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Finally, we discuss Michelle Oddens study, which used a target trial emulation approach to investigate the effects of deprescribing antihypertensive medications on cognitive function in nursinghome residents. Eric 16:36 Okay, Connie, I got one last question about your article. So I think it is already being done. Why is that?
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. Eric: Can I ask? Elizabeth: Yeah.
The prospect of a spouse needing nursinghome care is one of the biggest financial worries for couples. With some facilities on Long Island now charging more than $600 a day, even with long-term care insurance policy benefits, the monthly out-of-pocket cost of a room in a nursinghome can easily exceed $6,000.
So, we use that information to formulate a treatment plan. I got a question then, because I see one in 12 nursinghome patients with dementia are placed on thickened liquids. I think it’s around one in 12 nursinghome patients But it’s a lot. Eric: Oh yeah. I see this in a lot in dementia.
This article originally appeared on LinkedIn , by AlayaCare CEO, Adrian Schauer. The mood in the nation’s home health community is a worry that we could be in for another rough time. Alarm bells are now sounding in long-term care facilities and nursinghomes, where clients may be vaccinated ( U.S.
Eric: That’s why I love reading your articles, always so deep in science. Eric: And when do we expect that article to come out? Alex: Nursinghomes. Eric: Here’s our contact information. Attendee 18: Teaching researchers the basic sciences of research, I think is a weak part of the training.
This article originally appeared on LinkedIn , by AlayaCare CEO, Adrian Schauer. The mood in the nation’s home health community is a worry that we could be in for another rough time. Alarm bells are now sounding in long-term care facilities and nursinghomes, where clients may be vaccinated ( U.S.
This article is sponsored by ACHC. In this Voices interview, Hospice News sits down with Susan Mills, Senior Program Director for Home Health and Hospice, ACHC, to talk about the key compliance challenges, opportunities and trends to watch in the current hospice environment. Visit our website to learn more.
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.
Please read full disclosure for more information. Hospice care is delivered anywhere the patient calls home and for many elderly, this includes the nursinghome. Learn how you can build better relationships with nursinghomes while delivering quality hospice care. BENEFITS FOR NURSES.
In this article, we'll explore how to start a hospice agency and ensure its success. Building strong relationships with referral sources such as hospitals, physicians, nursinghomes, assisted living facilities , and home health agencies can help you develop a consistent client rate. What is Hospice?
If there’s one thing I’ve learned from sitting by the bedsides of elders in the nursinghome, it’s that life goes faster than we think it will, and I have other mountains to climb. It’s the undertaking I’d most regret leaving undone if I were talking to my psychologist in my nursinghome room at age 85. A stretch, I know.)
In this article, we will delve into the realm of long-term care insurance and focus on the coverage it provides for in-home care or home health aides. In-home care, provided by certified caregivers , is a viable and often preferred option for many individuals who wish to age in place.
But during this time, can we truly maintain healthy relationships with loved ones outside of the home? Many of us reading this article have a loved one in a facility, whether it is at an Assisted Living Facility, Memory Care Facility, Group Home, Senior Apartments, Skilled NursingHome, Hospital, or other CBRF.
He is one of a growing legion of nurses who are putting their concerns about the environment into action both inside and outside the workplace. The nurses in the article speak about their work and why nurses are well suited to tackle environmental challenges. Farmer, nurse, researcher, connector.
For example, if you organized a blood drive at your school or read to residents of a nursinghome, expand on the details of these occasions. According to Yale University’s School of Nursing, resumes should be one to two pages in length. Does my resume have to be on one page, and what other format details should I consider?
Please read full disclosur e for more information. 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 nursinghome vs inpatient) Too many patients.
Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. We’re going to be talking about trauma informed care.
There have been excellent suggestions from within the LTC world, but I recently came upon a journal article from the National Academies of Sciences, Engineering, and Medicine that outlined short-term strategies in the general workforce that might be helpful. Eleanor Feldman Barbera, Ph.D.,
As I reviewed the many recent long-term care happenings and articles to select a topic for this week’s blog, my mind kept returning to the fascinating column by researchers Lindsey Creapeau and Jennifer Johs-Artisensi, “ Nursing assistants’ perspective holds the key to solving your staffing woes.” .
As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursinghome residents who initiate dialysis. Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis.
This is a sponsored article, written by the epic team at Hunter Galloway. Today, I’m going to show you 7 common mistakes that Nurses make with their home loans in 2022. Buying a home is a long, stressful, and complicated process. Make sure to include the additional costs of buying a home in your budget.
Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursinghome care. We have Alice Bonner, who’s Chair of the Moving Forward NursingHome Quality Coalition.
Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursinghomes. The emergency physician knows it’s not new information. Corita 18:01 Into nursinghomes, you know.
First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursinghome clinicians versus a clinical guideline. ” What we should say to our nurses is, “Thank you for letting me know.
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.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. Jessie: Exactly. I think two of you published, at least.
But they were specifically looking at nursinghome population. So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. Mike: Thank you.
It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. ABIM MOC credit will be offered to subscribers in November, 2024.
David 12:31 Yeah, if you believe the results of an informal. And maybe Eloise, like, in your Stanford perspective as a nurse practitioner, not in, like, your cannabis clinic perspective, I’m guessing. Eric 39:13 No, there was actually in Colorado, I think there was that Atlantic article or New Yorker. David 12:34 Yeah.
For a deeper diver into these issues, check out some of the following links: Ira’s Stat new article “Hospice care needs saving” GeriPal’s episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. Ira: I like the article. Thank you, Anne.
Eric: And Sarguni for you coming in as a hospitalist, as a researcher, probably a lot of hospitalists have never actually walked into a skilled nursing facility before. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Eric: I felt that reading the article.
The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. You write about this, you’ve written this New England Journal article, you’ve written past articles.
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!
Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. Ideally, there’ll be a place in the chart that actually captures the name of that person and their contact information. I think Bob also noted documenting it.
And for this podcast in particular, both Bill and Louise wrote articles that we’re going to be discussing particular patient cases. So while you don’t have to, we’re gonna summarize these articles. If you have a chance to read those articles before you listen to this podcast, I highly recommend that you do.
Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.
This article is sponsored by Axxess. This article is based on a Hospice News discussion with Faith Protsman, regional medical director at VITAS Healthcare, Raianne Melton, senior clinical manager of professional service at Axxess, and Cheryl Hamilton Fried, president & CEO at Blue Ridge Hospice. Let me see. Our telehealth visits.
But we know from previous studies that a lot of older adults actually want this information, but might not feel comfortable bringing it up. So yes, it’s imperfect and we recognize that, and we’re always clinically making decisions that are based on imperfect information. Eric: Okay, I’m going to jump to the articles.
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. But they don’t really have a lot of condition-specific or procedure-specific information at all.
He will post like articles that he’s read highlighted with key points noted, absolute treasure. It’s in the title of this article. So I think the implications are pretty interesting, and this is where I wish that there was more space in the article to really dive into the details on this, because it is challenging.
I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. Where do we go with all of this information? Melissa: Sure.
Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). I was alone with her in the end of a long hallway at a nursinghome health center.
Her work is informed not only by her career of more than 20 years as a hospice professional but also by her experience as a caregiver for her husband. So I had that to inform my caregiving. They’re tele-novellas; they use dramatic stories to inform people. We supplement that with additional resources and articles and things.
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