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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

“What we’ve seen to make it really work is you either have to be in the hospital, where we’ve taken over palliative care in the hospital, or you have to be contracted with managed care and get it at some kind of risk, because community-based palliative care is very difficult to make operate right now from a profitable [perspective].”

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

GeriPal

Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And so I thought let’s try to figure out actually how many they are, where they are they in academic centers and community centers. Are they community dwelling?

Hospital 100
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. Alex Smith: We have a full house.

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

GeriPal

In their communities? And in the community, not just in acute care”, which is just… First day of nursing school, they’ve told us, “You have to remember that a hospitalization is a blip on somebody’s screen. They’re mostly living at home and living their lives in the community.”

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

GeriPal

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. And I returned to school to become a nurse practitioner.

Medical 99
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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

And so we do have consultants who come in the building. Connie 13:10 So generally what, what I see, very rural, is a nurse practitioner that’s out of our local home health and hospice agency that is palliative care certified. And usually it’s simply for a consultation. Like, what does that part look like?