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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things. Eric 40:07 Okay, I got a question.

Screening 119
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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Absolutely.

IT 102
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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. Or electronically, to fill out, right? William: Not the future, but the present. That was what we used in the trials to say, “Can we lower that likelihood, from what we found in the assessment, down to something else?”

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Eric: That’s a complicated form then. I want designation.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly.

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

GeriPal

Corita 09:39 Yeah, so we used the electronic health record, I think, in support. And so we did a similar intervention but using electronic means. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? Yeah, that’s a more complicated story. What does that mean?

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

Alex 15:13 This is really complicated. And he had a deadly fear of being institutionalized, based on his previous present experience. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. So I think that was a factor also that they thought, like, this is fixable. His hands were gone.