Episode 78: The frail elderly - treat symptoms first, last and in the middle - Part III

In episode 78, the final one on the frail elderly, Mike and James, with John Sloan, deal with what is really important to the frail elderly, and that is symptom control. We discuss pain and opioids, sleep and benzos, and combativeness and whatever seems to work - but all in very low doses.

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Comments

One thing to remember in the

One thing to remember in the nursing home population is that it is the nurses who ask for drugs from the physicians and they almost always get what they ask for. I am working hard in my setting to convince the nurses that they really need to understand what it is they want the MD to do and that they have a very healthy disbelief that a medication is the first or best answer.

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