Skip to main content

Blogs to Boards




Blogs to Boards is a series of posts from both GeriPal and Pallimed to get our physician readers ready for the hospice and palliative medicine boards.  Every week GeriPal and Pallimed alternated publishing a new question, as well as a discussion of possible answers to the question.  We are now posting all the 41 questions via the links below.

We welcome comments about any aspects of the questions or the answers/discussions.  The feedback that we hope to get in the comment sections of the post will help us all learn important aspects for the boards. We also welcome an interdisciplinary view point when answering these questions, so even if you are not taking the medical boards, your input is still very much welcome.

The Handouts


The Blogs to Boards Team:
  • Suzana Makowski 
  • Drew Rosielle 
  • Paul Tatum 
  • Eric Widera 
  • Christian Sinclair

Comments

Anonymous said…
Hello,
I noticed new questions have not been posted in some time.
Theresa Allison said…
Thanks! It was great to have all of the questions pulled into one document for practice before the boards next month!
Missy (MP) Heylen said…
Thank you for these review questions - well done

hoping to sit for my advance practice PC certification soon

MP Heylen ANP-C, CHPN
Amy Getter said…
I enjoyed this review. Only one question:on HPM 18, I couldn't help but think, "This is the kind of urgent visit hospice nurses make all the time!"- the patient has a Pleurx, which can be drained in the home, and assuredly some opioids to administer, and the likelihood is the draining will alleviate most of his symptoms.
Anonymous said…
Hello There,

This content is great. Is there any chance I could talk with one of the authors or get in touch with the webmaster of this site?

Please let me know.

Warmly,
Catherine
cscanes@arcintermedia.com

Popular posts from this blog

The Dangers of Fleet Enemas

The dangers of oral sodium phosphate preparations are fairly well known in the medical community. In 2006 the FDA issued it’s first warning that patients taking oral sodium phosphate preparations are at risk for potential for acute kidney injury. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers.  Those agents still available by prescription were given black box warnings mainly due to acute phosphate nephropathy that can result in renal failure, especially in older adults. Despite all this talk of oral preparations, little was mentioned about a sodium phosphate preparation that is still available over-the-counter – the Fleet enema.

Why Oral Sodium Phosphate Preparations Are Dangerous 

Before we go into the risks of Fleet enemas, lets spend just a couple sentences on why oral sodium phosphate preparations carry significant risks. First, oral sodium phosphate preparations can cause significant fluid shifts within the colon …

Length of Stay in Nursing Homes at the End of Life

One out of every four of us will die while residing in a nursing home. For most of us, that stay in a nursing home will be brief, although this may depend upon social and demographic variables like our gender, net worth, and marital status. These are the conclusions of an important new study published in JAGS by Kelly and colleagues (many of whom are geripal contributors, including Alex Smith and Ken Covinsky).

The study authors used data from the Health and Retirement Study (HRS) to describe the lengths of stay of older adults who resided in nursing homes at the end of life. What they found was that out of the 8,433 study participants who died between 1992 and 2006, 27.3% of resided in a nursing home prior to their death. Most of these patients (70%) actually died in the nursing home without being transferred to another setting like a hospital.

 The length of stay data were striking:

the median length of stay in a nursing home before death was 5 months the average length of stay was l…

Opening the Black Box of LTACs: Podcast with Anil Makam

What happens in Long Term Acute Care Hospitals, or LTACs (pronounced L-tacs)?  I've never been in one.  I've sent patients to them - usually patients with long ICU stays, chronically critically ill, with a gastric feeding tube and a trach for ventilator support.  For those patients, the goals (usually as articulated by the family) are based on a hope for recovery of function and a return home.

And yet we learn some surprising things from Anil Makam, Assistant Professor of Medicine at UCSF.  In his JAGS study of about 14,000 patients admitted to LTACHs, the average patient spent two thirds of his or her remaining life in an institutional settings (including hospitals, LTACs and skilled nursing facilities).  One third died in an LTAC, never returning home.

So you would think with this population of older people with serious illness and a shorter prognosis than many cancers, we would have robust geriatrics and palliative care in LTACs?  Right? Wrong.

3% were seen by a geriatrici…