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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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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. I think it’s around one in 12 nursing home patients But it’s a lot.

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. And, I would lower the Medicare age so that there’s Medicare for all.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

We got a couple of articles to discuss and a lot of different components of this. And Katie, I was going through your Twitter feed, and a tweet I noticed was this one, “All opioid guidelines caution long-term use in people with active substance use disorder.” Eric: Which brings us to an article. Jessie: Exactly.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on nursing home call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Summary Transcript Summary Diabetes is common.

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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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Hospice Nurses: Admission Tips You Can Use Right Now

Hospice Nurse Hero

Before a patient is admitted to hospice, they must meet Medicare eligibility criteria. doctor, hospital, nursing home) are added to the electronic medical record. Recommended Article: 3 Common Mistakes Hospice Nurses Make and How to Avoid Them. They told the family that the hospice would supply the tube feedings.