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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. You have a patient with dementia severe enough that she cannot recognize relatives.

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Influence of Hospital Culture on Intensity of Care: Liz Dzeng

GeriPal

And so the combination of the institutional structures, as well as the extreme cases that each individual doctor feels will actually help create this different culture, be it high or low intensity. It’s not explainable that each individual physician has independently arrived at this very aggressive practice pattern.

Hospital 125
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. The MAID issue then came on the table in Canada after the 2015 Supreme Court ruling in Carter v. So it started off for individuals with a terminal illness.

Illness 144
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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

Julien, let’s start off with, congratulations by the way and Lauren too, the CHEST paper that just got published on Trends in Geriatric Conditions Among Older Adults in the ICU between 1998 and 2015. Lauren: Although again, still thinking about what that means for an individual older adult is really important.

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Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal

I moved to Boston in 2015 to start my PhD and I’ve always worked clinically at MGH during the process, but I was very interested in this notion of measuring function and frailty. Tamra: It’s incredibly complicated because to date, there’s not really a validated tool that’s mandated to be used across all settings.

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

GeriPal

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. There’s a cost avoidance aspect to it, too. It waxes and it wanes.

Families 106
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Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley

GeriPal

God, it must have been like 2015, 2016. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. That just leads to issues that can make home care very difficult for these individuals. Eric 10:09 So you’re reassured on that concern there.

Families 106