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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. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care.

IT 113
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CDC Proposes Updating Practice Guideline for Prescribing Opioids, Warning Against Continued Misapplication

FDA Law

CDC emphasizes that while some of the initiatives had positive results for some patients, guideline “recommendations are voluntary and intended to be flexible in support, not supplant, individualized, patient-centered care.” ER/LA opioids should be “reserved for severe, continuous pain.”. Recommendation 4. . at 95-96. “[B]efore

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

FDA Law

When starting opioid therapy for acute, subacute, or chronic pain, clinicians should prescribe immediate-release opioids instead of extended-release/long-acting (“ER/LA”) opioids. ER/LA opioids should be “reserved for severe, continuous pain.”. Methadone should not be the first choice for an ER/LA opioid. By Larry K.

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

GeriPal

You know, most, most ERs admit, you know, far fewer than 50% of their patients. They go to observation and go home or just get discharged straight from the ER? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Eric 01:35 Okay.

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How to identify a victim of heat exhaustion or heat stroke

Medical Xpress

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. Officials warn of increased risks for the elderly, outdoor workers and those without AC. Your blood pressure may decrease." Its no longer functioning.

Illness 59
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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

In addition to discussing these outcomes, we also discuss: The history of the hospital-at-home movement. The practicalities of how it works including who are good candidates, where does it start (the ED?), what happens at home, do you need a caregiver, what happens if they need something like imaging? How is it financed and what comes next?

Hospital 115