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How Palliative Care Could Help Break the SNF-to-Hospital Cycle

Hospice News

A dearth of coordination or integration between rehab teams and palliative care teams routinely forces some patients into a cycle between the hospital and the nursing home in their last year of life. The post How Palliative Care Could Help Break the SNF-to-Hospital Cycle appeared first on Hospice News.

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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. Transcript.

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Transforming the Culture of Dementia Care: Podcast with Anne Basting, Ab Desai, Susan McFadden, and Judy Long

GeriPal

He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: Could we touch on nursing homes too?

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Assisted Living Communities: Podcast with Sheryl Zimmerman, Kenny Lam, and Ken Covinsky

GeriPal

AlexSmithMD (still on Twitter at present). RCFEs, boarding cares, nursing homes. Eric: And how is assisted living community different than a nursing home? One is they’re not licensed as a nursing home, and they’re not federally regulated. Transcript. This is Eric Widera. Facilities.

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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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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Eric: What got you interested in memory care, dementia, and put you on this path? Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home.

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Advance Care Planning Discussion: Susan Hickman, Sean Morrison, Rebecca Sudore, and Bob Arnold

GeriPal

But I do think POLST, which I conceptualize as an advance care planning tool, really sits in between those worlds of decisions that are relevant for the present versus the few future. I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. That’s not unique to POLST as an order.