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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

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.

Article 217
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursing home residents who initiate dialysis. If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed.

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. Ira: I like the article. I don’t want Ava Kofman’s article to draw all our attention because the issues that she brought out had been brought out before. She’s filming us today.

Hospice 223
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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s been a hospice and nursing home director.

Document 280
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Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal

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.

Palliate 295
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Document 208
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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

We got a couple of articles to discuss and a lot of different components of this. I was wondering, because Alex did mention that we talked with Jessie before about whether or not we should be teaching some of this stuff in palliative care fellowships. Eric: Which brings us to an article. Jessie: Exactly. Eric: Oh, you were?