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A qualitative evaluation of the implementation of a pre-consultation tool for older adults in primary care [Geriatrics]

Annals of Family Medicine

Context: Pre-consultation telemedicine tools have been proposed as an effective solution to optimize the care of the growing number of older patients with chronic conditions. Objective: To determine the barriers and facilitators to the implementation of a pre-consultation tool tailored for older adults in primary care.

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Developing an intervention to assist older patients communication with their GP practice after discharge from hospital [Community based participatory research]

Annals of Family Medicine

Hospitals write discharge summaries to family medicine providers. Family medicine is uniquely placed to help, but lacks structures, tools and funding to do so. Objective The GP-MATE study has built a new intervention for family medicine and patients/carers through co-design.

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You don’t need X-Rays to tell if a child is constipated

PEMBlog

abnormal thyroid exam Messaging for patients and families When constipation leads to a child not being able to move their bowels, they may experience pain. abnormal thyroid exam Messaging for patients and families When constipation leads to a child not being able to move their bowels, they may experience pain. 2017;186:87-94.e16.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. JAMA Pediatr. Hosp Pediatr.

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You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. The lack of utility of laboratory testing in children with an unprovoked generalized seizure, or a simple febrile seizure is supported by several observational studies.

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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. My own work focuses on hospitalization and health utilization over time. Is that right? Is that right, Nick? Anecdote away.

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RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern

GeriPal

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. And, of course, this is what families of patients undergoing palliative care go through.