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Who should get Palliative Care? Kate Courtright

GeriPal

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training.

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

GeriPal

However, its main predictors are age, comorbidity, and healthcare utilization. So, there was this study called, Acute Care for Elders, where they developed these specialized units and they had specialized attention to multidisciplinary geriatric domains for inpatient hospitalized older adults, and they showed great outcomes.

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

GeriPal

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. I’m just stunned even writing that! Why another study?

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

GeriPal

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. And so we do have consultants who come in the building. And usually it’s simply for a consultation. What do we know about. Go ahead, Alex.

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

GeriPal

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later.

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Comics and Humor in Palliative Care: A Podcast with Nathan Gray

GeriPal

I think that there are times when we use humor to cope, and that’s a special and very tender space for of people to share in, but is not something that you want to expose to the light of the world. Did they ask for a consult?” I think it was a doctor describing early palliative care consults. We’ve got him.

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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

We got some really special guests with us. So for those of you listening via YouTube, here’s the live version for those of you who are listening on the podcast, you’re going to get my prerecorded version with lots of loops and I’m doing consultation with my new music teacher who’s a music producer in LA.

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