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Q&A: Persistent Bowel Symptoms Impact QOL Following IPAA

Physician's Weekly

Dr. Barnes and colleagues conducted semistructured interviews at one academic pouch clinic and inflammatory bowel disease center with 15 patients who had undergone IPAA for ulcerative colitis. Dr. Gueorguieva: Restorative proctocolectomy with IPAA for patients with ulcerative colitis has various symptoms and complications.

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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

Eric: And swallowing is complicated, right? So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. Eric: Because you need saliva to swallow, right? Nicole: Yes. Raele: Very helpful if you do, yeah. Nicole: Exactly. Raele: Yes. Raele: Yes.

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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. It used to be a much more complicated model. And not just statistically significant, but clinically meaningful.

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. I had no idea that people were calling 911 that much sometimes.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

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Who should get Palliative Care? Kate Courtright

GeriPal

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. Kate: Sure. So I’m in.