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Simple Techniques for Talking with Patients About Advance Directives
It is challenging for case managers and healthcare providers to discuss end-of-life issues with patients, particularly when they are facing a life-threatening injury or illness. But it is useful to make advance directives a part of a palliative care service as well as a general part of case management with geriatric patients after a traumatic injury. -
Geriatric Program Develops Tactics to Improve Care for Older Patients
With the goal of continuous quality improvement, a health system created programs and tools to provide care for older patients that focuses on advance care planning, cognitive decline, and how to ensure safe transitions. The goal is interprofessional geriatric care and providing good care to complex, hospitalized older adult patients. -
Regulators Sign Off on COVID-19 Vaccine ‘Mix and Match’
Federal agencies expand, clarify guidance on booster shots.
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Geriatric Patients Need Advance Directives and Transdisciplinary Care Across Continuum
Millions of older Americans visit emergency departments each year, often for traumatic injuries, including falls that can lead to death. Case managers and health systems should consider how to improve end-of-life care discussions and advance directive documentation in this population. -
What Is the ‘Bix Rule?’
The ECG in the figure was obtained from a middle-aged man with a history of exertional chest pain and dyspnea. How would one interpret this tracing? Does the red arrow in lead II show a sinus P wave?
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Atogepant Tablets (Qulipta)
Atogepant can be prescribed to prevent episodic migraine in adults.
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Progression of Coronary Calcium on Statin Treatment
In those treated with statins vs. those who were not, statins decreased plaque volume in plaques with little or no calcium (plaque regression) and increased calcium density without changes in plaque volume in calcified plaques (plaque stabilization).
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Adjuvanted Zoster Vaccine: Persistent Protection
The adjuvanted recombinant zoster vaccine efficacy is high and persistent, with apparent plateauing at > 84% four to six years after vaccination.
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First-Line Therapy for Hypertension
When comparing angiotensin-converting enzyme inhibitors and angiotensin receptor blockers (ARBs) to treat hypertension, researchers observed no difference in major cardiovascular events — but a better safety profile for ARBs.
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Carbohydrates and Insulin Resistance: Pondering Food Quality vs. Quantity
Researchers posit that solving the obesity epidemic is not as simple as eating less and moving more.