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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. I know you’ve been a strong advocate for nursing home patients particularly in California.

Finance 95
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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

Summary Transcript Summary You know when you walk out of a patient’s room and have that sense, “This isn’t going to go well.” The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Should you stop at “no?” Lynn: I do. Alex, can you play Send the Sun, by Nikki Lane?

Family 97
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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

That screening influences kind of further treatment, actually, probably more importantly, patient outcomes. And when I asked the patient, well, what happened, the test was sprung on them. And then the family tells me they can’t keep an appointment, they can’t manage their finances. Nate 06:04 Right.

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

GeriPal

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. And as you know, it’s a great article. Advance care planning doesn’t work. Your thoughts?

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain.

IT 95
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. So we do have like palliative care through home health agencies that will come in and see patients. Alex 03:21 Beautiful, beautiful song.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

And to keep it short work for an article. That’s a problem in our healthcare financing system. Nursing homes are subsidized by their Medicare, by their rehab patients. Once a nursing home gets a bad reputation and they can’t attract the rehab patients anymore, they’re in big trouble. Eric: Yeah.