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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . We didn’t see that in the high rate nursing home.

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

GeriPal

Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes. Why is that important in the emergency room? Corita 18:01 Into nursing homes, you know. Why do so many (most, all??)

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

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

GeriPal

Lucky, Jim and many others like him were willing to come on to our podcast those first several months of the pandemic and share their experiences and lessons learned caring for COVID positive patients and their family members. . Or, if they were in the emergency room and decided to be admitted for comfort measures only, I would admit them.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

We would find these people in the hospital, and we said, “What would you have thought if someone had come up to you in the emergency room yesterday, and said, ‘Hey, instead of going upstairs, you could go home.’ And then, the patient can bypass the emergency room entirely. We did our initial pilot study.

Hospital 115