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Clinical Strategies and Challenges of Psychiatrists in Accra, Ghana [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

While Ghana has made rigorous efforts to expand psychiatric care for hard-to-reach communities, there is limited knowledge about the experiences of the country’s psychiatrists regarding their current clinical approaches and the barriers they face in delivering care. Introduction. Conclusions.

Clinic 130
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250,000 Preventable Deaths Every Year: Why Climate and Health Must Be Funded Together

My Green Doctor

And yet, the global health sector receives less than 1% of all climate adaptation finance. Without closing this gap, healthcare systems everywhere will struggle to meet rising demands, especially in vulnerable communities where climate change is accelerating inequality and suffering. So what’s the path forward? Alcayna et al.

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

GeriPal

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. I would like to request the Friendship Train by Gladys Knight and the Pips.

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

GeriPal

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

Family 98
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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

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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. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

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

GeriPal

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. We can’t possibly provide enough care to all people with serious illness.