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

GeriPal

Number three, this specialized prepared environment that promotes safe mobility and cognitive stimulation and delirium prevention, so sort of environmental changes. Eric: So can I ask also, Stephanie, you did this survey fall of 2020. And that’s to include making sure we’re using safe prescribing practices.

Hospital 101
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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

A 2020 RCT of coaching for primary care physicians shows that coaching improves burnout well-being during the intervention and has a sustained duration at 6 months of follow up. For me, I personally prefer folks that have walked in my shoes, or are specialized in, for example, academic life or something like that. Is that right?

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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. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

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

GeriPal

Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes. Eric 19:30 Should we add that to special effects as our producer? Why do so many (most, all??) So, like, I don’t. No difference.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Fantastic.

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What Lessons Have We Learned from the First COVID Surges? Jim Wright & Darrell Owens

GeriPal

You’re short on nurses and nurse aids so now you have to help deliver meals.”. This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. This is Eric Widera. Jim: Right.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. For the most part, programs are doing, twice a day, nursing visits. They’re doing, once a day, either MD, or MP, or nurse practitioner visits in the home as well. That started in November of 2020. Annals of Int Med. Bruce: Where was this?

Hospital 115