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‘It’s Where We’re at Right Now’: US Prison System Struggling to Keep Up with Growing Need for Palliative Care

Hospice News

Seriously ill seniors in prison settings often do not receive the full interdisciplinary scope of palliative services, including limited nursing visits, according to David Gorlock, Pennsylvania’s state organizer for the advocacy group Straight Ahead. They didn’t have a specific nurse for them.

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. Summary Transcript Summary Diabetes is common. How high is too high?

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Dental Care for Seniors: Importance, Challenges, and Solutions

Seasons Hospice

Shortage of Providers In some regions, especially rural areas, there may be a shortage of dental providers who accept Medicaid or offer affordable dental care for seniors. Geriatric Dentistry Programs Increasing the number of dentists trained in geriatric dentistry can help meet the unique oral health needs of older adults.

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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. We have Alice Bonner, who’s Chair of the Moving Forward Nursing Home Quality Coalition.

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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. So, for example, you know, we see somebody coming in from the nursing. A nursing home. Let it be (hint hint).

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

Our task is simple, we are going to be sampling each of these hot chicken wings while we ask Eric and Alex questions related to Palliative care and Geriatrics. Eric: One out of six hospices, so there is financial concern, not just again with hospices, nursing homes, and now physician groups. Anne: Right.

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Assisted Living Communities: Podcast with Sheryl Zimmerman, Kenny Lam, and Ken Covinsky

GeriPal

The experts settled on a range of key services, from more palliative care focused (e.g. end of life care and advance care planning) to more geriatrics focused (e.g. staff training in person centered care). RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.