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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.
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. Raele: Yep, they definitely can be. Eric: And why is it more common in hospitalized adults?
Mariah 03:51 I like the SAMHSA definition as sort of a guiding definition for it, and I’m happy to read it. Well, being a pretty comprehensive definition. Kate 11:33 Yeah, I mean, definitely more indirect pathways than direct. Eric 04:19 Yeah. So there’s an event or a series of events. Everything may not be.
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!
Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursinghomes, and now physician groups. Alex: Definitely not on amyloid drugs. Definitely putting a little bit more prep time in.
Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursinghome provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. nursinghomes.
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.
So we followed Gretchen Schwarze’s definition, which was 1% or higher inpatient mortality was considered high-risk. And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. You’ll have a feeding tube.
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.
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: Who manages, once a day, methadone once they’re admitted to a nursinghome? Is cancer pain really different? Katie: Yep.
The following is a true nursinghome experience that my hospice patient shared with me about an unusual trip she said she had taken the day before I visited her: (Excerpt from my book Becoming Dead Right: A Hospice Volunteer in Urban NursingHomes ) “What did you do today?” I asked Rose after feeding her. “Me?
Stage three: Hashing a new plan Since our girls were now in school, I took a job as a nursing assistant at a nursinghome. In those days, the nursinghome trained nursing assistants and you didn’t have to be certified. I worked as a nursing assistant for a couple of years, then I was off to LPN school.
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. Just one example, when I moved from Minnesota to North Carolina, I was kind of shocked that North Carolina had absolutely no continuing education requirements for nurses.
So, as kids would say, definitely my bad! Don't wake them up to feed them or give them water or take medicine, just let them sleep, the body's doing what it's supposed to do. We lost my wife's Dad, four years ago, he was in a nursinghome and basically died a miserable death. Important point here.
A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursinghomes. Danny 07:39 Yeah, definitely. So some of our approaches definitely altered based on the availability of what we could get done.
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