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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. I think it’s around one in 12 nursinghome patients But it’s a lot.
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.
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.
Sue Britton was the first nurse hired on that palliative care unit. Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? by Kearney. I promise its short. Canadians are welcoming.
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.
Private equity is probably one of the top things that I’m worried about with the future of our field in Palliative care and that because private equity is buying up… And Geriatrics, buying up assisted livings, nursinghomes, hospices at an extraordinary rate. They’ve all been laid out for you. Anne: Right.
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. And as I went through the journey with my master’s, I discovered home health and then hospice and palliative care. What drew you to this field?
We’ll have a link to it on our show Notes Applying Trauma Informed Approach to Home Visits, which I also love because it makes sense, like in other homes that people have like nursinghomes which I think it’s a mandate to provide trauma informed care in nursinghomes per cms. Alex 00:07 We do.
Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Katie, welcome back to GeriPal. Bragging rights. That was from our what?
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. In 1990 the Supreme Court ruled…for the state of Missouri.
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!
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 nursinghome patients. You’re not going to end up going back home after the surgery.
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.
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?
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. So if she stayed in a hospital or nursinghome, we couldn't see her.
A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursinghomes. So intubation, cpr, feeding tubes. Eric 19:31 So it was interventions like feeding tubes, mechanical ventilation, dialysis at the very end of life.
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