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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.

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Private equity is probably one of the top things that I’m worried about with the future of our field in Palliative care and that because private equity is buying up… And Geriatrics, buying up assisted livings, nursing homes, hospices at an extraordinary rate. ” And, he said, “End of life care.”

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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. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. How high is too high?

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

You might be able to extend your life a little bit, but at what cost? So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-life care, and similar consequences. Eric: Yeah. So this is a very common occurrence. Joel may know. Joel: Yeah.

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

GeriPal

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Eric: Just for the aging population, what about long-term care? And the nurse can’t dose it, they have to individually dose it.

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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. We wouldn’t dream of not measuring oxygen saturation, yet function, which is highly predictive of outcomes older adults care about, many hospitals hardly measure. Eric: Yeah. Alex: Yeah.

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S3 Ep.1 : How Training Has Changed Over the Last 20 Years, With New Hosts Linda Leekley and Amanda Sternklar

Home Care Pulse

Before that healthcare was cooking along really growing and then this balanced budget act was passed in 1997 and it drastically slashed Medicare reimbursement amounts for services across the continuum. Suddenly people were realizing that, oh, you know, people wanted to stay home. You know, CMS was looking to save 1.6