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

GeriPal

So a lot of these patients that I care for are at risk for mortality or poor prognosis in general, and wanting to know how do we still provide them with quality care without giving them too many pricks, too many titrations when it comes to insulin. Overwhelming people with just a lot of data is big.

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Medical use and misuse of psychoactive prescription medications among US youth and young adults: An Introduction

BMJ

The proximity to campus health clinics may also afford college students greater accessibility to healthcare providers for prescription medications such as stimulants which could end up being misused. Besides the risks to an individual, there are also population-level harms from normalizing certain harmful behaviors (e.g.,

Medical 40
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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. With their regular providers? The article we discuss today, also published in JAMA , addresses these two gaps. In their communities?

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

GeriPal

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. It could be viewed as two different ways.

IT 111
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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.