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CDC Emphasizes Opioid Guideline is Voluntary and Should Support, Not Supplant, Patient Care

FDA Law

The recommendations do not apply to inpatient hospital care, in the emergency department or other observed settings. Patient education and discussion are critical before initiating therapy. ER/LA opioids should be “reserved for severe, continuous pain.”. Methadone should not be the first choice for an ER/LA opioid.

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

GeriPal

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. You know, most, most ERs admit, you know, far fewer than 50% of their patients.

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

GeriPal

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. Working with Abe Brody at NYU to do a randomized control trial of an intervention for education, for psychotropic use in end stage dementia patients. Eric: Alex, we have some great guests with us today.

IT 113
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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115
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What Lessons Have We Learned from the First COVID Surges? Jim Wright & Darrell Owens

GeriPal

In fact, no one in this hospital died that was not on comfort care. And of the ER screening program, I’ve seen 266 people, 266 goals of care conversations in the ER, which were pretty significant. We have lost so many nurses. We are a community-based hospital. Pretty … Just all things, right?