Podcasts about age ageing

Welcome to Episode 37 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 37 of “The 2 View” – Pitfalls in Managing Pain in the ED with Sergey M. Motov, MD, FAAEM. Segment 1 Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL. Increasing Benzodiazepine Prescriptions and Overdose Mortality in the United States, 1996-2013. Am J Public Health. 2016;106(4):686-688. doi:10.2105/AJPH.2016.303061. https://pubmed.ncbi.nlm.nih.gov/26890165/ Bijur PE, Kenny MK, Gallagher EJ. Intravenous morphine at 0.1 mg/kg is not effective for controlling severe acute pain in the majority of patients. Ann Emerg Med. 2005;46(4):362-367. doi:10.1016/j.annemergmed.2005.03.010. https://pubmed.ncbi.nlm.nih.gov/16187470/ Evoy KE, Covvey JR, Peckham AM, Ochs L, Hultgren KE. Reports of gabapentin and pregabalin abuse, misuse, dependence, or overdose: An analysis of the Food And Drug Administration Adverse Events Reporting System (FAERS). Res Social Adm Pharm. 2019;15(8):953-958. doi:10.1016/j.sapharm.2018.06.018. https://pubmed.ncbi.nlm.nih.gov/31303196/ Kim HS, McCarthy DM, Hoppe JA, Mark Courtney D, Lambert BL. Emergency Department Provider Perspectives on Benzodiazepine-Opioid Coprescribing: A Qualitative Study. Acad Emerg Med. 2018;25(1):15-24. doi:10.1111/acem.13273. https://pubmed.ncbi.nlm.nih.gov/28791786/ Li Y, Delcher C, Wei YJ, et al. Risk of Opioid Overdose Associated With Concomitant Use of Opioids and Skeletal Muscle Relaxants: A Population-Based Cohort Study. Clin Pharmacol Ther. 2020;108(1):81-89. doi:10.1002/cpt.1807. https://pubmed.ncbi.nlm.nih.gov/32022906/ Peckham AM, Evoy KE, Covvey JR, Ochs L, Fairman KA, Sclar DA. Predictors of Gabapentin Overuse With or Without Concomitant Opioids in a Commercially Insured U.S. Population. Pharmacotherapy. 2018;38(4):436-443. doi:10.1002/phar.2096. https://pubmed.ncbi.nlm.nih.gov/29484686/ Smith RV, Havens JR, Walsh SL. Gabapentin misuse, abuse and diversion: a systematic review. Addiction. 2016;111(7):1160-1174. doi:10.1111/add.13324. https://pubmed.ncbi.nlm.nih.gov/27265421/ Suvada K, Zimmer A, Soodalter J, Malik JS, Kavalieratos D, Ali MK. Coprescribing of opioids and high-risk medications in the USA: a cross-sectional study with data from national ambulatory and emergency department settings. BMJ Open. 2022;12(6):e057588. Published 2022 Jun 16. doi:10.1136/bmjopen-2021-057588. https://pubmed.ncbi.nlm.nih.gov/35710252/ Segment 2 Caplan M, Friedman BW, Siebert J, et al. Use of clinical phenotypes to characterize emergency department patients administered intravenous opioids for acute pain. Clin Exp Emerg Med. 2023;10(3):327-332. doi:10.15441/ceem.23.018. https://pubmed.ncbi.nlm.nih.gov/37092185/ Connors NJ, Mazer-Amirshahi M, Motov S, Kim HK. Relative addictive potential of opioid analgesic agents. Pain Manag. 2021;11(2):201-215. doi:10.2217/pmt-2020-0048. https://pubmed.ncbi.nlm.nih.gov/33300384/ Fassassi C, Dove D, Davis A, et al. Analgesic efficacy of morphine sulfate immediate release vs. oxycodone/acetaminophen for acute pain in the emergency department. Am J Emerg Med. 2021;46:579-584. doi:10.1016/j.ajem.2020.11.034. https://pubmed.ncbi.nlm.nih.gov/33341323/ Irizarry E, Cho R, Williams A, et al. Frequency of Persistent Opioid Use 6 Months After Exposure to IV Opioids in the Emergency Department: A Prospective Cohort Study. J Emerg Med. Published online March 14, 2024. doi:10.1016/j.jemermed.2024.03.018. https://pubmed.ncbi.nlm.nih.gov/38821847/ Sapkota A, Takematsu M, Adewunmi V, Gupta C, Williams AR, Friedman BW. Oxycodone induced euphoria in ED patients with acute musculoskeletal pain. A secondary analysis of data from a randomized trial. Am J Emerg Med. 2022;53:240-244. doi:10.1016/j.ajem.2022.01.016. https://pubmed.ncbi.nlm.nih.gov/35085877/ Wightman R, Perrone J, Portelli I, Nelson L. Likeability and abuse liability of commonly prescribed opioids. J Med Toxicol. 2012;8(4):335-340. doi:10.1007/s13181-012-0263-x. https://pubmed.ncbi.nlm.nih.gov/22992943/ Segment 3 Anshus AJ, Oswald J. Erector spinae plane block: a new option for managing acute axial low back pain in the emergency department. Pain Manag. 2021;11(6):631-637. doi:10.2217/pmt-2021-0004. https://pubmed.ncbi.nlm.nih.gov/34102865/ Chauhan G, Burke H, Srinivasan SK, Upadhyay A. Ultrasound-Guided Erector Spinae Block for Refractory Abdominal Pain Due to Acute on Chronic Pancreatitis. Cureus. 2022;14(11):e31817. Published 2022 Nov 23. doi:10.7759/cureus.31817. https://pubmed.ncbi.nlm.nih.gov/36579238/ Dove D, Fassassi C, Davis A, et al. Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial. Ann Emerg Med. 2021;78(6):779-787. doi:10.1016/j.annemergmed.2021.04.031. https://pubmed.ncbi.nlm.nih.gov/34226073/ Elkoundi A, Eloukkal Z, Bensghir M, Belyamani L, Lalaoui SJ. Erector Spinae Plane Block for Hyperalgesic Acute Pancreatitis. Pain Med. 2019;20(5):1055-1056. doi:10.1093/pm/pny232. https://pubmed.ncbi.nlm.nih.gov/30476275/ Finneran Iv JJ, Gabriel RA, Swisher MW, Berndtson AE, Godat LN, Costantini TW, Ilfeld BM. Ultrasound-guided percutaneous intercostal nerve cryoneurolysis for analgesia following traumatic rib fracture -a case series. Korean J Anesthesiol. 2020 Oct;73(5):455-459. doi: 10.4097/kja.19395. Epub 2019 Nov 5. PMID: 31684715; PMCID: PMC7533180. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7533180/ Finneran JJ, Swisher MW, Gabriel RA, et al. Ultrasound-Guided Lateral Femoral Cutaneous Nerve Cryoneurolysis for Analgesia in Patients With Burns. J Burn Care Res. 2020;41(1):224-227. doi:10.1093/jbcr/irz192. https://pubmed.ncbi.nlm.nih.gov/31714578/ Gabriel RA, Finneran JJ, Asokan D, Trescot AM, Sandhu NS, Ilfeld BM. Ultrasound-Guided Percutaneous Cryoneurolysis for Acute Pain Management: A Case Report. A A Case Rep. 2017;9(5):129-132. doi:10.1213/XAA.0000000000000546. https://pubmed.ncbi.nlm.nih.gov/28509777/ Herring AA, Stone MB, Nagdev AD. Ultrasound-guided abdominal wall nerve blocks in the ED. Am J Emerg Med. 2012;30(5):759-764. doi:10.1016/j.ajem.2011.03.008. https://pubmed.ncbi.nlm.nih.gov/21570238/ Kampan S, Thong-On K, Sri-On J. A non-inferiority randomized controlled trial comparing nebulized ketamine to intravenous morphine for older adults in the emergency department with acute musculoskeletal pain. Age Ageing. 2024;53(1):afad255. doi:10.1093/ageing/afad255. https://pubmed.ncbi.nlm.nih.gov/38251742/ Mahmoud S, Miraflor E, Martin D, Mantuani D, Luftig J, Nagdev AD. Ultrasound-guided transverse abdominis plane block for ED appendicitis pain control. Am J Emerg Med. 2019;37(4):740-743. doi:10.1016/j.ajem.2019.01.024. https://pubmed.ncbi.nlm.nih.gov/30718116/ McCahill RJ, Nagle C, Clarke P. Use of Virtual Reality for minor procedures in the Emergency Department: A scoping review. Australas Emerg Care. 2021;24(3):174-178. doi:10.1016/j.auec.2020.06.006. https://pubmed.ncbi.nlm.nih.gov/32718907/ Nguyen T, Mai M, Choudhary A, et al. Comparison of Nebulized Ketamine to Intravenous Subdissociative Dose Ketamine for Treating Acute Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind, Double-Dummy Controlled Trial. Ann Emerg Med. Published online May 2, 2024. doi:10.1016/j.annemergmed.2024.03.024. https://pubmed.ncbi.nlm.nih.gov/38703175/ Sikka N, Shu L, Ritchie B, Amdur RL, Pourmand A. Virtual Reality-Assisted Pain, Anxiety, and Anger Management in the Emergency Department. Telemed J E Health. 2019;25(12):1207-1215. doi:10.1089/tmj.2018.0273. https://pubmed.ncbi.nlm.nih.gov/30785860/ Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: June 21, 2018 This week's clinical case features a complex course of hospital-acquired delirium with an in-depth discussion on antipsychotics. Dr. Ayyappan Venkatraman reviews the pertinent psychopharmacology in dopaminergic and nondopaminergic signaling. Produced by James E Siegler. Music by Unheard Music Concepts, Kevin McLeod, Lee Rosevere, and Steve Combs. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. REFERENCES Jeste DV, Caligiuri MP. Tardive dyskinesia. Schizophr Bull 1993;19(2):303-15. PMID 8100643 Lacasse H, Perreault MM, Williamson DR. Systematic review of antipsychotics for the treatment of hospital-associated delirium in medically or surgically ill patients. Ann Pharmacother 2006;40(11):1966-73. PMID 17047137 O'Keeffe ST, Lavan JN. Clinical significance of delirium subtypes in older people. Age Ageing 1999;28(2):115-9. PMID 10350406  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date.

AGELESS IS GOD 2ND NAME --- Send in a voice message: https://anchor.fm/la7hola/message

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Dans ce nouvel épisode du CIFEPodKast, nous nous intéressons à un champ clinique souvent délaissé mais très important en raison de la demande croissante en soins de kinésithérapie : la gériatrie. En effet, la rééducation gériatrique souffre de certaines idées reçues tenaces qui peuvent freiner la prise en charge des patients âgés. La vision commune d'une séance de kinésithérapie avec des personnes âgées est souvent réduite à du travail de l'équilibre contenant toujours les mêmes exercices et à de la marchothérapie dans un but d'entretien et sans espérer de progression sur le plan physique ce qui peut être source de frustration. Sommes-nous vraiment contraints à suivre toujours le même programme d'exercice à chaque séance ? Eva nous démontre qu'il est possible de faire preuve de créativité avec l'aide de certains outils notamment des ajustements posturaux anticipatoires et donc apporter de la richesse à la prise en charge. La démarche du raisonnement clinique ne diffère pas des patients âgés de moins de 65 ans. Elle est bien présente avec la réalisation d'un bilan qui met en évidence les déficits et les objectifs définis avec le patient à partir duquel un programme de rééducation est construit. Ainsi les possibilités d'exercices sont larges même avec des patients âgés pour rendre les séances ludiques et stimulantes qui auront du sens à la fois pour le patient et le thérapeute. Retrouvez Éva Liegeon ici : Facebook : Éva Liegeon Instagram : evaliegeon Et Julie Jarosz ici : Facebook : Julie Jarosz geriatrie@cifepk.org Bibliographie : HAS, Masso-kinésithérapie dans la conservation des capacités motrices de la personne âgée fragile à domicile, Avril 2005 Robinovitch SN, Feldman F, Yang Y, Schonnop R, Leung PM, Sarraf T, et al. Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. The Lancet. janv 2013;381(9860):47‑54. Massion J. Movement, posture ans equilibrium : Interaction and coordination. Prog Neurobiol. Janv 1992 ;38(1) : 35-56 Horak FB. Postural orientation ans equilibrium : what do we need to know about neural control of balance to prevent falls ? Age Ageing. 1 sept 2006 ; 35(suppl_2) : ii7-11 Kubicki A, Brika M, Coquisard L, Basile G, Laroche D, Mourey F. The Frail'BESTest. An Adaptation of the “Balance Evaluation System Test” for Frail Older Adults. Description, Internal Consistency and Inter-Rater Reliability Pour aller plus loin : Pour les puzzles moteurs : Application MAAMI http://maami-appli.fr/consignes_jeu4.html?fbclid=IwAR2jrAzbdDshCeZz8EYqweGg1xreRelPhKWhQfFCfncyfN_9Qa4U0WQ_gpc Habitudes de vie et vie sociale : quels impacts du confinement sur les personnes âgées à domicile ? ENQUÊTE AUPRÈS DES RETRAITÉS DE LA CARSAT CENTREOUEST ET DES MSA CHARENTES, LIMOUSIN ET POITOU https://www.ors-na.org/wp-content/uploads/2021/12/125.Impact_conf_PA.pdf

Age Ageing, Volume 48, Issue 6, November 2019, Pages 776–782 Biomedicines. 2020 Aug 6;8(8):277 --- Send in a voice message: https://anchor.fm/dr-daniel-j-guerra/message Support this podcast: https://anchor.fm/dr-daniel-j-guerra/support

Neste episódio, contamos com a participação do Dr. Marcelo Starling, especialista em fisiologia do exercício e com residência médica em medicina física e reabialitação pela EPM/UNIFESP, titulado em geriatria pela sociedade brasileira de geriatria e professor responsável pelo ambulatório de doenças músculo esqueléticas do serviço de geriatria do HC- UFMG, para conversar sobre Sarcopenia. Minutagem: Referências: Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31

Neste episódio, contamos com a participação do Dr. Marcelo Starling, especialista em fisiologia do exercício e com residência médica em medicina física e reabialitação pela EPM/UNIFESP, titulado em geriatria pela sociedade brasileira de geriatria e professor responsável pelo ambulatório de doenças músculo esqueléticas do serviço de geriatria do HC- UFMG, para conversar sobre Sarcopenia. Minutagem: 00:47 Definição de sarcopenia 02:01 Importância do reconhecimento dessa síndrome 03:35 É possível prevenir? 05:21 Fisiopatologia da sarcopenia 08: 35 Quando suspeitar de sarcopenia e como iniciar investigação 16:09 Próximo episódio: causas de sarcopenia e tratamento. Referências: Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 2019; 48: 16–31

Podcast 168:   Gait Speed, hip extension, and A New Dawn   Join us each month on the Masterclass in Gait,  link  below https://www.patreon.com/thegaitguys Join at the $40 monthly level and get the masterclass each month, bonus material and the detailed monthly content we only share on Patreon. The Masterclass is a formal LIVE presentation of slides, videos, demos, deep dives on topics you will not hear anywhere but here ! We hit the gait, biomechanics, neurology and orthopedics of all of the gait topics we present. This is not for the weak and timid, this is the deep dive you have been waiting for. Join us while we turn our normal 50 minute presentations into 3.5 hours on a regular basis ! The 40$ Patreon level will give you the Masterclass and also get you the $20, $10, and 5$ Patreon level content. What a deal ! It will not be here forever so lock in now ! Or, you can get less for your money (why would you do that?) and just buy our Monthly $40 Masterclass at our VIMEO on demand page: https://vimeo.com/ondemand/thegaitmasterclass Links to find the podcast: Look for us on Apple Podcasts, Google Play, Podbean, PlayerFM, RADIO and more. Just Google "the gait guys podcast". _______________________________________________________________________________ Our Websites: www.thegaitguys.com Find Exclusive content at: https://www.patreon.com/thegaitguys doctorallen.co summitchiroandrehab.com shawnallen.net Our website is all you need to remember. Everything you want, need and wish for is right there on the site. Interested in our stuff ? Want to buy some of our lectures or our National Shoe Fit program? Click here (thegaitguys.com or thegaitguys.tumblr.com) and you will come to our websites. In the tabs, you will find tabs for STORE, SEMINARS, BOOK etc. We also lecture every 3rd Wednesday of the month on onlineCE.com. We have an extensive catalogued library of our courses there, you can take them any time for a nominal fee (~$20). Our podcast is on iTunes and just about every other podcast harbor site, just google "the gait guys podcast", you will find us. Where to find us, the podcast Links: Apple podcasts: https://itunes.apple.com/us/podcast/the-gait-guys-podcast/id559864138?mt=2 Google Play: https://play.google.com/music/m/Icdfyphojzy3drj2tsxaxuadiue?t=The_Gait_Guys_Podcast     Dual decline in gait speed and cognition is associated with future dementia: evidence for a phenotype Age Ageing. 2020 Oct 23;49(6):995-1002. doi: 10.1093/ageing/afaa106. Manuel Montero-Odasso  et. al Walking in humans: how much brain function is needed? Kressig RW. Age Ageing. 2020 Oct 23;49(6):930-931 Correlations Between Hip Extension Range of Motion, Hip Extension Asymmetry, and Compensatory Lumbar Movement in Patients with Nonspecific Chronic Low Back Pain Med Sci Monit. 2020 Sep 24;26:e925080. doi: 10.12659/MSM.925080 Won-Deuk Kim  1 , DooChul Shin  2 Prolonged sitting and physical inactivity are associated with limited hip extension: A cross-sectional study Musculoskelet Sci Pract. 2021 Feb;51:102282. doi: 10.1016/j.msksp.2020.102282. Epub 2020 Oct 28. Abderrahmane Boukabache  1 , Stephen J Preece  1 , Nathan Brookes  2 Independent muscle of extensor hallucis capsularis: a cadaveric case report Surg Radiol Anat. 2020 Oct 13. doi: 10.1007/s00276-020-02592-7. Online ahead of print. Jeong-Hyun Park , Yu-Jin Choi, Kwang-Rak Park , Digud Kim , Hyung-Wook Kwon , Mijeong Lee, Jaeho Cho Sensorimotor and gait training improves proprioception, nerve function, and muscular activation in patients with diabetic peripheral neuropathy: a randomized control trial J Musculoskelet Neuronal Interact. 2020 Jun 1;20(2):234-248. Irshad Ahmad , Shalini Verma , Majumi M Noohu , Mohd Yakub Shareef , M Ejaz Hussain

Ginah Nightingale, PharmD, of the Jefferson College of Pharmacy at Thomas Jefferson University in Philadelphia chats with David H. Henry, MD, host of Blood & Cancer, about the definition of polypharmacy and the challenges it poses in treating older cancer patients. Plus, in Clinical Correlation, Ilana Yurkiewicz, MD, of Stanford (Calif.) University, talks about the waiting that cancer patients face. Show notes Older adults comprise about 15% of the total population but account for more than 33% of prescription drug use. Polypharmacy can be defined as taking five or more medications (prescription and nonprescription), as well as being on medications that have adverse effects in older adults. Older adults are at increased risk for adverse effects from polypharmacy for multiple reasons, including multiple comorbidities and altered drug metabolism. In a study by Nightingale et al., 61% of patients already had a major drug-drug interaction on their medication list prior to initiation of cancer therapy. In a study by Sharma et al., 22% of patients were taking proton pump inhibitors concurrently with tyrosine kinase inhibitors, an interaction that was associated with increased risk of death at 90 days and 1 year. Patients who receive medications from multiple pharmacies, such as a specialty pharmacy for oncologic drugs, are at increased risk of polypharmacy errors. Tools to screen for polypharmacy include: Beers criteria by American Geriatrics Society STOPP/START criteria (commonly used in Europe) Medication appropriateness index Considerations such as patient’s life expectancy and quality-of-life goals should be taken into account when deciding which medications are necessary and what may be deprescribed. Clinicians should encourage patients to bring in all medications to every doctor’s visit, and certainly at the time of initiation of cancer treatment. Show notes by Sugandha Landy, MD, resident in the department of internal medicine, University of Pennsylvania, Philadelphia.   Additional reading American Geriatrics Society 2019 Updated AGS Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2019 Apr;67(4):674-94. O'Mahony Denis et al. STOPP/START criteria for potentially inappropriate prescribing in older people: Version 2. Age Ageing. 2015 Mar;44(2):213-8. Nightingale G et al. Evaluation of a pharmacist-led medication assessment used to identify prevalence of and associations with polypharmacy and potentially inappropriate medication use among ambulatory senior adults with cancer. J Clin Oncol. 2015 May 1;33(13):1453-9. Sharma M et al. The concomitant use of tyrosine kinase inhibitors and proton pump inhibitors: Prevalence, predictors, and impact on survival and discontinuation of therapy in older adults with cancer. Cancer. 2019 Apr 1;125(7):1155-62.   For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgehemonc David Henry on Twitter: @davidhenrymd Ilana Yurkiewicz on Twitter: @ilanayurkiewicz

Mountain G, Windle G, Hind D, et al. A preventative lifestyle intervention for older adults (lifestyle matters): a randomised controlled trial. Age Ageing. 2017;46(4):627-634. ------------ This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE presentation on Physical Activity: A Key to Successful Aging ...& how the AGPT can help YOU further your clinical practice at http://GeriatricsPT.org/SRP ------------ SRP is brought to you by the generous support of the SRP Game Changers. If you want to Join SRP, Crush Mediocrity, Join the Monthly Meetups, & Get some free swag!... go to http://SeniorRehabProject.com/Join

  Kamal Wagle, MD, MPH, CMD; Dheeraj Mahajan, MD, CMD; John Derr, RPh Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018 Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018 Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997 Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011

Suzanne M. Gillespie MD, RD, CMD, FACP, AGSF is Associate Professor of Medicine in the Division of Geriatrics/Aging and Associate Professor of Emergency Medicine at the University of Rochester School of Medicine and Dentistry. Dr. Gillespie is Associate Chief of Staff for Geriatric Extended Care – Rehabilitation and Medical Director of the Community Living Center at the Canandaigua VA Medical Center.  "The views expressed in this article are those of the speakers and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government." National Structural Survey of Veterans Affairs Home-Based Primary Care Programs Poster Abstracts:  Measuring Team Effectiveness in the Veterans Health Administration's Home-Based Primary Care Program A Comparison of Rural and Urban Veterans Health Administration's Home Based Primary Care JAMDA article referenced by Dr. Saltsman: Systematic Review of Interdisciplinary Interventions in Nursing Homes References: Papanicolas, et. al., “Health care spending in the United States and other high-income countries”, Special Communication, JAMA, 2018 Ezekiel Emanuel, “The real cost of the US health care system”, Editorial, JAMA, 2018 Monane, et. al., “Optimal medication use in elders. Key to successful aging”, Western Journal of Medicine, 1997 Loganathan, et. al., “Interventions to optimise prescribing in care homes: systematic review”, Age Ageing, 2011  

Jon Glasby in interview with Ross Upshur, discusses his research focused on understanding and responding to “inappropriate” emergency hospital admissions of older people. In the interview, he discusses how his research took up the challenge of hospital admissions of frail older people with multiple chronic conditions and how many of the admissions could be prevented. His work expands the debate from merely one of how to allocate scarce resources in hospital settings to one of organizing better, not “appropriate” care for older patients in alternative settings closer to their homes. This fascinating discussion covers topics such as delayed hospital discharge, the notion of the “deep hospital” and “preventable moments”. Using different sources of evidence from his work with patients and front-life staff, from admission data to real patient narratives, he makes a powerful case of the need for culture change in the health and social system, attitudes to care for the elderly, and how we can learn from patients and caregivers. Jon was at Bridgepoint Active Healthcare, part of the Sinai Health System, in Toronto in June 2017, participating in the workshop “Patient and Caregiver Experience, Alternative Level of Care and Performance Measurement”, where he delivered his the keynote presentation: “Lessons from the UK”. Jon is a qualified social worker by background and Head of the School of Social Policy at the University of Birmingham. Specialising in joint work between health and social care, Jon is involved in regular policy analysis and advice. He is the author of a series of leading textbooks on health and social services, sits on the advisory board of The Policy Press, and is Editor-in-Chief of the Journal of Integrated Care. He is currently a Non-Executive Director (NED) of Heart of England NHS Foundation Trust, and is also a Fellow of the RSA, a Fellow of the Academy of Social Sciences, a Senior Fellow of the NIHR School for Social Care Research and Adjunct Professor at the School of Public Health, Curtin University, Western Australia. He specializes in research, teaching, consultancy and policy advice around: Partnership working in health and social care, Strategic commissioning, Personalization and Community Care services for older people. Some related articles by Jon Glasby: The holy grail of health and social care integration. Glasby J. BMJ. 2017 Feb 16;356:j801. doi: 10.1136/bmj.j801. Key lessons from integrated care in Europe. Glasby J. Int J Integr Care. 2012 Jan-Mar;12:e6. New horizons: Reablement - supporting older people towards independence. Aspinal F, Glasby J, Rostgaard T, Tuntland H, Westendorp RG. Age Ageing. 2016 Sep;45(5):572-6. doi: 10.1093/ageing/afw094. Room for one more? A review of the literature on 'inappropriate' admissions to hospital for older people in the English NHS. Thwaites R, Glasby J, le Mesurier N, Littlechild R. Health Soc Care Community. 2017 Jan;25(1):1-10. doi: 10.1111/hsc.12281. Older people. Never too old to make an impact. Allen K, Glasby J. Health Serv J. 2010 Nov 25;120(6234):26. All dressed up but nowhere to go? Delayed hospital discharges and older people. Glasby J, Littlechild R, Pryce K. J Health Serv Res Policy. 2006 Jan;11(1):52-8. More articles by Jon Glasby.