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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. Raele: Yep, they definitely can be. Eric: And why is it more common in hospitalized adults?

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End-of-Life Dreams and Visions (ELDVs)

Hospice and Nursing Homes Blog

The following is a true nursing home experience that my hospice patient shared with me about an unusual trip she said she had taken the day before I visited her: (Excerpt from my book Becoming Dead Right: A Hospice Volunteer in Urban Nursing Homes ) “What did you do today?” I asked Rose after feeding her. “Me?

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Alex: Definitely not on amyloid drugs. Definitely putting a little bit more prep time in.

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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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Realizing a Dream: How I Earned My Bachelor’s Degree in Nursing

Nurse.com

Stage three: Hashing a new plan Since our girls were now in school, I took a job as a nursing assistant at a nursing home. In those days, the nursing home trained nursing assistants and you didn’t have to be certified. I worked as a nursing assistant for a couple of years, then I was off to LPN school.

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