Best of the Web - Palliative Care Grand Rounds Coming Soon
We need your help. GeriPal will be hosting the July 2010 installment of Palliative Care Grand Rounds. For those of you who don’t know, Palliative Care Grand Rounds is a monthly blog series highlighting some of the best and most interesting blog posts related to palliative care, hospice (and in our case - geriatrics too!). If you find anything out there in the blogosphere that you think is worth passing on, please add it to the comment section below this post with the name of the website and the link (add a description if you’d like, but that’s optional). Last day to submit will be the 4th of July.
If you want to see a great example of palliative care grand rounds, check out this month’s edition at Bedside Manner.
In this week's podcast we talk with Helen Kales, Professor of Psychiatry at the University of Michigan the VA Center for Clinical Management and Research.
We've spent a great deal of effort in Geriatrics describing what we shouldn't do to address behavioral symptoms in dementia: physical restraints, antipsychotics, sedating antidepressants. Helen Kales was lecturing around the country about all of these things we shouldn't do a few years back, and people would raise their hands and ask, "Well, what should we do?" She realized she needed to give caregivers tools to help.
The following story is by Jennifer Heidmann, MD, FACP. She is the Medical Director of Redwood Coast PACE in Eureka, CA, as well as a physician for Hospice of Humboldt and a hospitalist at St Joseph Hospital.
In 2013, Dr. Teno published a study that showed how good our health care system in the US promotes patient churn. Despite positive signs of more hospice use and decreased deaths in the hospital, Dr. Teno found the from 2000 to 2009 we "churned" patients through more ICU visits, more hospitalizations, and more late transitions that are burdensome to dying persons in their family. Dr. Teno's latest study shows us how we are doing now, extending that work to 2015 and now including Medicare Advantage (MA) plans.