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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. Join us as we dive deeper into these studies and discuss the implications for clinical practice and patientcare.
Accreditation In support of improving patientcare, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The provider’s executive team combines Fluhart’s business experience with the clinical expertise brought by Hughes, a nurse practitioner herself. We’re growing pretty exponentially right now, especially in skilled facilities like nursinghomes and such. PalliCare is growing fast, and its co-founders are not slowing down.
Top nurse work environments 1. Hospitals Nurses working in the hospital environment directly oversee and administer patientcare plans. Typically, nurses spend time with and balance the care of several patients simultaneously.
I got a question then, because I see one in 12 nursinghomepatients with dementia are placed on thickened liquids. I think it’s around one in 12 nursinghomepatients But it’s a lot. And so yeah, it’s really like a call to action for people to start working on this. Eric: Oh yeah.
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. If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed.
Accreditation In support of improving patientcare, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. I have done a lot of work on POLST and nursinghomes and I’ve seen POLST forms. So I got the white board and I wrote advance care planning.
Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursinghomes. The patients coming in changed, admission rate changed, the resources in the community changed. Corita 18:47 I know.
For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursinghomes. Alex: And we’re delighted to welcome back Karl Steinberg, he’s a palliative care doc and a geriatrician. He’s been a hospice and nursinghome director.
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. Eric: Just for the aging population, what about long-term care?
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. . Palliative care, in contrast, saw explosive growth in US hospitals. Kate: Yeah, the nursinghomes. We had another-.
Accreditation In support of improving patientcare, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
We don’t want people dying in the hospital if their goal is to be at home. If you do good quality patientcare, I believe the other naturally follows. Joan Tino’s Group a month ago published a great study looking at care or caregiver, primary caregiver survey data. I give my life to patientcare.
That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition.
Alex 00:15 We are delighted to welcome back Louise Aronson, who’s a geriatrician and author in the UCSF division of Geriatrics. There have been nursinghomes that have been sued for patient chokes on some food is DNR DNI, and nobody goes to help the patient perform a simple Heimlich because they’re DNR DN I.
The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Next, we talk with James Deardorff about whether we can accurately predict nursinghome level of care in community-dwelling older adults with dementia.
Alex 00:54 And Jasmine Santoyo-Olsson, who’s a social behavioral scientist and a fellow in the T32 Research Fellowship at the UCSF Division of Geriatrics. A lot has changed, but what motivated the study was a recognition that most advanced care planning interventional research had been undertaken in nursinghomes.
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