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Summary Transcript Summary Often podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely does the podcast and clinical reality meet in the same day. Lynn Flint, author of the NEJM perspective titled, “Rehabbed to Death,” joins Eric and I as co-host.
We also discuss Scott’s recently published paper in JAGS that showed that older men with lower urinary tract symptoms have increased risk of developing mobility and activities of daily living (ADL) limitations, perhaps due to greater frailty phenotype. . Transcript. Eric: Welcome to the GeriPal podcast. This is Eric Widera. Scott: Yeah.
James: Definitely not-. Eric: Yeah, this is definitely… If you grew up in the ’80s, this is the slow dancing song. It predicts mortality, it predicts time to walking disability, so time until someone can’t walk across a room, and time to ADL disability. Welcome back to GeriPal, James. Welcome back, Sei.
Documentation errors are definitely one of the top reasons why it brings regulatory attention to a hospice’s doorstep. PPS score, the prognostic statement, the disease progression, the ADLs, whatever it was, it was missing one or a multiple of those. It’s an administrative burden. We measure all of those things.
So by definition, if you have MCI, you’re not dependent on other people. By definition, you have dementia, you may not be able to. Mostly people use like a quick ADL IDL checklist and for function and a mini cog. You can get along without too much help or any. And we give a variety of validated tools.
Like any place else, they don’t use the same operational definition of what we might. But the most striking thing to me was definitely that they would give you different quotes based on who called. And in that, they found it significantly improved ADL function and life space. ” And I said, “Oh. Eric: Okay.
I definitely do. Eric: What excites me about the med students is when I was a med student, I never heard of ADLs or IDLs and we just gave a talk to first or second year of med students. So that’s one thing I feel some optimism about. And I love this community. And they give off so much energy for me and make me feel so good.
How to motivate your caregivers with it: You can be known as the agency that prepares, equips, and advances their employees simply by reconstructing your definition of training. Reposition the caregiving occupation as an opportunity for unparalleled career growth and increase the scope of clients your agency can care for.
Summary Transcript Summary We are dusting off our crystal balls today with three amazing guests who have all recently published an article on prognosis over the last couple months: Kara Bischoff, James Deardorff, and Elizabeth Lilley. Why do this? James, welcome back to GeriPal. James 00:42 Thanks for having me. Welcome back to GeriPal.
Than someone who is perhaps dependent on all their ADLs. The folks who became homeless late in life became chronically homeless, because chronic homelessness is by definition being homeless for more than a year, more or less, and having a disabled condition. Yeah, that was adjusting for the age of first homeless. So really interesting.
And that is, definitely, one way to approach it. Home health aide at 25 to 50 bucks an hour is, actually, a very inexpensive, and well-worth input for people who need help with ADLs and the like. There’s definitely a move towards standardizing that care as well, in the hospital-at-home side. And it is definitely both.
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