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Guiding Patients With Severe COPD Toward Advanced Treatments

Physician's Weekly

As healthcare professionals, we have watched as patients progressed from one to three inhaler combinations, to requiring oxygen, to getting on lung transplant lists. As healthcare professionals, it’s important to understand the broader impact of severe COPD on our patients’ everyday lives.

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Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. How to screen for hearing loss. On today’s podcast, we talk to Nick Reed and Meg Wallhagen about hearing loss in geriatrics and palliative care.

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Deprescribing Super Special III: Constance Fung, Emily McDonald, Amy Linsky, and Michelle Odden

GeriPal

And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. In our early studies in the same nursing home population, we found about 70% of residents had a deprescribing event of antihypertensives during their stay. You know, we got to prevent cancer.

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Sleep problems and Insomnia in Serious Illness: A Podcast wtih Cathy Alessi and Brienne Miner

GeriPal

Cathy: Actually, many years ago, I did some research on delirium and then I was doing some research on nursing home residents and we were doing work looking at, I was interested in how sleep problems and nighttime events might lead to delirium, and then I just became very, very interested in sleep.

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Trauma-Informed Care: A Podcast with Mariah Robertson, Kate Duchowny, and Ashwin Kotwal

GeriPal

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. So there’s an event or a series of events.

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Psychedelics – reasons for caution: Stacy Fischer, Brian Anderson, Theora Cimino

GeriPal

Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Most participants are White and well-resourced.

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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

And so to them, the real frustrating part is they’re supposed to be treating people like it’s a one-time event the very first time, and the system of EMS is not designed to be longitudinal complex care, and yet that’s basically what we’re seeing happening. I had no idea that people were calling 911 that much sometimes.

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