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

GeriPal

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) Listen in to learn more! Eric: And Alex, we’ve got a full house today. ” Tamryn: I love it.

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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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Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Bennett, C.R., Schilling, L., Doorenbos, A. PMID: 26701962.

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

GeriPal

Alex 01:43 And we have Simone Rinaldi, who’s a palliative care nurse practitioner and director of nursing for the MGH Division of Palliative Care and Geriat ric medicine. The patient refuses to ever talk about the fact that this illness could take their life. Lynn, what were you doing in Covid 2020?

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

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

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Negotiation and Dispute Resolution: A Podcast with Lee Lindquist and Alaine Murawski

GeriPal

December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. We really don’t want seniors living at home alone when we know it’s dangerous for them and it’s going to make them end up in the hospital and go to a nursing home. Geriatrics.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Bruce: Yeah.

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