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

GeriPal

Kemi Doll , a physician-researcher and coach, has a terrific podcast I highly recommend everyone listen to, though it is targeted at women of color in academic medicine. 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.

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

GeriPal

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

Just an extraordinary cast of individuals who were really so incredibly inspiring. And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. William Breitbart, Kathleen Foley, Jerome Posner, Nessa Coyle.

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

GeriPal

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. And to keep it short work for an article. Rehabbed to Death. Eric: Yeah.

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

GeriPal

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And that referral can be done in real time, a soft handoff. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. And is it at all individualized to the patient? It’s a lot.