GeriPal

MARCH 3, 2022

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.

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Geriatrics Ventilator Events Palliative care 229

GeriPal

FEBRUARY 9, 2023

I’d be willing to take some time on a mechanical ventilation machine to live longer.” And so the idea that patients are walking around with these on their shoulder like, “Hey, I got the mechanical ventilation preference, just want to make sure.” ” Because I’m like, “Yeah, to what end?

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Ventilator Vital signs Palliative care Resuscitation 255

GeriPal

MARCH 28, 2024

And that helped them focus on that instead of, say, the blood pressure, the vasopressors or the ventilator settings that day. And then they had to be receiving 48 hours of continuous mechanical ventilation at a minimum and be an adult. Eric: And how did you do that? There were nine disease categories. Eric: Okay.

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Palliative care Palliate Ventilator 2016 268

GeriPal

APRIL 4, 2024

And now ICU care has flourished, and we can keep people alive in the sense that their heart is beating and we can sustain their ventilation and circulation. For example, I had another patient in the ICU who she was on a ventilator. They didn’t come up in geriatrics very much. And we see that too in geriatrics.

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Document Feeding Resuscitation Article 253

GeriPal

OCTOBER 19, 2023

He’s been a hospice and nursing home director. I can on one hand count the patients I’ve cared for who didn’t want mechanical ventilation. A lot of them ended up having functional limitations that made that if they came from home, they ended up going to a nursing facility or hospice. Welcome, Abby.

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GeriPal

JUNE 9, 2022

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . And instead of only being focused on the mechanical ventilation parameters that day, we force them to focus on prognosis.

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Palliative care Palliate Geriatrics Definition 234

GeriPal

APRIL 28, 2022

And then, “I call hospice giving up.” And yet, when the reality of breathing difficulties, BIPAP, the talks of tracheostomy and ventilators set in, what had seemed so clear on that piece of paper, no longer seemed so clear. And so here’s a picture of four healthcare providers behind bars. Like, oh no, I said it.

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