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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

Screening 119
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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. Like I said, the patient screened positive for it. Or was that just the lingering conversations?

IT 99
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

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

GeriPal

And then three weeks later, you’re in the emergency room and somebody else talks with you for a little while. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself. Get the hospice referral.

Illness 98
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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.” ” You know?

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How to identify a victim of heat exhaustion or heat stroke

Medical Xpress

Enzymes provide the body with instructions for what it needs to do, and when people lose energy and water, biochemical systems in the body start to fail, Wood says. The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room.

Illness 53
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What Lessons Have We Learned from the First COVID Surges? Jim Wright & Darrell Owens

GeriPal

Including, I think, a 24/7 palliative care intervention in the emergency room, an inpatient comfort care intervention for COVID-positive patients … doing a tremendous amount. So we anticipated, based on what was happening in Seattle, a pretty large influx of elders that were going to come through the emergency room.