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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality.

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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. Why is that important in the emergency room? And then we had clinical decision support.

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Medical Cannabis Revisted: A Podcast with David Casarett and Eloise Theisen

GeriPal

And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. That put me in the emergency room. I’d been a nurse at the time, and I went back to do my clinicals in an oncology clinic locally. They just kept at it. What’s changed?

Medical 98
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Surgical Communication: A Podcast with Gretchen Schwarze, Justin Clapp and Alexis Colley

GeriPal

Gretchen: Yeah, I think probably the underlying story here is that I’m really good at doing negative randomized clinical trials, but there is a good thing about doing a big clinical trial, which is that you get tons of data even if you don’t end up with the result that you want. And that’s how we connected.

IT 128
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. Should we abandon the term, “comfort measures?”

Families 112
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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.

IT 99
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.