some insights into building collaborative care teams, we sat down with two leaders from an organization that’s…
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I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Well that all changes today as we’ve invited the world's f…
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The people who work in state long-term care ombudsman’s offices are unsung heroes for residents of nursing homes, assisted living communities, and other communal care settings, helping to amplify their voices when they aren’t being heard. This week on “Elevate Eldercare,” we dive into the present and future of the ombudsman role on both the macro a…
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So many of our clients here at Absolute Trust Counsel struggle with dementia. In fact, it’s currently estimated that there will be 14 million people with dementia in the United States by 2060. That means there will be just as many, if not more, taking on the role of caregiver as well. Dementia patients and caretakers often suffer from isolation and…
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It's been over two years since one of the worst product launches of all time - Aduhelm (aducanumab). Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA appro…
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Within the world of aging services, there’s perhaps no more popular concept than “aging in place.” But what exactly does that mean, and how can we make that an attainable goal for most people? To help answer that question, we turned to Christine Foster, an interior designer with a specific focus on developing new strategies and models to help elder…
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oe Carella has a bold prescription for the future of eldercare, starting with reimagining nursing homes as hubs for entire communities. Instead of looking for ways to iterate on the institutional nursing home, such as through assisted and independent living, Carella challenges the sector to imagine a future where people actually want to move into a…
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The population of those with developmental disabilities is growing larger, and many in this group will need support of some kind for the rest of their lives. In most cases, this support comes from their parents, and every one of those parents worries about what will happen when they’re no longer able to provide that support. A 20-year study by the …
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