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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. 2022 Guideline at 3.

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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. We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me. Eric: Great.

IT 113
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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? Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? So we know these patients are really, really sick.

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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. Other factors including humidity, wind and peoples ages and medical conditions play a role in heat illness as well, Wood says. 40°C (101–104°F).

Illness 56
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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

And we then did a bunch of work to develop medical criteria, to choose the right patients for hospital-at-home. Patients will come into the ER, they bypass the inpatient experience entirely, and go straight home. For the most part, programs are doing, twice a day, nursing visits. And that’s more standard. Tacara: I agree.

Hospital 115