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-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of lifecare Transcript Eric: Welcome to the GeriPal podcast. Tamryn: I definitely agree. This is Eric Widera.
Eric 03:35 Well, lets get i nto the topic, and I’m hoping that one of you would be willing to take on m y first question, which comes from a very naive place, is even before we talk about what is trauma informed care, how should we define trauma? Well, being a pretty comprehensive definition. Eric 04:19 Yeah.
Erin Harris: My journey in this field began with retail pharmacy, but my passion for hospice care led me to Enclara Pharmacia. Witnessing the compassionate, collaborative efforts of hospice teams during my great-grandmothers end-of-lifecare inspired me to transition into this field. It is definitely a lot.
Five wishes are similar to living wills in that they express an individual’s preferences for end-of-lifecare. In your living will, you should clearly state your preferences for medical treatment, including life-sustaining measures such as artificial ventilation and feeding tubes.
Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. So, we asked my older son, Kai, who’s 18 years old, he’s an adult, “What is Palliative care?” ” And, he said, “End of lifecare.” Alex: Definitely not on amyloid drugs.
For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Archives of Internal Medicine 2010. Rehabbed to Death. Ruth: Oh, thanks.
Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-lifecare. Let them have this one piece of joy left, which is their opioid use disorder”, which, by definition, is not bringing them joy, right?
You might be able to extend your life a little bit, but at what cost? So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-lifecare, and similar consequences. You may end up there indefinitely. You’ll have a feeding tube.
Julien: He basically had an end of lifecare discussion with this patient. ” And that has 34,000 likes, which for a palliative care tweet is beyond what other tweets have achieved. He, his Twitter feed though is brilliant. It won’t take long, go get it by yourself.” Eric: Yeah. Alex: Yeah.
you know, I think there’s, there’s definitely been a change in the perception of continuing education and how important it is for all healthcare professionals. And that’s what attracts them to, to the, the work, or they have an interest in a particular aspect of care, such as Alzheimer’s disease or end of lifecare.
Danny 07:39 Yeah, definitely. So some of our approaches definitely altered based on the availability of what we could get done. So intubation, cpr, feeding tubes. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life. Sydney 25:10 Yes.
And then at one point, probably in the late 90s, I realized that I was interested in not only the HIV medicine, which I continued to be interested in or involved with, but also the palliative and end of lifecare aspects itself. I guess by this definition, I am now an older adult. This was in the early 2000s in Detroit.
Ought we, in bioethics, create ethical rules for providing care that is illegal? Would such ethical guidelines foster or feed suspicion of the motivations of bioethics? . And as you… Well, the reason we’re connecting all of this today is there are also directives that relate to end of lifecare.
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