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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102
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Medical Cannabis Revisted: A Podcast with David Casarett and Eloise Theisen

GeriPal

This is back in, I don’t know, like 2014 maybe. And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. I’d been a nurse at the time, and I went back to do my clinicals in an oncology clinic locally. Eric, do you want me to go first?

Medical 98
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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

And yet, we know little about the clinical experience of people with dementia in hospice. 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. AlexSmithMD. Transcript. Melissa: Sure.

Family 106
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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Lexy: Yeah, so I can say that I became about, in 2014, I had the opportunity to lead a center at our health system called the Evans Center that focuses on religion, spirituality, and health. LaVera: I trained at UCSF in family medicine. I don’t see a lot of those out there. You started off as a physician, right? LaVera: Yes.

IT 99
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

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Gabapentinoids – Gabapentin and Pregabalin: Tasce Bongiovanni, Donovan Maust and Nisha Iyer

GeriPal

2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. These are families who are in distress. I understand that it can be a hard place clinically. JAGS 2022 Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.:

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RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern

GeriPal

And, of course, this is what families of patients undergoing palliative care go through. But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. And when I first heard the song live, I was a pool of tears and it just hits me that way. laughter] Eric: Enough said.