Through the voices of health care experts and frontline personnel, this podcast explores the intersection of infection control, and equity and examines how access plays a key role. Stories of Care is hosted by Megan Srinivas, MD, MPH, an infectious disease physician and translational health policy researcher at the University of North Carolina, who resides and practices in Iowa. The daughter of two Indian immigrants, Dr. Srinivas grew up in rural Iowa. Her research focuses on social determin ...
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The Iowa Geriatric Education Center GeriaCast podcast covers a wide range of topics in the clinical management of older adults. It is of particular value and importance to health practitioners who work with older adults.
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In this episode of Stories of Care, we dive into an innovative program at the University of Connecticut School of Medicine that integrates quality improvement (QI) and patient safety into medical education. Hear from Catriona, a third-year medical student; Dr. Jennifer Baldwin, an internal medicine physician and hospitalist director; and Dr. David …
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In this episode of the Stories of Care podcast, we welcome Dr. Gonzalo Bearman to discuss his career journey, the importance of leadership, and strategies to combat burnout in healthcare. We delve into the significance of team ethos, inclusion, and clear communication in fostering a productive work environment. Dr. Bearman also shares insights on e…
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On this episode of Stories of Care, we delve into the challenging yet vital realm of infection prevention and control in pediatric populations. Our guest is Dr. Joseph McBride, assistant professor at the University of Wisconsin School of Medicine and Public Health, Department of Medicine, Division of Infectious Disease. Dr. McBride sheds light on t…
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In this episode of Stories of Care, host Megan Srinivas, MD, MPH, is joined by Susy Hota, MD, MSc, to discuss infection prevention, health care equity, and the impact of the pandemic on burnout among health care professionals. Dr. Hota shares her journey from medical training to specializing in infectious diseases and highlights the challenges face…
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Research shows that nurse-driven protocols can reduce HAIs. In this episode of Stories of Care, we discuss what nurse-driven protocols are, how they can benefit everyone in the care environment, and how physicians and nurses can partner to incorporate them into clinical practice.
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In this episode of 'Stories of Care', Megan interviews Dr. James Lewis, Health Officer for Snohomish County, Washington, who has an extensive background in infectious diseases, public health, and epidemiology. He shares his intensive experiences dealing with the COVID-19 pandemic, especially focusing on infection prevention in long-term care facili…
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In this episode of Stories of Care, we talk with Michelle Doll, MD, a health system epidemiologist with Virginia Commonwealth University Health System, about the importance of hand hygiene in health care settings. Dr. Doll discusses challenges with and strategies for improving hand hygiene, the impact of automated monitoring systems, the role of di…
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Approximately 15% of Americans live in a rural setting, and they are at a greater risk of death from 5 leading causes (heart disease, cancer, unintentional injury, stroke and chronic lower respiratory disease) than urban Americans. Studies looking at rural hospitals note unique challenges: health care staff shortages, relative geographic isolation …
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Structural racism affects many aspects of life – residential segregation, quality of education, and economic potential. In addition, health care delivery is affected by structural racism. In the 2018 National Healthcare Quality and Disparities Report, Black, Hispanic, American Indian/Alaska Native, and Native Hawaiian/Pacific Islander patients were…
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No patient expects to get an infection in the hospital that they did not arrive with, yet over 500,000 patients do each year (about 1 in every 31 patients). Patients who suffer from health care associated infections, or HAIs, have higher morbidity and mortality than those who don’t. These preventable infections impact patients and families alike. D…
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In this episode, we are joined by Dr. Amina Ahmed, Pediatric Hospital Epidemiologist and Division Chair of Infectious Diseases at Atrium Health, to discuss tuberculosis in the United States. Patient isolation and appropriate PPE for health care professionals can prevent tuberculosis from spreading while the patient is being treated, but isolation c…
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While masking has been established as an effective way to help prevent the spread of respiratory illness, it has created substantial challenges for people and physicians with hearing loss. Dr. Joanne Turner Bisgrove is a Family Medicine physician and anti-ableism advocate. Dr. Bisgrove outlines her experience as a physician with hearing impairment …
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In this episode, we are joined by Dr. Shannon Novosad, Team Lead of the Dialysis Safety Team at the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention. She and her colleagues recently published data in the Morbidity and Mortality Weekly Report on rates of Staphylococcus aureus bloodstream infections in dialys…
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Environmental Services (EVS) workers are often expected to clean and disinfect rooms in which various infectious agents are present: Clostridium difficile, Candida aurus, SARS-CoV-2, tuberculosis and many more. While EVS professionals have historically been an unseen part of the healthcare team, their role was coming more to the forefront before CO…
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COVID-19 changed the ways of life for most people. Near the top of that list are those enrolled in medical school or medical residencies and fellowships in March 2020. Some medical trainees found themselves relegated to the sidelines, told to stay home for fear of infection. Some were drafted into hospitals where patient beds were stacked in hallwa…
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The Ebola virus is characterized in part by its profound impact on healthcare professionals in the countries where it spreads. During past Ebola outbreaks, a significant number of doctors, nurses, and other staff have contracted the disease in the course of treating patients and containing the spread. Because of the severity of the illness, the con…
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The relationship between gay and bisexual men and public health is one that has been forged through the experience of the HIV and sexually transmitted infection epidemics. The proliferation of the mpox virus among this population has thrust this historically fraught relationship into the spotlight once again. Characterizing a disease by associating…
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This is part two of a two-part episode on the 2022 Mpox (also known as monkeypox or MPV) outbreak. Part two focuses on the impact of the outbreak on local health clinics and how these healthcare professionals have responded. Our guest today is Dr. Magda Houlberg, the Chief Clinical Officer at Howard Brown Health in Chicago, IL. Howard Brown Health …
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This is part one of a two-part episode on the 2022 monkeypox (MPV) outbreak. Part one focuses on how the virus is transmitted and the infection control and prevention measures you can take to protect yourself and other healthcare professionals. We are joined today by Dr. Abigail Carlson, an infectious diseases doctor at the Centers for Disease Cont…
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This episode explores how Urban Indian Organizations imbued American Indian and Alaska Native cultural heritage and values into their infection control programs during the COVID-19 pandemic. Cultural competency is an essential part of training for healthcare professionals in UIOs and that extends to the world of infection control. By placing infect…
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Personal Protective Equipment (PPE) is designed primarily to fit clean-shaven, European male faces and body types. This has a disproportionate impact on women, who make up the majority of front-line healthcare personnel. While this was a concern prior to the COVID-19 pandemic, issues with fit became more acute as the demand for PPE increased. This …
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Dr. Benson Hsu, Associate Professor of Pediatrics at the University of South Dakota, joins the show to discuss how he and his colleagues in the pediatric ICU adapted their practice to the COVID-19 pandemic, embracing uncertainty, demonstrating compassion, and protecting themselves and their community. This episode was produced in collaboration with…
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Dr. Michael Bell, an expert in drug-resistant pathogens and hospital-acquired infections, and Dr. Karthik Sivashanker, Vice President of Equitable Health Systems & Innovation in the Center for Health Equity at the American Medical Association discuss how IPC and equity converge and how understanding those intersections contribute to the health and …
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Megan Srinivas, MD, introduces a CDC Project Firstline Podcast from the AMA: Stories of Care.
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Dr. Schleich will discuss: the background and prevalence of dementia in the United States; the importance of a thorough medication review, and appropriate steps involved when conducting a medication review; methods to help patients with dementia improve medication adherence; and goals of therapy for chronic disease states as they relate to patients…
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Identification of Potentially Inappropriate Medications: The Beers Criteria – Update 2015
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Dr. Reist will discuss: potentially inappropriate medications in an older adult's medication regimen; common adverse events resulting from the use of potentially inappropriate medications; potentially dangerous drug interactions in an older adult’s medication regimen; and medications which should have dosages reduced or avoided in older adults with…
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Dr. Marchini will discuss: how cognitive impairment negatively affects oral health; adverse effects of inadequate oral health for cognitively impaired patients; how to improve oral health of cognitively impaired patients; and current theories on how inappropriate oral health may worsen cognitive impairment.…
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Dr. Schultz will discuss: the purpose of identifying mild cognitive changes to detect early dementia; the early cognitive changes that may be seen in Alzheimer's and vascular-related dementia; the Hachinski Scale; and the early clinical features that are characteristic of frontotemporal and Lewy body dementia.…
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Dr. Smith will discuss: the landscape of factors that contribute to care transitions; common challenges related to transitions between care settings; online resources designed to promote quality transitions; and "simple" solutions that promote quality.Di Marianne Smith, PhD, RN, FAAN
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Dr. Narayanan will discuss: non-motor symptoms of Parkinson's disease; what brain systems are involved in Parkinson's disease; what treatments are available for non-motor symptoms of Parkinson's disease; and future directions in Parkinson's disease research.Di Kumar Narayanan, MD, PhD
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Dr. Hoth will discuss: the importance of taking the time to better understand psychosocial concerns in patients with chronic lung disease; barriers to the recognition of psychosocial issues in older adults with chronic lung disease; common psychological concerns among older adults presenting with chronic lung disease, including depression, anxiety,…
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Dr. Butler will discuss: diabetes, particularly type 2 diabetes; the function of insulin and the role it plays in the body's normal function; screening and testing of diabetes; and how depression, treatment factors, and coping strategies and treatments and treatment goals for type 2 diabetes and evidence to support treatment goals.…
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Dr. Clark will discuss: the technical aspects of percutaneous endoscopic gastrostomy (PEG) tube placement; current recommendations for tube nutrition in advanced dementia; meaningful informed consent provided to surrogate decision-makers considering PEG placement in demented patients; and the role of advanced care planning in facilitating decisions…
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Exercise Effects on the Brain and Cognition in Healthy Aging and Dementia Populations
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Dr. Voss will discuss: the effects of aging on brain structure and function; the difference between physical activity and fitness; the effects of physical activity and fitness on brain structure and function in healthy older adults; and the effects of physical activity and fitness on risk for dementia.…
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Social Relationships, Family Communication, and Well-Being
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Dr. Ashida will discuss: the importance of social environment on health and well-being; basic social network concepts that can be used to assess social environment; the characteristics of social relationships within families providing care to individuals affected by dementia; and potential strategies to enhance social relationships older adults hav…
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Management of Behavioral Disturbance in Dementia: Complexities in Antipsychotic Use – The Quality Equation
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Dr. Schultz will discuss: the many factors that may contribute to the outcome of interventions for behaviors in dementia; some of the medication choices for behavioral problems in dementia; the idea that some medications may be better for certain target symptoms in dementia; and the role of patient and family engagement in decision-making in dement…
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Dr. Bossen will discuss: evidence about nature's impact on human beings, including quality of life and attention capacity; the empirical evidence to support the use of the naturally restorative environment (NRE); different uses of nature-based interventions in different settings; and how to attain quality of life considering limitations secondary t…
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Dr. Peterson and Dr. Reist will discuss: appropriate assessment of pain in a patient with dementia; non-pharmacological options for treatment of pain in a patient with dementia; appropriate pharmacotherapy for the treatment of pain in a patient with dementia; and the association of pain with behavioral disruptions in a patient with dementia.…
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Medication Management of Lewy Body and Parkinson's Dementias
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Dr. Kauer will discuss: the management of Parkinsonian symptoms in dementia with Lewy bodies and Parkinson's disease with dementia; the management of cognitive impairment in dementia with Lewy bodies and Parkinson's disease with dementia; the management of psychosis in dementia with Lewy bodies and Parkinson's disease with dementia; and the managem…
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Tips for Visuospatial Dysfunction: How to Manage Late-Life Cognitive Changes that Interfere with Visual Processing
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Dr. Shim will discuss: visuospatial processing; causes of visuospatial dysfunction; specific clinical manifestations of visuospatial dysfunction; and how depression, treatment factors, and coping strategies and treatments for patients with visuospatial dysfunction.Di HyungSub Shim, MD
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Dr. Jogerst will discuss: a model of elder mistreatment; the types of elder mistreatment; the relationship between elder mistreatment and dementia; and reasons that may predispose demented persons to elder mistreatment.Di Gerald Jogerst, MD
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Dr. Bern-Klug will discuss: dementia; grief and common grief-related terms; the experience of grief within the context of dementia "after the diagnosis"; and grief resources for health care practitioners.Di Mercedes Bern-Klug, PhD, MSW
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Dr. Mulhausen will discuss: the changes in sexual behavior experienced by people with dementia and contrast them with those experienced in normal aging; appropriate clinical assessment and support to offer when patients with dementia or their partners present with concerns about sexual behavior change; challenges encountered in the support of intim…
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Dr. Williams will discuss: common communication barriers for older adults; the importance of communication for older adults and persons with dementia (PWD); elderspeak and its negative messages; and recent research findings regarding elderspeak.Di Kristine Williams, RN, PhD, FGSA, FAAN
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Dr. Weckmann will discuss: the clinical course of advanced dementia; common symptoms at the end of life and how to treat them; ineffective end-of-life interventions; and how palliative care can improve outcomes in advanced dementia.Di Michelle Weckmann, MD
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Dr. Schultz will discuss: the first clinical symptoms of frontotemporal dementia; how frontotemporal dementia differs from other dementias such as Alzheimer's disease; the clinical features of Lewy Body Dementia and how they affect treatment choices; and how Lewy Body Dementia has similarities and differences from dementia due to Parkinson's diseas…
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Dr. Schultz will discuss: the definition of "mild cognitive impairment"; the different types of brain changes that can lead to mild cognitive impairment; the types of brain imaging tools that can be used to map the brain changes that occur with memory decline; and how the brain imaging tools can track the sequence of events that reflect progression…
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The Basics of Neuropsychological Testing and Its Role in the Diagnosis and Treatment of Dementia
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Dr. Smith will discuss: the process of neuropsychological evaluation; how to identify which patients might benefit from neuropsychological evaluation; how neuropsychological evaluations can help patients, caregivers, and care providers; and neuropsychological presentations of different causes of dementia.…
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Dr. Schultz will discuss: the general criteria for Mild Cognitive Impairment; the frequency of Mild Cognitive Impairment in clinic and community samples and the rate of progression to dementia; some of the new diagnostic features of the Mild Neurocognitive Disorders presented in DSM-5; and how depression, treatment factors, and lifestyle factors ma…
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Dr. Bursch will discuss: characteristics of the current care environment for persons with end-stage dementia; transitions in dementia; the caregiving trajectory of dementia; and recommendations to manage transitions for persons with end-stage dementia (ADRD).Di Heide Bursch, PhD, RN
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