Hospice News

NOVEMBER 28, 2022

That assumes that you have somebody at home who’s willing and able to take care of you. And if we don’t make that happen, those patients end up in the hospital or they end up in nursing homes. I’m not saying they’re not, but they are not as present. And again, we’re having roaring success.

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GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. I’m unsure what they do, how often they’re used, and who pays for their work.

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Hospice volunteer Presentation Palliative care Palliate 243

Hospice News

APRIL 4, 2023

In addition to skilled home health, Enclara’s services include hospice, palliative and personal care, and behavioral health. The acquisition presents opportunities for Elara Caring to fill gaps between its adjacent markets in Connecticut and Massachusetts.

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Hospice News

MARCH 29, 2023

Researchers from the Case Western Reserve University School of Medicine in Ohio analyzed data for cancer patients between 2013 to 2017, finding that aggressive care in the last 30 days of life was more common among nursing home residents than community-dwelling older adults, at 64% versus 58%, respectively. That number reached 92.5

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GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. Summary Transcript Summary.

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Hospice News

MAY 18, 2023

Accord has staged other performances at nursing homes and senior living facilities, and in school buildings and other community spaces that have enough room for the actors and audience. When you have a new group [of employees] come in, you can present this because it creates conversation,” she said.

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Hospice News

JANUARY 19, 2023

I cannot pinpoint exactly how people will do it, but I do expect more attention and program- and service-line development in mental and behavioral health within the home health and hospice sectors,” VNA Health Group President and CEO Steven Landers told Hospice News. I think that’s going to be a continuing area of focus.”

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GeriPal

OCTOBER 19, 2023

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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GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Journal of Hospice and Palliative Nursing, 22 (5):392-400 / PMID: 32740304. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? Wonderful work. Schilling, L.,

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Palliative care Palliate 2011 Healthcare 252

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. ” Ariel: Exactly.

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Nursing home Presentation Article Nursing 200

GeriPal

NOVEMBER 17, 2022

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. toenail trimming) to things in between (e.g.

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GeriPal

MARCH 24, 2022

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. Susan: Thanks so much, Alex. Welcome back, Bob.

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GeriPal

DECEMBER 2, 2022

In fact, for some individuals the dementia is a gift, with the loss of memory for what might have upset you 20 minutes ago, and so we see people who come in and they are presented with TimeSlips’ engagement activity, or some other kind of arts activity, or a conversation with Ab, and somehow what had been distressing them has faded away.

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GeriPal

DECEMBER 21, 2023

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. People start thinking about putting them in a nursing home. Diane: Yeah.

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GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Alex: This is Alex Smith. Heather: Sure.

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Palliative care Palliate Healthcare 2011 211

Shining Light Hospice

MARCH 27, 2023

Hospice services can be provided at home or in inpatient facilities with staff experienced in end-of-life care. Be Present Presence and authentic listening create a safe space that allows for honest, open communication and allows all parties to feel understood.

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GeriPal

APRIL 4, 2024

I once had a patient in the ICU at Moffitt who had had a stroke and was facing, not recovered, going to a nursing home with a feeding tube. People would present with horrible opportunistic infections, not just pneumocystis pneumonia, but CNS infections with toxoplasmosis and wasting syndrome, of course.

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GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago. That will be the last one in his life.

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GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. Acute care is called acute care for a reason.

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GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. First, Black and Latinx persons experienced much higher rates of mortality than other groups. This is Eric Widera. Alex: This is Alex Smith. Welcome to the GeriPal Podcast, Ramona.

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Hospice Nurse Hero

JANUARY 26, 2022

Attitude about documenting in front of the patient Short staffing Unclear understanding of hospice rules/regulations Lack of nursing experience (new to hospice) Inappropriate assignments (new nurse with complex patients) Travel time (rural vs nursing home vs inpatient) Too many patients. Hospice Charting Fundamentals.

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GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: So it doesn’t just help the patient but it helps everybody around the patient too importantly, like in nursing homes. Lona: Absolutely. Eric: Can I touch on the last study?

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Living With Hospice

JULY 27, 2022

They answer any questions that the family or patient might have and then are present when the patient transitions and passes away. End of life care is changing as a result … from traditional, you know … go to the hospital, or sit in a nursing home and die … to more of a palliative approach to care.

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GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. Eric: And can I ask you, why did you choose geriatrics? Why did you go into it?

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GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: So it doesn’t just help the patient but it helps everybody around the patient too importantly, like in nursing homes. Lona: Absolutely. Eric: Can I touch on the last study?

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