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Finding the Right Clinic: A Guide to Quality Care

Plum Health

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. During these regular appointments, doctors conduct various tests and screenings to catch issues early. Your insights could help someone else in their healthcare journey! Why is it called a clinic?

Clinic 52
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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. So in this case consultations. Because now it requires another step to cancel the consult.

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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

So we took this idea of, and it’s really an invitation from the national consensus project that every member of the team should be screening in all domains. So that means that we all screen for every domain in our interactions. And a screening is one to two simple sentences to identify need in that or distress in that domain.

Screening 119
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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Jessie, welcome back to GeriPal. Katie: Yeah.

Illness 136
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

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

GeriPal

If I remember correctly, I think the average was, people were screening positive for depression in this study. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. So, the docs actually wrote orders for tests, medications, consults.

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Psilocybin in Serious Illness: James Downar, Ali John Zarrabi and Margaret Ross

GeriPal

And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Due to this sense of allostatic overload, like you’re just overwhelmed and you don’t have the resources, the self efficacy or the self esteem to manage it. So 5ht2 was.

Illness 107