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Many Older People Embrace Vaccines. Research Is Proving Them Right.

Physician's Weekly

“Season in and season out,” Schaffner said, “it produces outbreaks of serious respiratory illness that rivals influenza.” The vaccines were 75% effective in preventing emergency room or urgent care visits, and 75% effective against hospitalization, both among those ages 60 to 74 and those older.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

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

GeriPal

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Emergency rooms. Eric: Okay.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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How to identify a victim of heat exhaustion or heat stroke

Medical Xpress

Wood, director of Northeastern Universitys Extreme Medicine Certificate Program, says its important for people to recognize the signs of heat illness and how quickly heat exhaustion can progress to heat stroke, when immersion in cold water is necessary to save lives. Heat stroke is the most serious heat illness, Wood says.

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