end of life care - Page 1 | CARLAT PUBLISHING

In Brief

Palliative Psychiatry

October 1, 2025

Victoria Hendrick, MD. Editor-in-Chief, The Carlat Hospital Psychiatry Report.

Dr. Hendrick has no financial relationships with companies related to this material.

Palliative psychiatry is an emerging and thought-provoking approach that challenges us to rethink how we care for individuals with severe and persistent mental illness.

Expert Q&A

Identifying and Addressing Ageism in Psychiatric Practice

July 1, 2024

A. Mark Clarfield, MD, FRCPC

A. Mark Clarfield, MD, FRCPC.

Professor emeritus; Director, Centre for Global Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva; Chairman, National Council on Geriatrics Israel.

Dr. Clarfield has no financial relationships with companies related to this material.

Addressing ageism can improve a patient’s sense of self and independence. Dr. Clarfield provides practical suggestions.

Clinical Update

Failure to Thrive in Older Adults

April 1, 2024

Julia Cromwell, MD and Diana S. Kim, MD

Julia Cromwell, MD. Medical Director, Senior Adult Psychiatry Unit, Salem Hospital, Salem, MA.

Diana S. Kim, MD Candidate 2024. Tufts University School of Medicine, Boston, MA.

Dr. Cromwell and Ms. Kim have no financial relationships with companies related to this material.

Many older adults labeled with FTT eventually receive a medical diagnosis. Beyond addressing depression and treating the underlying medical illnesses, we suggest additional interventions to improve a patient’s functioning.

Clinical Update

Addressing Polypharmacy in Older Adults

January 1, 2024

Jose Antonio Ribas Roca, MD and Carolyn TK Tran, PhD

Jose Antonio Ribas Roca, MD. Associate Professor, Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX. Carolyn TK Tran, PhD. Instructor, Psychiatry and Behavioral Sciences Baylor College of Medicine, Houston, TX.

Dr. Ribas Roca and Dr. Tran have no financial relationships with companies related to this material.

Managing polypharmacy in older adults can be tricky, especially when multiple clinicians are involved. We offer tips on how to find the right medication and dose while avoiding prescribing cascades. We also discuss how to use shared decision-making to deprescribe.

Expert Q&A

End-of-Life Discussions With Patients With Advanced Dementia

October 31, 2023

Ruth Palan Lopez, PhD, GNP, FAAN

Ruth Palan Lopez, PhD, GNP, FAAN. Jacques Moore Endowed Professor of Gerontologic Nursing; Associate Dean for Research in the School of Nursing, MGH Institute of Health Professions, Boston, MA.

Dr. Lopez has no financial relationships with companies related to this material.

How can clinicians improve end of life care and minimize disparities by regions and race? Dr. Lopez identifies ways clinicians can build trust with minoritized populations. She also shares her 6 Ms approach to making patients with dementia more comfortable.