Podcasts about functional decline

Whelp, goodbye folks!  Eric and I have been DOGE'd. In a somewhat delayed April Fools, Nancy Lundeberg and Annie Medina-Walpole have taken over podcast host duties this week. Their purpose is to interview me, Eric, and Ken Covinsky about your final AGS literature review plenary session taking place at the Annual Meeting in Chicago this May (for those attending, our session is the plenary the morning of May 10).  We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this year's meeting.   We covered: The first parody song I wrote, for AGS 2018 in Orlando, about this article by Nancy Schoenborn on how to discuss stopping cancer screening. Ken's favorite articles, including The Impact of Rudeness on Medical Team Performance: A Randomized Trial Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization Eric's favorite article on the effect of chair placement on physicians' behavior and patients' satisfaction Tim Anderson's study on the intensification of older adults' outpatient blood pressure treatment at hospital discharge Nancy's favorite topic and parody song, Aducanumab, which won Drug of the Year in 2021.  Enjoy! And maybe, just maybe, Eric and I will be reinstated and return as hosts next week… -Alex Smith  

In this episode, Dr Kat Ralston chats with Dr Imogen Smith about palliative care in hospital inpatients. They discuss what is different about the older adult when considering palliative care, including thinking about trajectories, communicating uncertainty, and parallel planning. They explore symptom control including a practical approach to syringe drivers (continuous subcutanous infusions) for the non-specialist. Dr Imogen Smith was appointed as Consultant in General Internal Medicine and Medicine for the Elderly at St John's Hospital, Livingston, in April 2020. Her clinical interests are in Hospital at Home, and Hospital Based Complex Clinical Care/Palliative Care. She is an educational and clinical supervisor and also clinically supervises and educates Advanced Nurse Practitioners in HBCCC/H@H contexts. During training, she was appointed to the first cohort of NHS Lothian Chief Registrars (2018-2019). And she sat on the RCPE Trainees and Members Committee (2018-2020). Dr Kat Ralston is a geriatric medicine registrar in Edinburgh. She is also the Education Co-Vice Chair and the joint Podcast Lead for the RCPE Trainee & Members' Committee (T&MC). Recording date: 20 November 2024 --Useful Links-- Scottish Palliative Care Guidelines - https://rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/ Patterns of Functional Decline at the End of Life - https://jamanetwork.com/journals/jama/fullarticle/196538 REDMAP Framework for Future Care Planning Conversations - https://www.spict.org.uk/red-map/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE events -- https://events.rcpe.ac.uk/ -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk

Ask Flora Funga Podcast anything OR Leave a ReviewThis week we chat with Lee Carroll with Real Mushrooms. Lee Carroll is the Chief Medical Herbalist within the Science Team at Real Mushrooms, and a beacon of expertise in the realm of holistic health and wellness. With over three decades of dedicated experience, Lee is a distinguished medical herbalist, innovator, speaker, educator, and mentor to health professionals worldwide. His profound comprehension of botanical medicine is the cornerstone of his passion for sharing information on the dynamic benefits of mushrooms in promoting overall well-being.If you haven't heard of Nammex here's my episode with Jeff (episode 36). 36: Identifying Active Fungal Compounds with Nammex (North American Medicinal Mushroom Extracts) — Flora Funga PodcastUse code "LEE" for 20%Mushroom Supplements: 40+ Years Expertise | Real Mushrooms Literature Mentioned: -Are age-related neurodegenerative diseases caused by a lack of the diet-derived compound ergothioneine? -Low Plasma Ergothioneine Predicts Cognitive and Functional Decline in an Elderly Cohort Attending Memory Clinics - Ergothioneine is associated with reduced mortality and decreased risk of cardiovascular diseaseWear FFP merch to support the show and impress your friends & family Zbiotics: "FLORA10"Drink ZBiotics before drinking alcohol-Alcohol produces acetaldehyde, a byproduct that your next daySupport the show***I am an affiliate with ENERGYBITS (your daily algae tablet packed with nutrients) go visit this link and use code FLORAFUNGA at checkout for 20% off***Get 20% off Sovereignty use code "KK20" Zbiotics: "FLORA10"Drink ZBiotics before drinking alcohol-Alcohol produces acetaldehyde, a byproduct that your next day SUPPORT THE SHOW: Join my Patreon for only $1/month [THATS only .03 cents a day!]Follow my other social media sites to interact and engage with me:Email me to be on the podcast or inperson Interview: floraandfungapodcast@gmail.com FacebookInstagramTwitterTikTokYouTubePatreonNew audio done by Reflect--go show him some support!-Spotify...

I see you searching for answers about these weird symptoms. I know what you are asking yourself. What the heck is happening to my body? You are having all these symptoms…the bloating, the brain fog, the exhaustion, the emotional roller coaster, your libido is non-existent. Here you are googling your symptoms and trying to figure it all out. Midlife is no joke. Well friend, step away from the google search engine. I have exactly the insight you are looking for. In this episode, I'm interviewing expert guest Marci Zavala and we are talking about Funky Symptoms and Functional Decline in today's episode of the Healthy Harmony podcast. Tune in to learn more about... Hormonal decline and what's happening behind the scenes to cause symptoms like fatigue, brain fog, low libido and the emotional roller coaster The truth behind midlife weight gain How decreasing hormones leads to disease Simple action steps you can take to overcome the overwhelm Speaking of symptoms... I have the exact tool that you need to analyze your symptoms and understand the whole-body system approach. The Symptoms and Systems Assessment for Perimenopause gives you guidance into analyzing your symptoms based on the body system that is off and provides insight how all of the body systems work together for hormone harmony! You've got symptoms and you need answers. And this tool also gives you some quick tips to take action immediately. Take advantage of this free tool by heading to https://bit.ly/perihormonechecklist Today's guest is Marci Zavala. She is a Certified Nutritional Therapy Practitioner, Certified Midlife Hormone Specialist, and Licensed Physical Therapist with 25+ years of experience in direct medical care. When it comes to advanced testing and analysis, she has partnered with her husband Damon Zavala, D.O. FHM, an Internal Medicine physician, to provide a unique team approach to patient care. Marci is passionate about helping midlife women understand their options (including HRT), become their own health advocate, improving hormone health and thriving through this phase of life. You can learn more about her at https://marcizavala.com/

You've got questions, you want to know what the heck is happening in your midlife body, why are you having so many symptoms, why does it seem like nothing works and what should you do about replacing your hormones. You don't have time to endlessly search online. Well, this midlife hormone coach has your back. On today's podcast, I'm answering your questions. No BS, just straight talk. Tune in to hear submitted questions answered... Is HRT bad? Is eating soy bad for you? How to find a Functional Medicine doctor and testing without breaking the bank. Why the brain fog and forgetfulness in perimenopause and menopause? If you are a midlife woman who is health conscious and holistic minded and searching for hormone help, you are in the right place. Welcome to the Healthy Harmony podcast, I'm Jennifer Pickett, midlife hormone coach. I'm a deprogrammed dietitian, a Functional Medicine health coach, a certified midlife specialist and creator of The Hormone Huddle. And I have a valuable tool for you. Symptoms and Systems Assessment for Perimenopause. You can access this by going to bit.ly/perihormonechecklist You can find the Facebook group that I referenced in the podcast...Hormone Help for the Health Conscious Midlife Woman by clicking here https://bit.ly/FBmidlifehormonehelp Join me next time on the podcast for Funky Symptoms and Functional Decline of Perimenopause with a special expert guest!

A combination of public and private investments in neuroscience, government grants, and charitable donations are helping accelerate a wave of advancements and opportunities in the field of neuroscience. Recent clinical trial success for the second significant, disease-modifying drug to treat Alzheimer's is a critical milestone and a positive sign for the future of neuroscience. So, what does this mean for the healthcare investment landscape?Jeff Spiegel, US Head of BlackRock Megatrend, International and Sector ETFs across index and active strategies talks about these latest breakthroughs in neuroscience and why it demands a closer look when considering healthcare opportunities in your portfolio.Sources:United States Census Bureau, “Older People Projected to Outnumber Children for First Time in U.S. History,” March 13, 2018; United Nations, “2022 Revision of World Population Prospects,” 2022; Eli Lilly, “Lilly's Donanemab Significantly Slowed Cognitive and Functional Decline in Phase 3 Study of Early Alzheimer's Disease,” May 3, 2023; FactSet, Springer Adis Insight, 2022; BlackRock analysis; Alzheimer's Association, ”2023 Alzheimer's disease facts and figures,” April 19, 2023; Data Bridge Market Research, “Global Traumatic Brain Injuries Treatment Market – Industry Trends and Forecast to 2029,” February 2022; Kuehn, Bridget M. "WHO: Pandemic Sparked a Push for Global Mental Health Transformation." JAMA 328.1 (2022): 5-7; Biogen, “FDA Approves ZURZUVAE™ (zuranolone), the First and Only Oral Treatment Approved for Women with Postpartum Depression, and Issues a Complete Response Letter for Major Depressive Disorder,” August 4, 2023; PLOS One, “Adversarial confound regression and uncertainty measurements to classify heterogeneous clinical MRI in Mass General Brigham,” March 2, 2023; U.S. Food and Drug Administration, “New Drug Therapy Approvals 2022,” January 2023.This content is for informational purposes only and is not an offer or a solicitation. Reliance upon information in this material is at the sole discretion of the listener.In the UK and Non-European Economic Area countries, this authorised and regulated by the Financial Conduct Authority. In the European Economic Area, this is authorised and regulated by the Netherlands Authority for the Financial Markets.For full disclosures go to Blackrock.com/corporate/compliance/bid-disclosuresSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

About 50% of people who have an anterior cruciate ligament (ACL) injury will go on to develop osteoarthritis later down the track. What determines who will go on to develop OA? And is it possible to reduce your risk of developing OA? On this week's episode, Dr Adam Culvenor joins us to discuss.Dr Adam Culvenor is a Senior Research Fellow and Head of the Anterior Cruciate Ligament (ACL) Knee Injury Group within the La Trobe Sport and Exercise Medicine Research Centre. His research focuses on the outcomes of ACL injuries, in particular the prevention and management of early knee osteoarthritis in young adults following ACL injury and reconstruction.RESOURCESWebsitesLaTrobe University Sport and Exercise Medicine Research Centre BlogThe OPTIKNEE group is working to prevent osteoarthritis after knee injuryJournal articlesOPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritisKnee Extensor Strength and Risk of Structural, Symptomatic, and Functional Decline in Knee Osteoarthritis: A Systematic Review and Meta-AnalysisEarly Knee Osteoarthritis Is Evident One Year Following Anterior Cruciate Ligament Reconstruction: A Magnetic Resonance Imaging EvaluationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Maybe you mostly talk to your mom on the phone and you haven't seen your aging parents in almost a year. Or maybe your dad just ended up in the hospital and you realize that mom might not be safe to stay at home alone.If this hasn't happened to you, it has almost certainly happened to some of your patients. People tend to feel totally overwhelmed and unsure how to proceed.This week's episode will give you a practical approach for helping your loved one while keeping your sanity.Reach out any time!Dr. Chiaramontewww.integrativepalliative.comP.S.  Forward this episode to a friend or colleague! You'll help your friend and help me spread the word about The Integrative Palliative Podcast. Thanks!Do you wish that you had more tools to give great care to your patients with complex or serious illness? A new CME program will be starting soon that will give you the skills and confidence that you're looking for to help your most challenging patients. Sign up and I'll let you know when the next course is open: https://trainings.integrativepalliative.com/tiipm-keep-in-touch. Programs will also be starting soon for loved ones of people with serious illness. Sign up at the link above if you'd like to know when registration is open.Please review this podcast wherever you listen and forward your favorite episode to a friend! Thanks for helping me spread the word about heart-centered care for people with complex and serious illness.

The latest on Hurricane Ian as it intensifies to category 4. Also, a drug being developed by two pharmaceutical companies showing a decline in cognitive and functional decline in patients with Alzheimer's. Plus, Dr. Rebecca Robbins shares some habits that you and your kids can include to get a better rest. And, Mila Kunis in studio 1A to talk about her new movie “Luckiest Girl Alive.”

Chealsea here with solutions for seniors podcast.Before I get started toady I would like to thank Home Helpers of Bourbonnais for sponsoring solutions for seniors podcast. If you or your loved one lives in the Kankakee or will county area call Home Helpers at 815-401-5527 for all your home care needs. You can also visit their website at www.homehelpershomecare.com This week I’m going to be talking about how to spot functional decline in our aging loved ones. Functional decline is the decrease in physical and/or cognitive functioning and occurs when our aging loved one is unable to engage in activities of daily living. ADL’s or activities of daily living is a term used to collectively describe fundamental skills that are required to independently care for themselves such as eating, bathing and mobility. After a certain age, some level of decline should be expected year after year. In your forties and fifties, this decline is gradual. It happens slowly, and while it can affect our physical and mental performance, most are still able to live their lives comfortably. But in our sixties and beyond, decline begins to speed up and can become a little more noticeable. Eventually, our aging loved ones can reach a point of functional decline, where care is required for our aging loved one to live comfortably and safely. Unfortunately, it can be hard to spot functional decline. While decline accelerates in seniors, it still happens gradually enough that functional decline can go unnoticed. As a result, our aging loved ones who require elderly care in some form — either from family caregivers, in-home elderly care professionals, or facility living — end up without the support they need. How to Notice Signs of Functional Decline in Seniors. To determine whether or not your aging loved one may need elderly care or another senior service, you need to know the signs of functional decline. Keep in mind that functional decline relates to physical and cognitive function, so you need to be aware of the signs of decline for both. To help prevent this from happening, family members should be making a conscious effort to monitor their aging loved ones and track changes in their functional abilities. How to Notice Signs of Functional Decline in SeniorsOne strategy is to take stock of the things your loved one has difficulty with over the course of a typical week or month. You can do this mentally, or you might consider taking private notes. This will allow you to compare how your loved one is functioning now compared to the past. Gradual changes become much more visible if you can compare how well they’re doing now to six months or a year ago.Should you determine that your loved one is suffering from functional decline, you may wish to explore what extra care they will be needing now and in the future as their function declines. Finding recourse in your loved one’s budget and community can seem overwhelming but I’ll be posting a podcast here soon to help navigate through that. Thank you so much for joining me this week. I hope this episode has helped you know what signs to watch for in your aging loved ones. Again, I would like to thank home helpers of Bourbonnais for sponsoring solutions for senior’s podcast. If you are your loved one are in the Kankakee or will county area call home helpers at 815-401-5527 for all your home care needs. You can also visit their website at www.homehelpershomecare.com/kankakeeJoin me next week for another episode on a common challenge we face while helping our aging loved ones. Stay safe and well.

Dr. Goto and a co-author summarize their article, "Association of Initiation of Maintenance Dialysis With Functional Status and Caregiver Burden".

Dr. Goto and a co-author summarize their article, "Association of Initiation of Maintenance Dialysis With Functional Status and Caregiver Burden".

What is your goal for your health in retirement?  R. John Lassere, MD practices Geriatric Medicine to help his patients live their best life.  It isn't always about curing the patient, but helping them live a safe, happy, and honest life.  Most retirees anticipate spending less due to doing less as they get older, however they also face inflation.  So how will both variables impact your spending? More importantly, what decisions should you be considering now while you have the health?  All this and more with Dr. Lassere.

This episode features Deidre Morgan (Palliative and Supportive Services, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia).   Functional decline can be anticipated for people with life-limiting illnesses. Trajectories of functional decline differ in shapes and patterns. Understanding patterns of functional decline has implications for patient care and design of responsive health services. This prospective study identifies two contemporary trajectories of functional decline for patients receiving specialist palliative care in the last 120 days of life. Precipitous deterioration in functional decline for cancers, solid organ failure and cardiovascular disease occurs as cohorts of patients approach Australia-modified Karnofsky Performance Status (AKPS) of 40. The pattern of functional decline for the neurological and dementias cohorts is flatter, showing a prolonged period of low function. Study findings highlight that different types of care responses and resource allocation may be needed at different time points in different trajectories. This may require rapid mobilisation of carer support and modification of care plans preceding a precipitous functional decline (Trajectory 1). Extended periods of support to maintain patient function and support carers are required for those with a prolonged slow rate of functional decline (Trajectory 2). Full paper available from:  https://journals.sagepub.com/doi/full/10.1177/0269216319839024   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk

Andre Maddison, fellow in general internal medicine at Western University, is hosting this week's episode on The Rounds Table alongside Erin Spicer, general internist also at Western University. Together they are covering the effect of an exercise intervention on functional decline in very elderly patients and the mortality benefit associated with outpatient nephrology referrals in ...The post Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals for CKD appeared first on Healthy Debate.

Andre Maddison, fellow in general internal medicine at Western University, is hosting this week's episode on The Rounds Table alongside Erin Spicer, general internist also at Western University. Together they are covering the effect of an exercise intervention on functional decline in very elderly patients and the mortality benefit associated with outpatient nephrology referrals in ... The post Get Up & Go: Exercise Interventions for Functional Decline and Nephrology Referrals for CKD appeared first on Healthy Debate.

In this student podcast, Jillian Collier and Rebecca Dodick interview Kateřina Macháčová about her article "Dance as Prevention of Late Life Functional Decline Among Nursing Home Residents " published in volume 36 issue 12 of the Journal of Applied Gerontology.   Click here to read the article.

Working in acute care or SNF? #oldnotweak this week taking a dive into acute interventions for older adults facing recent hospitalization. Alyssa discusses an RCT “Effect of Exercise Intervention on Functional Decline in Very Elderly Patients during Acute Hospitalization”- looking at the impact of multi-component interventions compared to traditional walking interventions to reverse the common functional decline following a hospitalization, tune in for some ideas!   --------http://www.munideporte.com/imagenes/documentacion/ficheros/01B6C906.pdf--- This episode is sponsored by the Academy of Geriatric Physical Therapy. Check out their FREE resources they've given you, listeners of SRP -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

01 Effects of Structured Exercise Training in Children and Adolescents with Juvenile Idiopathic Arthritis: A Systematic Review Susan Klepper PT, MS, PhD, former Assistant Professor Rehabilitation & Regenerative Medicine (Physical Therapy), Columbia University, New York, NY The purpose of this review was to update the evidence for safety and efficacy of structured exercise training in a variety of settings for children and adolescents with juvenile idiopathic arthritis. 02 The Timed Up and Go test in children: Does Protocol Choice Matter? A Systematic Review Evi Verbecque PT PhD, Post Doctoral Researcher, University of Hasselt, Limburg, Belgium Results on reliability and normative data for the Timed Up and Go test in children who are are systematically reviewed. 03 Effects of Instruction on Parent Competency during Infant Handling in a Neonatal Intensive Care Unit Eilish M. Byrne PT, DSc, PCS, CNT, Supervisor Physical Therapy Department, Lucile Packard Children's Hospital, Palo Alto, CA The purpose of this study was to investigate the effectiveness of three different methods for delivering instruction on infant handling to parents in the neonatal intensive care unit. 04 Developmental Trajectories and Reference Percentiles for the 6-Minute Walk Test for Children with Cerebral Palsy Alyssa LaForme Fiss PT PhD PCS, Associate Professor, Director of Physical Therapy Research, Mercer University, Atlanta, Georgia The purposes of this study were to: document longitudinal developmental trajectories in 6MWT distances and develop age-specific reference percentiles for children across different Gross Motor Function Classification System levels. 05 Progression of Ankle Plantarflexion Contractures and Functional Decline in DMD: Implications for Physical Therapy Management Michael Kiefer PT DPT, North Worcester, University of Massachusetts MA. Formerly: Pediatric Neuromuscular Unit, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This study characterizes the progressive loss of ankle dorsiflexion range of motion in boys with Duchenne muscular dystrophy, the relationship to functional decline, and the implications for physical therapy management. 06 Adapted dance improves motor abilities and participation in children with Down syndrome: A pilot study Michelle McGuire, PT MPT, Coordinator, Division of Occupational and Physical Therapy, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio This pilot study measured effects of an adapted dance program on motor abilities and participation in children with Down syndrome and explored caregivers' qualitative feedback regarding its benefits. 07 Moving Toward Excellence in Pediatric Physical Therapy Education: A Scoping Review Deborah K. Anderson PT DPT PCS, Program Director, Physical Therapy, College of Health Sciences, Midwestern Universkity, Downers Grove, IL The purpose of this scoping review was to identify and map current evidence that underpins excellence in pediatric physical therapy education.

Interview with Mikel Izquierdo, Ph.D, and Nicolás Martínez-Velilla, PhD, authors of Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization: A Randomized Clinical Trial, and William J. Hall, MD, author of A Novel Exercise Intervention and Functional Status in Very Elderly Patients During Acute Hospitalization

Interview with Mikel Izquierdo, Ph.D, and Nicolás Martínez-Velilla, PhD, authors of Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization: A Randomized Clinical Trial, and William J. Hall, MD, author of A Novel Exercise Intervention and Functional Status in Very Elderly Patients During Acute Hospitalization

Interview with Maurice W. Dysken, MD, author of Effect of Vitamin E and Memantine on Functional Decline in Alzheimer Disease: The TEAM-AD VA Cooperative Randomized Trial

Interview with Carla M. Perissinotto, MD, MHS, author of Loneliness in Older Persons: A Predictor of Functional Decline and Death, Jacob A. Udell, MD, MPH, author of Living Alone and Cardiovascular Risk in Outpatients at Risk of or With Atherothrombosis, and Emily M. Bucholz, MPH, author of Loneliness and Living Alone: What Are We Really Measuring?: Comment on "Loneliness in Older Persons" and "Living Alone and Cardiovascular Risk in Outpatients at Risk of or With Atherothrombosis"

Functional decline in an elderly person can be the first indicator of a chronic condition ready to snowball out of control. Patricia Zinkus, director of case management at Fallon Community Health Plan, and Susan Legacy, FCHP's senior manager of case management, describe how their collaborative multidisciplinary intervention monitors for these changes, and why the program's social component is just as critical as home visits and case management outreach. Ms. Zinkus and Ms. Legacy will share details from FCHP's risk-sharing model during "Identifying Functional Decline in Chronic Care Patients To Reduce Preventable Healthcare Utilization," 45-minute webinar on April 27, 2011.