We asked every hospital in the country to report if they had one, but found only 43 open Acute Care for Elders (ACE) units in the U.S! Why is this evidence-based model not more widely implemented? agsjournals.onlinelibrary.wiley.com/doi/epdf/10.11… JAGS The John A. Hartford Foundation UCSF Geriatrics

2 out of 3 adults age 80+ say they're living "their best possible life," compared with 1 in 5 younger adults—so what’s driving the shift? “Psychologically, people notice & prioritize the positive & let the negative go as they age,” Dr. Louise Aronson says. ucsfh.org/3xllvSK

UCSF Health & University of California will continue to provide the full range of healthcare options possible in CA, including reproductive services, & offer comprehensive education & training to the next generation of healthcare providers. More on today's decision: ucsfh.org/3OeGv3H

using a benzodiazepine to treat delirium-induced agitation x.com/ohshidt/status…

Medical inpatients with #delirium and a preferred language that was not English were 2.6x more likely to be physically restrained and 1.5x more likely to get antipsychotics Shail Rawal Kathleen Sheehan Amol Verma Paula Rochon New in JAGS: agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

my favorite part about health insurance is how your teeth and eyeballs are add-ons

Patients with delirium who spoke a non-English language were 2.6 times more likely to be physically restrained and 1.5 times more likely to be prescribed antipsychotics compared to patients with delirium who spoke english. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Prolonged use of newly prescribed gabapentin after surgery occurred in 1 out of 5 patients. As non-opioid medications are increasingly post-op, attention needs to be paid to ensuring that these medications are used only on a short-term basis. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/full/10.11…

Just over a year ago, I read a paper which showed that when private equity buys nursing homes, death rates go up 10%. I was a med student at Stanford, but I halted my studies to investigate. Today, that investigation was published in The New Yorker newyorker.com/news/dispatch/…

The ACE unit as a 'clinical laboratory for change.' Summaries from an editorial discussing the findings from our recent study showing the lack of uptake of an evidence-based model to improve costs and clinical outcomes for older hospitalized patients.

"She can't get inside the building because of her wheelchair." No. She can't get inside because the building is not accessible. The building has a barrier that does not let her in. The wheelchair is not the problem; the building's lack of access is the problem. Words matter.

Improving Hospital Care for Older Adults through Acute Care for Elders (ACE Units) | guests Kellie L. Flood, MD and Stephanie Rogers + discussion of their paper in JAGS looking at the current landscape of ACE units in the US. Episode bit.ly/GeriPalEp248 - hosts Alex Smith, MD | Eric Widera, MD

Sleep as medicine... On behalf of hospitalized patients, what is we simply stopped ordering routine lab draws before 7am. What is we wrote an order, do not disturb before 7am except for an urgent need. Or an order for 7 hrs of peace and quiet. Vinny Arora MD MAPP nam12.safelinks.protection.outlook.com/?url=https%3A%…

NEW paper out in American Geriatrics Society on #AFHS 4Ms implementation with Julia Adler-Milstein Stephanie Rogers Courtney Lyles, PhD. Thank you to The John A. Hartford Foundation for supporting this work and study sites UCSF Geriatrics Mark Supiano Utah Geriatrics and Anne Arundel Medical Center. agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

San Francisco gonna San Francisco

Funding Opportunity Alert! Join CLIIR-UCSF in partnership with The John A. Hartford Foundation and Institute for Healthcare Improvement (IHI) to advance 4Ms evaluation tools in healthcare settings. Up to five health systems will be selected, up to $125K each. Submit your application by 2/16/24. Link:  cliir.ucsf.edu/advancing-age-…

I took a recent paper's plot of fulfillment vs burnout and kept just the IM specialties. #geriatrics, #palliativecare, and #infectiousdiseases - none of which are popular - look pretty good. Pranay Sinha Sandra Shi Kenneth Lam Ryan Chippendale MD HMSMulticampusGeriatricsFellows UCLA Geriatrics Fellowship GeriPal - A Geriatrics & Palliative Care Podcast

The critically ill older patient with sepsis: a narrative review annalsofintensivecare.springeropen.com/articles/10.11… via Adrian Ceccato et al

@lotusinstagram instagram.com/reel/C5yijc4R9…