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The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. So there’s an event or a series of events.
As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursinghome residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursinghome. Let it be (hint hint).
Finally, we discuss Michelle Oddens study, which used a target trial emulation approach to investigate the effects of deprescribing antihypertensive medications on cognitive function in nursinghome residents. Michelle, you looked at this for nursinghome patients deprescribing antihypertensives, is that right?
This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty.
Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. She created TimeSlips which we talk about in our podcast. Anne, welcome to the GeriPal podcast.
Second, as we discussed in last week’s podcast , older adults, particularly those in nursinghomes, were far more likely to die than younger individuals. Alex: We are delighted to welcome Ramona Rhodes, who is a geriatrician and palliative care doctor, and member of the Board of Directors for the American Geriatric Society.
Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. They’re going to get older, they’re going to struggle with geriatric conditions, and they’re going to need palliative services and eventually end-of-life care.
Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. Brought to mind the neglect and warehouse style nursinghomehome shabbiness of les hospices. Ive got a name. No, you dont need to be Canadian.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones. The intention was to place it in the beds in nursinghomes.
We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Brienne: Thank you for having me.
And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. You’re not going to end up going back home after the surgery. Yep, for geriatrics? Samir: Yeah.
She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.
Alex: Today, we are delighted to welcome James Deardorff, who is a geriatrician and a T-32 research fellow in UCSF’s Division of Geriatrics. He’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. So these are really relevant outcome events. James: Thanks for having me.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. 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 nursinghomes? laughter] Lynn: So good.
I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. difficile infections. Lona: Absolutely. Eric: Can I touch on the last study?
Strengthening and protecting the spine can help reduce falls, which often become a traumatic event for older adults. As the nation faces an increasingly older population , Bronner says the biggest challenges in the new millennium are nurses not prepared to work with older adults and a shortage of nursing staff in nursinghomes and hospitals.
You may also identify reports published by governing bodies and potential third parties (such as nursinghome abuse lawyers ) if a facility has been investigated. Choosing the best care home with your elderly parents will not be easy. Final Thoughts.
Next, we talk with James Deardorff about whether we can accurately predict nursinghome level of care in community-dwelling older adults with dementia. First, we have James Deardorff, who’s a geriatrician and assistant professor at UCSF in the division of Geriatrics. Good to be here. James, welcome back to GeriPal.
Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.
I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. difficile infections. Lona: Absolutely. Eric: Can I touch on the last study?
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