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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? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

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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.

Families 106
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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

This is my early father’s day gift from the family. 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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110
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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Four percent. So being well and also potentially periods of dying.

Illness 144
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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. And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So, information from, like, a family member, spouse, or a son or daughter.

Families 106
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Conscientous Provision of MAID and Abortion: Robert Brody, Lori Freedman, Mara Buchbinder

GeriPal

Robert was first asked by one of his own patients for assistance in dying in 1991, far before aid in dying was legalized in California in 2016. For example, one physician that I interviewed with medical aid in dying, in the US everywhere except Montana, you need to have the diagnosis and prognosis confirmed by a second physician.