Remove Complication Remove Healthcare Professional Remove Primary Care Remove Utilities
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 119
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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. I had no idea that people were calling 911 that much sometimes.

Community 114
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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics. David: We used the VA specific care assessment needs score, which- Eric: Oh, the CAN score. David: Yeah.

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

GeriPal

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Eric 08:45 Why did you choose that as a primary outcome? And it was like 29eds.

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Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal

One thing I’m wondering about though is that we have all these wonderful services, and as we educate teams, both hospital medicine teams, primary care teams, palliative care teams about these services, there’s still that push to get people, if we’re talking about inpatient, get people out. Do you know those?

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Who should get Palliative Care? Kate Courtright

GeriPal

We have palliative care who gets what, what goes, where. That gets really complicated as well. When you go to need, palliative care may be best for some needs. And I actually think the cool thing about a needs-based approach would allow us to better utilize the service. And we keep on bringing up primary palliative care.

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

GeriPal

It’s complicated because right now there’s no mechanism other than cost avoidance. What if it was, should the next study be a palliative care team seeing the patient twice a week versus telephonic RN from a central site checking up on them? Tom: Do you think they relayed that info to the primary care [inaudible 00:34:14].