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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

Eric: That’s why I love reading your articles, always so deep in science. Eric: And when do we expect that article to come out? We need good nurse practitioners. Attendee 18: Teaching researchers the basic sciences of research, I think is a weak part of the training. I’m worried we need amazing clinicians.

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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. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. Kellie: Yes.

Hospital 100
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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. Eric: We’ll have a link to one of those articles. Alex: I want to hear your reaction to the Guardian article, if we have time for that. Beth: Thank you.

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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. The use of assistive listening devices like pocket talkers and hearing aids. Transcript. This post-mask era.

IT 102
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. Alex Smith: We have a full house.

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

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

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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). So, the docs actually wrote orders for tests, medications, consults.