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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. You take their age, their gender, you take their chronic conditions. And then again, individualizing it to the patient. You take somebody’s has disability.

IT 139
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Impact of polydoctoring on admission among older adults with multimorbidity; a large-scale claims database analysis in Japan. [Multimorbidity]

Annals of Family Medicine

Context: Effective and efficient management of multimorbidity presents a significant challenge for aging societies. Objectives: To assess the impact of polydoctoring on hospital admission rates among older adults with multimorbidity. Results A study was conducted on 2,547,456 individuals, with a median age of 78, and 57.8%

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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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Black/African American Caregivers of Older Adults Living with Dementia: Fayron Epps and Karen Moss

GeriPal

I started going to the literature and I noticed that communities of color, those with the Hispanic background, Black individuals were disproportionately impacted by dementia, and I couldn’t believe it. I think, again, it’s the person’s individual, their preference. Alex: Yeah, I like that approach too.

Community 128
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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. To Susan’s point. They touch every single system.

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HIV, Aging, and Palliative Care: Peter Selwyn and Meredith Greene

GeriPal

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. And so the patients who had been admitted there to die, essentially most, if not all, got better and HIV became much more of a chronic condition. Meredith, welcome to the GeriPal Podcast.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid. Diane: Yeah.