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Pain-Related Medication in Adults with Intellectual Disability: a systematic review [Pain management]

Annals of Family Medicine

Context: Adults with intellectual disabilities (ID) experience multiple chronic conditions (MCCs) and polypharmacy at a younger age than those without ID. Intervention/Instrument: No intervention; study included if reported any analgesic or non-analgesic medication used to manage pain or treat a painful condition.

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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

Eric 16:36 Okay, Connie, I got one last question about your article. Within the VA , there’s a program called Whole Health, which is really about trying to engage patients in many different modalities for pain management and just self care. They have a lot of chronic conditions. So I think it is already being done.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

The article we discuss today, also published in JAMA , addresses these two gaps. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. Lyndsay: That’s a great question. Eric: Oh, wow. We’re doing a number of work.

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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. They see it’s preserved. Eric 19:32 And I love this. The quality of life matters more.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away. Eric: And Susan? Having that visual is really important.

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HIV, Aging, and Palliative Care: Peter Selwyn and Meredith Greene

GeriPal

And so the patients who had been admitted there to die, essentially most, if not all, got better and HIV became much more of a chronic condition. A review article, which I still like to go to. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other.

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

GeriPal

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. And those people have a higher, not just dementia, but other multiple chronic conditions.