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GeriPal Special: Hopes and Worries for Hospice and Palliative Care

GeriPal

Summary Transcript Summary We have a special extra podcast this week. The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Transcript Eric: Hey, GeriPal listeners, this is a GeriPal special episode. Eric: Yeah.

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Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units): Kellie Flood and Stephanie Rogers

GeriPal

But if ACE units are so great, why do so few hospitals have them? Which patients are eligible to go to an ACE unit? Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line. What are the benefits of an ACE unit? Transcript. This is Eric Widera. Alex: Yeah.

Hospital 101
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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

My wife, who’s a PhD nurse practitioner, who actually was a founding dean of the nursing school at GW, and I were thinking about, well, we’re not sure we want to work for somebody else all the time. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization.

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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. David Bekelman conducted a RCT of a nurse and social worker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD). Big randomized control study that came out.

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Buprenorphine Use in Serious Illness: A Podcast with Katie Fitzgerald Jones, Zachary Sager and Janet Ho

GeriPal

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). We got some really special guests with us.

Illness 103
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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. Alex 01:23 And we’re delighted to welcome DorAnne Donesky, who is a palliative care nurse practitioner at Queen of the Valley Medical center in Napa and professor emeritus at the UCSF School of Nursing.

Screening 121
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.