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If you develop dementia, odds are you will spend the last months to years of your life in a nursinghome or assisted living facility. This study explored nursinghome organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.
A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPCs Trauma-informed care toolkit Mariahs article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults ** This podcast is not CME eligible. Eric 27:08 I’m going to also call out Mariah’s article in jags.
In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. In 1990 the Supreme Court ruled…for the state of Missouri.
For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursinghomes, hospitalization, and nursinghome care Karl’s GeriPal post on appropriate use of POLST Enjoy!
Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. nursinghomes. Kevin: Yeah.
Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. by Kearney. I promise its short. Les hospice in France.
We got a couple of articles to discuss and a lot of different components of this. And Katie, I was going through your Twitter feed, and a tweet I noticed was this one, “All opioid guidelines caution long-term use in people with active substance use disorder.” Eric: Which brings us to an article. Jessie: Exactly.
In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. You’re not going to end up going back home after the surgery. You’ll have a feeding tube.
When I’m on nursinghome call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursinghome or hospice? Summary Transcript Summary Diabetes is common.
We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. I think it’s around one in 12 nursinghome patients But it’s a lot.
I mean, I, you know, when I was a fresh nurse, I wasn’t gonna come in there and say, because I had a degree, I knew more than these nursing assistants, who’d worked for 20 years, you know, on a unit. Suddenly people were realizing that, oh, you know, people wanted to stay home. It didn’t exist.
In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursinghome admission. He, his Twitter feed though is brilliant. So, maybe the person with advanced dementia is coming in from the nursinghome and nobody can find the living will from however many years ago.
The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursinghomes, and now physician groups. So, we did try to get some breadth of guests on our show. What do you think?
doctor, hospital, nursinghome) are added to the electronic medical record. Recommended Article: 3 Common Mistakes Hospice Nurses Make and How to Avoid Them. Foleys/Tubes -Does the patient have any tubes such as feeding tubes, CADD pumps, or Foley catheters. Next, medical records are requested by the intake team.
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