Carla Perissinotto's guest appearances

Carla Perissinotto

Renegade Ape - Psychology, Philosophy, and the Overton Wasteland

GeriPal

John Newman

Scott Bauer

Cait Flanders

BJ Miller

Johann Hari

Andy Cohen

Greg Sadler

Roland Griffiths

Hector Garcia

Paul McGregor

Aaron Kesselheim

John Norcross

Massimo Pigliucci

Eric Schwitzgebel

Christopher Hamilton

OwlTail

Julianne Holt-Lunstad

Thomas Cudjoe

Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Experiencing social isolation, the objective lack of contact with friends, family, or the community, or loneliness, the subjective feeling of lacking companionship or feeling left out, may be signs that our overall social life is struggling. But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? How can public health and policy experts address these needs, particularly in light of the COVID-19 pandemic which turned our social lives upside down? On today today’s podcast, we are joined by guest host and UCSF geriatrician Ashwin Kotwal as we welcome three renowned scholars in the field: 1) Dr. Julianne Holt-Lunstad, Professor of Psychology and Neuroscience at Brigham Young University, an international expert on loneliness, social isolation, and social interventions, who has served on the National Academy of Sciences committee on social isolation and loneliness and advised the UK Loneliness Campaign, 2) Dr. Thomas Cudjoe, Assistant Professor of Medicine at Johns Hopkins University, who has conducted groundbreaking work on the measurement of social isolation and mechanisms of impact on health, and 3) Dr. Carla Perissinotto, Professor of Medicine at UCSF, who has pioneered the clinical and policy approach to addressing loneliness and social isolation.   We talk about:     Their personal and clinical inspiration for studying loneliness and social isolation, and hurdles encountered in bringing these needs to the clinical world.    The Listening "EAR" approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.    Check out some of their recent work, including:   Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation.    Dr. Cudjoe’s recent work demonstrating the impact of social isolation on dementia risk, populations at risk, and how our social lives "getting under our skin."   Dr. Kotwal's work showing how social isolation impacts end-of-life health care use, including hospice and acute care.   We touch briefly on (and build on) topics discussed in prior podcasts such as loneliness during the pandemic. Tune in to hear Alex’s acoustic rendition of Outkast’s Hey Y’All!   -Ashwin Kotwal

Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Experiencing social isolation, the objective lack of contact with friends, family, or the community, or loneliness, the subjective feeling of lacking companionship or feeling left out, may be signs that our overall social life is struggling. But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? How can public health and policy experts address these needs, particularly in light of the COVID-19 pandemic which turned our social lives upside down? On today today’s podcast, we are joined by guest host and UCSF geriatrician Ashwin Kotwal as we welcome three renowned scholars in the field: 1) Dr. Julianne Holt-Lunstad, Professor of Psychology and Neuroscience at Brigham Young University, an international expert on loneliness, social isolation, and social interventions, who has served on the National Academy of Sciences committee on social isolation and loneliness and advised the UK Loneliness Campaign, 2) Dr. Thomas Cudjoe, Assistant Professor of Medicine at Johns Hopkins University, who has conducted groundbreaking work on the measurement of social isolation and mechanisms of impact on health, and 3) Dr. Carla Perissinotto, Professor of Medicine at UCSF, who has pioneered the clinical and policy approach to addressing loneliness and social isolation.   We talk about:   <ul> <li> Their personal and clinical inspiration for studying loneliness and social isolation, and hurdles encountered in bringing these needs to the clinical world.  </li> <li> The Listening "EAR" approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.  </li> </ul> Check out some of their recent work, including: <ul> <li> Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2208029" rel="nofollow" target="_blank">perspective piece in the New England Journal of Medicine</a> which provides a clinical framework for addressing loneliness and social isolation.  </li> <li> Dr. Cudjoe’s recent work demonstrating the impact of <a href="https://pubmed.ncbi.nlm.nih.gov/36628523/" rel="nofollow" target="_blank">social isolation on dementia risk</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/35415872/" rel="nofollow" target="_blank">populations at risk</a>, and how our social lives <a href="https://pubmed.ncbi.nlm.nih.gov/34698366/" rel="nofollow" target="_blank">"getting under our skin."</a> </li> <li> Dr. Kotwal's <a href="https://pubmed.ncbi.nlm.nih.gov/36420540/" rel="nofollow" target="_blank">work showing how social isolation impacts end-of-life health care use</a>, including hospice and acute care. </li> </ul> We touch briefly on (and build on) topics discussed in prior podcasts such as loneliness during the pandemic. Tune in to hear Alex’s acoustic rendition of Outkast’s Hey Y’All!   -Ashwin Kotwal

The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

Ashwin Kotwal

“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) Surgeon General. We have heard a lot about loneliness and social isolation, particularly during the pandemic with enforced social distancing and near imprisonment of older adults in nursing homes.  In this context, we bring in two experts on these topics, Carla Perissinotto and Ashwin Kotwal, to explain:  How loneliness and social isolation overlap and are distinct How common these measures of social well being are in geriatrics and palliative care Why we should care as clinicians How we can ask about them How we should respond to care for patients who are lonely or isolated  Some key references from among the many we discuss on the podcast:   Loneliness in older adults predicts functional decline and death (JAMA IM 2012)  The epidemiology of loneliness and social isolation during the last years of life (JAGS 2021)   Use of high risk medications among lonely older adults (JAMA IM 2021)   Integrating social care into healthcare: GeriPal podcast with Kirsten Bibbens-Domingo   Coalition to end social isolation and loneliness   -@AlexSmithMD

“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) Surgeon General. We have heard a lot about loneliness and social isolation, particularly during the pandemic with enforced social distancing and near imprisonment of older adults in nursing homes.  In this context, we bring in two experts on these topics, Carla Perissinotto and Ashwin Kotwal, to explain: <ul> <li>How loneliness and social isolation overlap and are distinct</li> <li>How common these measures of social well being are in geriatrics and palliative care</li> <li>Why we should care as clinicians</li> <li>How we can ask about them</li> <li>How we should respond to care for patients who are lonely or isolated</li> </ul> Some key references from among the many we discuss on the podcast: <ul> <li><a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/1188033" rel="nofollow" target="_blank"> Loneliness in older adults predicts functional decline and death (JAMA IM 2012)</a></li> <li><a href="https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.17366" rel="nofollow" target="_blank"> The epidemiology of loneliness and social isolation during the last years of life (JAGS 2021) </a></li> <li><a href="https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2782349" rel="nofollow" target="_blank"> Use of high risk medications among lonely older adults (JAMA IM 2021) </a></li> <li><a href="https://www.geripal.org/2019/12/integrating-social-care-into-health.html" rel="nofollow" target="_blank"> Integrating social care into healthcare: GeriPal podcast with Kirsten Bibbens-Domingo </a></li> <li><a href="https://www.social-connection.org/coalition-to-end-social-isolation-loneliness" rel="nofollow" target="_blank"> Coalition to end social isolation and loneliness </a></li> </ul> -@AlexSmithMD

Loneliness and Social Isolation: Podcast with Carla Perissinotto and Ashwin Kotwal

Unfortunately, a very relevant topic for the Christmas period, Dr. Carla Perissinotto joins us to discuss the concept of loneliness among the older generation.  We discuss how loneliness is distinct from things like depression and social isolation, how it's possible to be surrounded by family and friends and still feel lonely, how feeling lonely can have a negative impact on our long term physical health, and why we as a society are guilty of neglecting our older generation.  BOOKS MENTIONED  "Loneliness" by John Cacioppo: http://amzn.to/2D3mZlF "4 3 2 1" by Paul Auster: http://amzn.to/2D67Yzp "The New York Trilogy" by Paul Auster: http://amzn.to/2DDzYf3  SHOW NOTES  http://myownworstenemy.org/podcast  SOCIAL MEDIA  Facebook: http://facebook.com/myownworstenemyorg Twitter: http://twitter.com/dannydwhittaker  CREDITS  Theme Music: Falling Down by Ryan Little http://youtube.com/user/TheR4C2010 Thumbnail Image: jucanils https://flic.kr/p/AyjYY DISCLAIMER: My Own Worst Enemy is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.co.uk and affiliated sites.

Unfortunately, a very relevant topic for the Christmas period, Dr. Carla Perissinotto joins us to discuss the concept of loneliness among the older generation. We discuss how loneliness is distinct from things like depression and social isolation, how it's possible to be surrounded by family and friends and still feel lonely, how feeling lonely can have a negative impact on our long term physical health, and why we as a society are guilty of neglecting our older generation. BOOKS MENTIONED "Loneliness" by John Cacioppo: <a href="http://amzn.to/2D3mZlF" rel="nofollow" target="_blank">http://amzn.to/2D3mZlF</a> "4 3 2 1" by Paul Auster: <a href="http://amzn.to/2D67Yzp" rel="nofollow" target="_blank">http://amzn.to/2D67Yzp</a> "The New York Trilogy" by Paul Auster: <a href="http://amzn.to/2DDzYf3" rel="nofollow" target="_blank">http://amzn.to/2DDzYf3</a> SHOW NOTES <a href="http://myownworstenemy.org/podcast" rel="nofollow" target="_blank">http://myownworstenemy.org/podcast</a> SOCIAL MEDIA Facebook: <a href="http://facebook.com/myownworstenemyorg" rel="nofollow" target="_blank">http://facebook.com/myownworstenemyorg</a> Twitter: <a href="http://twitter.com/dannydwhittaker" rel="nofollow" target="_blank">http://twitter.com/dannydwhittaker</a> CREDITS Theme Music: Falling Down by Ryan Little <a href="http://youtube.com/user/TheR4C2010" rel="nofollow" target="_blank">http://youtube.com/user/TheR4C2010</a> Thumbnail Image: jucanils <a href="https://flic.kr/p/AyjYY" rel="nofollow" target="_blank">https://flic.kr/p/AyjYY</a> DISCLAIMER: My Own Worst Enemy is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to <a href="http://Amazon.co.uk" rel="nofollow" target="_blank">Amazon.co.uk</a> and affiliated sites.

#039 - Aging & Loneliness (Dr. Carla Perissinotto)