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Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): Kellie Flood and Stephanie Rogers

GeriPal

Alex: And we’re delighted to welcome back to the GeriPal Podcast, Stephanie Rogers, who’s a geriatrician and medical director of UCSF’s, age-friendly health systems. And those that are out there in this space tend to be grouped together in academic medical centers. Kellie, welcome to the GeriPal Podcast.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? Happy to be here.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. It used to be a much more complicated model. And then, you chose for the intervention to include a nurse and a social worker.

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

GeriPal

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? Yeah, that’s a more complicated story. But yeah, it’s complicated. Remember, this was March 2020, around that time when we got all this training and we were having now these conversations really often.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. The pneumonia could get treated, but I think geriatricians, actually, were well aware of iatrogenic complications of care and quality gaps, even well before the IOM reports of the late 1990s and the like. For the most part, programs are doing, twice a day, nursing visits.

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