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

GeriPal

But if ACE units are so great, why do so few hospitals have them? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. Eric: And we’re going to be talking about improving hospital care for older adults via ACE units, or acute care for elders.

Hospital 101
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

– Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. And I can only imagine that’s even more complicated in the cancer patient population, where we’re asking them to do so many other things as well.

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

GeriPal

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. In their communities? It used to be a much more complicated model. David: Right.

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

GeriPal

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

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What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind

GeriPal

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Because in medicine as somebody who works in the hospital, there’s always other treatment options. So figured out a little harmonica- Eric: That was wonderful.

Illness 144
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Sexual Function in Serious Illness: Areej El-Jawahri, Sharon Bober, and Don Dizon

GeriPal

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal. Don 01:11 Thank you so much. Yeah, but that’s how I started.

Illness 131
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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115