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

GeriPal

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. In 1990 the Supreme Court ruled…for the state of Missouri.

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Power of Purees

Chicago Caregiving

Jeannine Forrest, PhD, RN, of Dementia Coach On-Call, recalls consulting at a nursing home where a woman with dementia was losing weight. Troehler cautions that individuals caring for a loved one with dementia at home should not try to replicate Ortega’s pureed food dishes. “It

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Deprescribing Super Special Part II: Podcast with Elizabeth Bayliss, Ariel Green, and Kevin McConeghy

GeriPal

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. ” Ariel: Exactly.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Fall Prevention

Hope Hospice

That’s why falls are the most common cause of nursing home placement. If no obvious injury is present, have the person roll onto their side. Reduced muscle strength and coordination, too, make it harder to recover from a loss of balance. Getting up too quickly or in the wrong way could make an injury worse. Repeat five times.

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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. He, his Twitter feed though is brilliant. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago.