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What can we learn from simulations? Amber Barnato

GeriPal

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? I’d be willing to take some time on a mechanical ventilation machine to live longer.”

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

GeriPal

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. Where she has each of the age categories and you see the prevalence of frailty increasing.

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

GeriPal

It’s not the tool itself, it’s that doctors are handing out POLSTs to people at they’re welcome to Medicare or annual wellness exams. It would have a CPR section and then it would have a healthcare proxy section. I can on one hand count the patients I’ve cared for who didn’t want mechanical ventilation.

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Care Across the Health Care Continuum: Communication and Education are the Keys to Success

Home Care Pulse

Payer Sources: Private HMO insurance plan through Alice’s job Medicare as Alice became eligible for Social Security Disability Insurance and Medicare when she was diagnosed with ALS. Alice has stated that she is unsure about a feeding tube but is certain she does not want a ventilator or other assistive breathing device.

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Top Family Caregiver Mistakes:  Part 2; Not hiring in-home help

Hope Hospice

Not having healthcare, financial, and legal affairs in order. This refers to choosing a very small group of family and friends who have been following infection-control measures with whom we can interact for short periods of time in an outdoor or well-ventilated environment. Home health care is covered by Medicare and most insurances.

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Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

GeriPal

Advocate for the CONNECT for Health Act, which would permanently expand access to telehealth for Medicare beneficiaries: [link] Much more on this podcast, including puzzling out who the characters in Space Oddity by David Bowie might represent in an extended analogy to telehealth. This was a commitment before the pandemic.