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"Survival Mode": Experiences of moral distress in Canadian primary care professionals during and after the COVID-19 pandemic [COVID-19]

Annals of Family Medicine

The moral distress experienced by primary care professionals during the pandemic has not been discussed in the extensive literature on health system functioning during the pandemic. Intervention/Instrument: Individual semi-structured interviews and review of pertinent case-relevant documents.

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

GeriPal

And yet we’re also in a different place in diabetes monitoring and management. AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast.

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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

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Well-being and Resilience: a Podcast with Jane Thomas, Naomi Saks, Ishwaria Subbiah

GeriPal

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110
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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

And I would say we weren’t doing training on symptom management, for example. And then there was a lot of stuff on coping and symptom management. Lynn, what were you doing in Covid 2020? Lynn 37:35 I wasn’t doing outpatient in 2020. Lynn 15:55 Well, it’s a good. Vicki 15:56 It’s a good question.

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Should we prioritize the unvaccincated for treatment? Govind Persad and Emily Largent

GeriPal

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

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

GeriPal

2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. 2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. J Am Geriatr Soc. JAGS 2022 Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.: