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Early Prevention of Critical Illness in Older Adults: Adaptation and Pilot Testing of an Electronic Risk Score and Checklist [Geriatrics]

Annals of Family Medicine

Context: Given limited critical care resources and an aging population, early interventions to prevent critical illness are vital. Population Studied: Patients age ≥60 years with primary care office visits or telemedicine visits in May and June 2023 and their health care team members.

Illness 130
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Alex 01:57 Joe, which city are you joining from?

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. JAMA IM 2023 A shout-out to my NPR episode on 1A titled the “State of Hospice Care” DISCLAIMER While we filmed in Montreal during the Annual Assembly, all opinions expressed in this podcast are independent of AAHPM and HPNA, or the Annual Assembly.

IT 113
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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. LaVera: Yes.

IT 99
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Negotiation and Dispute Resolution: A Podcast with Lee Lindquist and Alaine Murawski

GeriPal

Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. Journal of Patient Experience.

Family 96
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Jumpstarting Goals of Care Convos: Erin Kross, Bob Lee, and Ruth Engelberg

GeriPal

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Randy died February 26, 2023. And he was just such a great doctor and such a great advocate for families. Is 4% meaningful?

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med. We did our initial pilot study.

Hospital 115