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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Active surveillance is a management strategy that is intended to limit overtreatment of localized prostate cancer by monitoring patients with periodic PSA measurements and prostate biopsies to delay or avoid curative therapy (radical prostatectomy or radiation therapy) and its adverse effects. and 6.1%, respectively).

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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

GeriPal post on “fast food” style palliative care in chronic critical illness. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

Illness 110
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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Alex: And, it means pain management. ” And, that we should find innovative ways of outreach and meeting the needs of people with serious illness in rural areas. Alex: Okay.

IT 126
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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

Family 106
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Hospice in Prison Part 1: An interview with Michele DiTomas and Keith Knauf

GeriPal

So in 2010, there were about 150,000 incarcerated people in California. But when we look at people over the age of 55, 55 and older, we had about 11,000 in 2010, and now we have 18,000 people aged 55 and older. But now we have older people dying of older people illnesses. So we’ve gone from 150,000 to 100,000.

Family 132
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Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe

GeriPal

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 87
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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

Chris 07:41 Yeah, it’s a really interesting thing, because the 2010 article was solving the problem of, hey, send us patients, we promise we won’t kill them. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. All of this is. Palliative care.