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

GeriPal

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Ethical and practical. Amy, welcome to GeriPal. Why is that?

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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

But estimates in community dwelling older adults are around 15%. Eric: And swallowing is complicated, right? But again, most of my clinical practice, until recent years, has been in the acute care setting. Eric: Because you need saliva to swallow, right? Nicole: Yes. Raele: Very helpful if you do, yeah. Nicole: Exactly.

IT 125
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Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): Kellie Flood and Stephanie Rogers

GeriPal

If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Are they community dwelling?

Hospital 101
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

There’s an article about her in New York Times. We talk about diagnosis, et cetera, but it’s almost more of a community conversation. It’s going to be at home what community resources are out there. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious. Anna 01:38 Yeah. So this is great.

Screening 120
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Group ACP and Equity: Sarah Nouri, Hillary Lum, LJ Van Scoy

GeriPal

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. Complicated grief? And as you know, it’s a great article.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Psychedelics have been used by communities around the globe for hundreds of years (or more). Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. Eric: Yeah.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! Eric: That’s a complicated form then. If it was going to be for 48 hours to get them through a community acquired pneumonia.