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Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

Physician's Weekly

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. “It’s also often the family member or the person helping to manage them.” nurse practitioners can practice independently.

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

GeriPal

So that’s one, this patient-centered geriatric assessment and management approach. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And then number five, really proactive care transitions planning out of the gate on day one.

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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. And yet we’re also in a different place in diabetes monitoring and management.

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. But watch out! Joe, welcome to the GeriPal Podcast.

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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. So, the training was largely around… It was different for the nurse. Eric: Oh, wow. She’s looking at exactly what was done.

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Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. So those questions we ask when we’re doing a palliative care consult. Even in the crazy hurried clinic space, the interesting thing, I have had two or three outpatient clinic managers email me that said, “I saw this narrative.”

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

GeriPal

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So that’s great. No, no, no.