Episode: October 2023

Host: Karl Steinberg, MD, HMDC, CMD

Guest(s): Barbara Resnick, PhD, CRNP (co-editor-in-chief); Daniel KY Chan, MBBS, MD, MHA

In This Episode:

In this episode, host Dr. Karl Steinberg, MD, CMD, and co-editor-in-chief Dr. Barb Resnick, PhD, CRNP, spotlight an article on telemedicine published in the JAMDA October issue. The author, Dr. Chan, MBBS, MD, MHA, will join the conversation. A non-inferiority study was conducted in 17 nursing homes, including 438 residents.  Face-to-face interventions involved on-site assessment by a geriatrician and aged care clinical nurse specialist (CNS). Telemedicine interventions involved on-site assessment by an aged care CNS with telemedicine input by a geriatrician. The study identified some pros and cons related to use of telemedicine in nursing home communities. Further, the findings provide interesting and useful conclusions to guide further work in this area. 

In addition to Dr. Chan’s paper, the following articles will be highlighted and reviewed: Challenges and Issues with Death Certificates After Voluntary Stopping of Eating and Drinking by Takeshi Uemura, MD, from the University of Maryland School of Medicine; Daytime Sleepiness Predicts Mortality in Nursing Home Residents: Findings from the Frailty in Residential Aged Care Sector Over Time (FIRST) Study by Ronaldo Piovezan, PhD, from the University of Adelaide, Australia; and Changes in Personality Before and During Cognitive Impairment by Antonio Terracciano, PhD, from Florida State University, Tallahassee, Florida.

Articles Referenced:

Telemedicine vs Face-to-face for Nursing Home Residents with Acute Presentations: A Non-Inferiority Study Corresponding 

Challenges in Completing a Death Certificate after Voluntary Stopping of Eating and Drinking (VSED)

Daytime Sleepiness Predicts Mortality in Nursing Home Residents: Findings from the Frailty in Residential Aged Care Sector Over Time (FIRST) Study

Changes in Personality Before and During Cognitive Impairment

Date Recorded: October 20, 2023

Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows:

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