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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

And we got all into his family stuff and how he’d been suffering with cancer and his goal. What’s your favorite book? Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. This guy came alive.

IT 96
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Anxiety in Late Life and Serious Illness: A Podcast with Alex Gamble and Brianna Williamson

GeriPal

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

Illness 129
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Influence of Hospital Culture on Intensity of Care: Liz Dzeng

GeriPal

In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying. More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths.

Hospital 125
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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. I mean, Cass Sunstein and Dick Thauer wrote a book entitled nudge. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Prior-auth forms?

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

GeriPal

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. And who’s a latest book is Dignity and Care: The Human Side of Medicine.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Alex: What happens when people survive?

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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Or is it just this lingering practice of starting dialysis early before really severe complications develop? And so are the patients.