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The 340B Showdown: HRSA Proceeds Towards Enforcement Despite Litigation

FDA Law Blog

A growing list of drug manufacturers are claiming that the discounts meant for low-income patients of 340B covered entities are instead contributing to profits for pharmacies that contract with covered entities to dispense 340B drugs.

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Nursing home, length of stay, I think it was like back in 2010, at the end of life.

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

GeriPal

Healthcare staff were afraid of patients with HIV because there wasn’t clarity on how it was transmitted. 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.

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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?

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

GeriPal

Archives of Internal Medicine 2010. Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. Nursing homes are subsidized by their Medicare, by their rehab patients.

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

GeriPal

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

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Podcast Episode: Febrile Seizures

PEMBlog

Both the motor movements and characteristics of the seizure, as well as the duration, are really hard to assess in a patient’s home. You should develop a specific plan for each patient with each patient. In a study from Kim published in Pediatrics in 2010, they looked at 526 children with complex febrile seizures.

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