GeriPal

MARCH 10, 2022

If you develop dementia, odds are you will spend the last months to years of your life in a nursing home or assisted living facility. This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Rehabbed to Death.

Nursing home 143

Nursing home Feeding Nursing Geriatrics 143

Hospice News

MARCH 10, 2023

Palazzo established Illinois-based Transitions Care in 2007 as a portfolio company of the Transitions Group — which also holds skilled nursing, home health, medical equipment and therapy assets. It’s definitely different than selling oranges or cars. There are definitely differentiators among hospices.

Hospice 244

Hospice Definition 2007 Assisted living 244

Hospice News

MARCH 26, 2025

Its seeing the promise of hospice care being realized, and seeing the greater focus on an expansion in the definition of palliative services as being exciting, positive things coming about. Nursing homes have had this, home health has had it as well, but maybe it didnt all have the same name.

Hospice 100

Hospice Care at home Document Medicare 100

GeriPal

MARCH 14, 2024

So, it’s definitely possible in sort of that oldest old category that there may be what we call silent aspiration, where someone aspirates, and then they don’t cough or clear their throat, so you actually wouldn’t even know that they’re aspirating. Raele: Yep, they definitely can be. Raele: Yes, definitely.

Feeding 287

Feeding Definition Article Geriatrics 287

GeriPal

JUNE 16, 2022

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 nursing home clinicians versus a clinical guideline. Imagine you receive a telephone call from the nursing home about the following resident.

ADLS 292

ADLS Geriatrics Nursing home Article 292

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Document 306

Document Nursing home Healthcare proxy Ventilator 306

GeriPal

FEBRUARY 29, 2024

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, nursing homes, and now physician groups. Alex: Definitely not on amyloid drugs. Definitely putting a little bit more prep time in.

Geriatrics 292

Geriatrics Palliative care Palliate Blog 292

GeriPal

MARCH 2, 2023

valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. JAMA Surgery 2018 Gabapentin and mood stabilizers in the Nursing Home Setting: Antiepileptic prescribing to persons living with dementia residing in nursing homes: A tale of two indications.

Geriatrics 227

Geriatrics Nursing home Definition 2009 227

Hospice News

OCTOBER 16, 2024

For the purposes of your program, what definition do you use for community-based palliative care? Oftentimes it’s either combination of home visits and telephonic services. Sometimes they might be doing consultations either inpatient or in the nursing home or in assisted living. It usually isn’t.

Palliative care 269

Palliative care Palliate Long-term care Assisted living 269

Hospice News

JULY 1, 2022

Kaweah Health Hospice staff will oversee the hospice facility’s day-to-day operations and medical care, which will be provided by a team of nurses, home health aides, social workers and chaplains. The company cited swelling construction costs, rising inflation rates and the staffing shortage.

Hospice 243

Hospice Grief Bereavement Social worker 243

Hospice News

OCTOBER 7, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. I would recognize palliative care as being a definitive benefit in the eyes of Medicare, and I think we’re going to get there sooner rather than later.

Palliative care 130

Palliative care 2022 Palliate Definition 130

GeriPal

OCTOBER 26, 2023

Ann: I definitely do. Sarguni: Yeah, definitely. And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility? Why do we not have more palliative care access in nursing homes? But before we go into that subject, Ann I think you have a song request for Alex.

Palliate 322

Palliate ADLS Palliative care Chaplain 322

GeriPal

DECEMBER 2, 2022

I think the general definition that’s given is it’s the ability to bounce back from some kind of adversity. The example I give is, if you’ve ever walked into a nursing home, or where there’s an activity happening for a group of people with dementia, that is a little depressing to me.

Nursing home 243

Nursing home Books Chaplain Caregiver 243

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home 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. nursing homes.

Nursing home 247

Nursing home Article Presentation Nursing 247

GeriPal

NOVEMBER 17, 2022

RCFEs, boarding cares, nursing homes. Eric: And how is assisted living community different than a nursing home? One is they’re not licensed as a nursing home, and they’re not federally regulated. Biggest differences, not licensed as a nursing home, don’t have to have nurses.

Assisted living 232

Assisted living Geriatrics Long-term care 2005 232

GeriPal

JUNE 8, 2023

When I’m on nursing home 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 nursing home or hospice? Summary Transcript Summary Diabetes is common.

Nursing home 168

Nursing home Geriatrics Palliative care Palliate 168

Hospice News

SEPTEMBER 16, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. I definitely would not be where I’m at today without my family. With the pandemic, it’s definitely gotten worse.

2022 130

2022 Hospice Definition Caretaker 130

Hospice News

MAY 5, 2023

Some of it was definitely just trying to find new ideas in a way to be able to get into facilities and doctors’ offices. Hospitals and nursing homes don’t want to get dinged for readmissions. Typically that hovered around 80 to 90 days, and we are seeing the trend moving in that direction. It was still a very virtual world.

Hospice 246

Hospice Document Medicare End-of-life care 246

GeriPal

SEPTEMBER 5, 2024

And now I’m almost 90, so definitely I don’t need to do suffering. Louise 13:48 Definitely some thoughts, and I think slightly different for different people. Louise 15:47 Well, I think even in that example of choking in a nursing home, you don’t actually require cardioversion or a breathing tube.

Article 246

Article Resuscitation Nursing home Document 246

GeriPal

OCTOBER 24, 2024

Medical cannabis is not legal in North Carolina, so there are definitely some limits. David 26:42 I discovered that one of the interviews I did for stoned was with a filmmaker in Israel whose debut film, I think, was based on time he spent in a nursing home helping older adults to use cannabis. Eric 26:42 Yeah. David 43:09 Yeah.

Books 220

Books Definition Palliative care Palliate 220

GeriPal

JUNE 22, 2023

You walk through that door and you feel like you’ve come into more of a nursing home. We definitely have people who were dwindling and really looking like they were coming to the end of life, and when they start getting these supportive services, they pop back up. And so the definition of family was broad.

Chaplain 322

Chaplain Hospice Palliative care Palliate 322

AJN Off the Charts

AUGUST 4, 2022

The researchers’ findings were based on responses from 46,318 women ages 46 to 68 years who were enrolled in the Nurses’ Health Study and were free of major chronic diseases at this cohort study’s baseline in 1988. The post Rotating Night Shifts Erode Long-Term Health of Nurses appeared first on Off the Charts.

Nursing 109

Nursing Article Definition Nursing home 109

GeriPal

AUGUST 25, 2022

By setting, so patients who are living in places like nursing homes and assisted living facilities, where it’s easier to visit very quickly patient to patient, as opposed to home-based care for people say in rural areas. Melissa: It’s definitely true that that’s the incentive under nonprofit and for-profit.

Hospice 248

Hospice Geriatrics Palliative care Definition 248

GeriPal

OCTOBER 13, 2022

So I think when you start combining these trials and you’re faced with an older adult that the option would be to now put in a PICC line and send them to a nursing home and then you can have a really sit down with the patient through shared decision making decide we stop at seven days. Lona: Absolutely.

Article 224

Article Definition 2021 Geriatrics 224

GeriPal

MARCH 24, 2023

Lauren: Yeah, I think I can definitely see Joe’s point of view. Yes, my hair is definitely on fire. The for-profits stepped up and they have been serving people in nursing homes, including with dementia who deserve our care, and the nonprofits haven’t. Eric: Great. Lauren, what do you think about you?

Hospice 268

Hospice Article Hospice care Medicare 268

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. Alex: So the proven trial was that the video in the nursing homes? Kate: Yeah, the nursing homes. I definitely don’t want to do that today. Definitely doesn’t correlate with need.

Palliative care 234

Palliative care Palliate Geriatrics Definition 234

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. I was very excited about the opportunity, and very excited about everything that’s going on at AGS, so when she asked me, I said, “Yes, definitely.”

Geriatrics 211

Geriatrics Definition Healthcare Article 211

Hospice News

OCTOBER 28, 2022

The program is designed to recognize up-and-coming industry members who are shaping the next decade of senior housing, skilled nursing, home health, and hospice care. This isn’t going to be easy, and it most definitely isn’t a 9-5 job, but it is so worth it if you find a home with the right company — the right ‘work family.’

2022 130

2022 Palliative care Bereavement Palliate 130

GeriPal

JUNE 30, 2022

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. Eric: What are some examples of that?

Medicare 242

Medicare Geriatrics 2016 Palliative care 242

GeriPal

APRIL 27, 2023

Eric: Martha – breaking the definition for palliative care, no longer an extra layer of support. Alex: Nursing homes. We are actually the integrator. We deepen ourselves into the fabric of care and we make healthcare work for people who are seriously ill. Eric: Buying GeriPal podcasts. Eric: BlackRock.

Palliative care 216

Palliative care Palliate Hospice Social worker 216

GeriPal

MARCH 3, 2022

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. So, maybe the person with advanced dementia is coming in from the nursing home and nobody can find the living will from however many years ago. And I thought that was pretty striking.

Geriatrics 229

Geriatrics Ventilator Events Palliative care 229

Rehab Realities by Renee Kinder

APRIL 28, 2022

April 2021 – CMS targeted the efforts of the Quality Improvement Organizations (QIOs) during the COVID-19 Public Health Emergency to help nursing homes strengthen their infection control systems, increase resident and staff COVID-19 vaccination rates, and ensure quality and safety.

2022 88

2022 Long-term care 2021 2020 88

GeriPal

JANUARY 18, 2024

Eric: Who manages, once a day, methadone once they’re admitted to a nursing home? Katie: Well, I think you’re assuming that they’re accepting them to nursing homes, which is usually the first stop sign. And the nurse can’t dose it, they have to individually dose it. Katie: Yep. Jessie: Yep.

Palliative care 335

Palliative care Palliate Informed consent Article 335

GeriPal

MARCH 24, 2022

I have done a lot of work on POLST and nursing homes and I’ve seen POLST forms. I saw years ago in Oregon, a POLST form that had been on file in a nursing home resident’s chart for seven years. And it said comfort measures. So for seven years, that person had been treated in accordance with that plan of care.

Palliative care 166

Palliative care Geriatrics Palliate Document 166

AlayaCare

JUNE 28, 2022

Based on this discussion, we’ve developed a free tip sheet to help your home care organizations and healthcare providers work through improving your care plans. Let’s dive into how to make and improve a health care plan and how it can improve your home care agency, nursing home, or business.

Home care 130

Home care Informed consent Download Document 130

AlayaCare

JUNE 29, 2022

Based on this discussion, we’ve developed a to help your home care organizations and healthcare providers work through improving your care plans. Let’s dive into how to make and improve a health care plan and how it can improve your home care agency, nursing home, or business.

Home care 130

Home care Informed consent Download Document 130

GeriPal

OCTOBER 27, 2022

James: Definitely not-. Eric: Yeah, this is definitely… If you grew up in the ’80s, this is the slow dancing song. Most of them are dealing with older adults with dementia who are living in the nursing home or have severe dementia. Eric: I love… I actually just went to New Order and Pet Shop Boys.

Geriatrics 223

Geriatrics Article ADLS Information 223