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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Turns out, in summary people who initiate dialysis have mildly longer lives, but spend more time in facilities, away from home. Well, I got.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Tammie 04:51 Yeah, so I would say that 30 years we’ve been in the palliative care space, not in emergency medicine, but we’ve been advancing the science in general palliative care for over 30 years and just plugging away with it, study after study after study to build the field. They got training in Vital Talk and ELNEC.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes.

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Dual Threats From Trump and GOP Imperil Nursing Homes and Their Foreign-Born Workers

Physician's Weekly

“We are facing the collision of two policies here that could further erode staffing in nursing homes and present health outcome challenges,” said Eric Roberts , an associate professor of internal medicine at the University of Pennsylvania. . It also operates a retirement community in Washington, D.C.