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Nutrition and dietary guidelines: stirring the (policy) pot

The Health Policy Exchange

As described in a recent JAMA Internal Medicine editorial , future doctors receive little formal instruction about healthy dietary habits. They must learn to work in interprofessional teams with dietitians and other skilled health professionals to help patients make needed dietary changes. Current (2010) U.S.

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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). in 2000 to 59.8%

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AGS Beers Criteria for Potentially Inappropriate Medication Use: A Podcast with Todd Semla and Mike Steinman

GeriPal

And then in 2010, the AGS took over because it was sort of wafting out there and people were wondering, when are you going to update it? And we were trying to get funding from different places and then AGS kind of stepped in and so they’ve been the stewards of it since 2010. Is this the right drug for this patient?”

Medical 97
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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. Nursing homes are subsidized by their Medicare, by their rehab patients. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia.

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

GeriPal

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 88