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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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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. Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making.

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

GeriPal

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S.

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Anti-Asian Hate: Russell Jeung, Lingsheng Li, & Jessica Eng

GeriPal

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. And because of this encounter, this patient went to the emergency room twice due to having panic episodes that felt like heart attacks. We do a lot of clinical focused discussions. Eric 18:34 And what did you find?

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

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

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AI for surrogate decision making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender

GeriPal

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? You basically don’t even ask the family, you just stop the bleeding.