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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

“What we’ve seen to make it really work is you either have to be in the hospital, where we’ve taken over palliative care in the hospital, or you have to be contracted with managed care and get it at some kind of risk, because community-based palliative care is very difficult to make operate right now from a profitable [perspective].”

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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. And so I thought let’s try to figure out actually how many they are, where they are they in academic centers and community centers. Are they community dwelling? Kellie: Yes.

Hospital 101
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

Today we are delighted to welcome from the East Coast, we have Nadine Carter, who’s a nurse practitioner who spent seven years in outpatient endocrinology and is now a hospice and palliative care fellow at Dartmouth Health and instructor at Dartmouth. Eric: And Alex, we’ve got a full house today. Nadine: In Idaho.

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The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

GeriPal

First, we’ve invited Jerry Gurwitz to talk about his recently published article in JAMA titled The Paradoxical Decline of Geriatric Medicine as a Profession (while it’s not the most upbeat title for the future of geriatrics, Jerry sees it as a call to action). I was going to start off by asking Jerry about why he wrote the JAMA article.

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Medical Cannabis Revisted: A Podcast with David Casarett and Eloise Theisen

GeriPal

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. And I returned to school to become a nurse practitioner.

Medical 100
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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. David Bekelman conducted a RCT of a nurse and social worker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD). In their communities? With their regular providers?

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

GeriPal

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. It’s the same measure we used in the New England journal article.