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

GeriPal

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. He’s been a hospice and nursing home director.

Document 306
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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

In 1988, Cruzan’s parents requested that her feeding tube be removed, arguing that she would not want to continue in this state. On the one hand, this was unfortunate, as it meant Nancy Cruzan could not be disconnected from the feeding tube immediately. And I think that’s where we want to be.

Document 253
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Future Leaders Class of 2022: Shradha Aiyer, Vice President, Axxess

Hospice News

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. Mobile technology is not just used for documentation, but it’s really an integrated workflow for the caregiver at the bedside.

2022 246
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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

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 nursing home? It’s not well-documented. Katie: Yep.

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Joel: And by the way, I should mention that some of the work that’s been done in the past on patients with dementia in the hospital, it’s been based on Emily Finlayson’s work looking at surgery, but really looking only at nursing home patients. You’re not going to end up going back home after the surgery.

Medicare 242
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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

In a separate study in Chest , Lauren found pre-ICU frailty was associated with post-ICU disability and new nursing home admission. He, his Twitter feed though is brilliant. 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.

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Why Do Hospice Patients Die?

Death and Dying Chronicles

Hospice staff refused to feed the person who was no longer able to safely swallow. That did it… There once was an elderly woman, in her 80’s, suffering from dementia and currently a flu like illness that had been going around the nursing home. Hospice staff gave the person medication. That did it. That did it. That did it.

Hospice 52