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Our task is simple, we are going to be sampling each of these hot chicken wings while we ask Eric and Alex questions related to Palliative care and Geriatrics. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursinghomes, and now physician groups. Anne: Right. Why are they doing this?
Brought to mind the neglect and warehouse style nursinghomehome shabbiness of les hospices. But what might be helpful is, I think it was 2008, in the Journal of Pain and Symptom Management, Balfour Mount, with Pat Boston and Robin Cohen, published a paper called Healing Connections. Les hospice in France.
And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. That provision was taken out of Obamacare back in 2007, 2008. Yep, for geriatrics? Samir: Yeah.
They’re really excellent, and if I have any complaint about them at all, it’s that they could have been issued in 2008, 2009. The for-profits stepped up and they have been serving people in nursinghomes, including with dementia who deserve our care, and the nonprofits haven’t. I really appreciate it.
We’ve mentioned buprenorphine, is that kind of the main thing that we should be thinking about in palliative care clinics and geriatric clinics for people with your use disorder? Eric: And that pain protocol significantly reduced behavioral issues in dementia nursinghome patients. Zachary: I think it’s important.
More and more people are choosing to die at home. However, by 2017, home surpassed hospitals, nursinghomes, and every other place as the most common place of death. In: Huria A, Balducci L, editors: Geriatric Oncology: Treatment, Assessment, and Management. 2008 Nov;98(11):2092-8. Ferrell B, Mazanec P.
Next, we talk with James Deardorff about whether we can accurately predict nursinghome level of care in community-dwelling older adults with dementia. First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. Good to be here. James, welcome back to GeriPal.
Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursinghome with dementia. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursinghome. People start thinking about putting them in a nursinghome. Diane: Huge.
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