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

GeriPal

Why is that important in the emergency room? Actually, our training as emergency physicians is mostly to resuscitate to acute care. So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community.

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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. . Eric: And Alex, we got a full house today. Ruth: Sure.

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

GeriPal

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. But, what you need is a community-based game there.

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

GeriPal

Eric: … you’re getting paid for individual encounters, not going to people’s homes, not being paid for all of the additional support that’s needed for comprehensive cancer care. Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community. Diane: Yeah.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. And then, the patient can bypass the emergency room entirely.

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