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Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

Physician's Weekly

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. Ellen had been diagnosed with vascular dementia, peripheral vascular disease, and Type 2 diabetes. “Hello.

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Doctor: "You are ready for discharge."

Mere Mortal MD

Then there are all the nurses and nursing aides interrupting what little sleep you are trying to get, as well as the doctors, physician assistants, or nurse practitioners breeze into and out of your room so fast your hair stirs in the wind. It is not a skilled nursing facility. His medical diagnoses were stable.

Hospital 221
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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. And I would say we weren’t doing training on symptom management, for example.

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

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. Bragging rights. Alex: Yeah. Jessie, welcome back to GeriPal.

Illness 136
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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). And how am I going to manage their pain?

Illness 102
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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. How many patients is my hospice nurse case manager responsible for on any given day? Eric: Great.

IT 113
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Normalcy, Introspection, & the Experience of Serious Illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

GeriPal

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness.

Illness 128