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Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): Kellie Flood and Stephanie Rogers

GeriPal

So that’s one, this patient-centered geriatric assessment and management approach. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And then number five, really proactive care transitions planning out of the gate on day one.

Hospital 101
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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

Alex 01:11 We’re delighted to welcome Michelle Milic, who is a pulmonary in critical care and palliative care doc and associate professor of clinical medicine at Georgetown. So this is a practical, really basic idea that can be applied to clinical practice. Michelle, welcome to GeriPal. DorAnne, welcome to GeriPal.

Screening 121
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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. I remember as a fellow, I would come in and our nurse practitioner on our hospice team, I would say the word narcotics, and f or half an hour, she would just lay into me. When to consider bupenorphine vs methadone?

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. Bragging rights. Alex: Yeah. Jessie, welcome back to GeriPal.

Illness 137
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . It improves symptom management. Ruth: Thank you.