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Eastern Colorado Geriatric Research, Education and Clinical Center (GRECC)

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Older Veterans Engagement Team Recruitment

Older Veterans Engagement Team

Eastern Colorado GRECC wants your voice to inform research, clinical and community-based services for older Veterans and caregivers.

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Eastern Colorado Geriatric Research Education and Clinical Center

Eastern Colorado GRECC

Eastern Colorado Geriatric Research Education and Clinical Center...

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National GRECC

National GRECC

The Geriatric Research, Education, and Clinical Centers (GRECCs) are United States Department of Veterans Affairs (VA) centers of excellence focused on aging. They were established by Congress in 1975 in order to improve the health and health care of older Veterans.
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Eastern Colorado GRECC on Twitter

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Follow Eastern Colorado GRECC on Twitter at @EasternCoGrecc We use this account to let you know about our research, educational and clinical work.

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28 August 2019

Research

The goal of this GRECC is to improve the health of older Veterans through the development of innovative research, clinical and educational initiatives.

The research foci of our GRECC are:

  1. Consequences and Treatments of Obesity in Older Adults
  2. Gender Differences in Health (focusing on women’s health)
Education

The Eastern Colorado GRECC focuses its training efforts on translating existing and new geriatrics knowledge and skills into clinical practice at the local, regional and national levels. These efforts build on the substantial geriatrics educational and training activities at the ECHCS and leverage important resources from the University of Colorado School of Medicine.

Clinical

Eastern Colorado GRECC is a hub of clinical innovation committed to creating systems of support for Veterans as they age and across the continuum of care, regardless of geography. The Eastern Colorado GRECC participates in national clinical dissemination projects, including GRECC Connect and Gerofit. Clinical demonstration projects provide opportunities to integrate research, education and clinical services.

What's New at Eastern Colorado GRECC

Follow Eastern Colorado GRECC on Twitter at @EasternCoGrecc We use this account to let you know about our research, educational and clinical work.

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 Geriatric and Palliative Care SCAN ECHO Series Video & Slides: Post-Traumatic Stress Disorder and Trauma-Informed End-of-Life Care by Dr. Kathleen Bickel -
28 August 2019 - If you could not attend the session video and slides. In this presentation Dr. Bickel accomplishes 2 objectives: 1) Recognize how PTSD symptoms (and other symptoms of trauma) can present in older adults, and 2) Describe basic trauma-informed care interventions that can be used to support Veterans when these symptoms occur.
Download the slides
Watch the video
 Pub: Rapid suppression of bone formation marker in response to sleep restriction and circadian disruption in men
24 August 2019 - Eastern Colorado GRECC Associate Director for Research, Wendy M. Kohrt, PhD, was a co-author on this paper that "suggest even brief exposure to sleep and circadian disruptions may disrupt bone metabolism." Read this free access piece.

The above image represents the Altmetric score or the 'attention' this publication is receiving from news outlets, Twitter, Facebook and others. Click on the doughnut to understand what attention this article is receiving.
 Pub: Lesbian, Gay, Bisexual, and Transgender Older Adults' Experiences With Elder Abuse and Neglect
21 August 2019 - Eastern Colorado GRECC researcher, Skotti Church, MD, was a co-author on this paper that used focus groups to better understand how older adults in the LGBT community perceive and experience elder abuse. They conclude, "LGBT older adults conceptualize elder abuse differently and have different experiences with police and medical providers. Improved outreach to this potentially vulnerable population is critical to ensuring their safety." Read this free access piece.
 Pub: Artificial Nutrition Belongs on POLST
14 August 2019 - Eastern Colorado GRECC researcher and CU Associate Professor, Geriatric Medicine, Hillary Lum, MD, PhD, was a co-author on this response to an earlier article. The POLST (Physician Orders for Life-Sustaining Treatment) is a medical order written between a physician and a patient with a life-threatening illness or fraility that summarizes the care the patient wishes to receive. This brief article details why the POLST should continue to contain a section related to artificial nutrition. Read this free access piece.

The above image represents the Altmetric score or the 'attention' this publication is receiving from news outlets, Twitter, Facebook and others. Click on the doughnut to understand what attention this article is receiving.
 Pub: Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy in Older Adults With Heart Failure
12 August 2019 - Eastern Colorado GRECC researcher and CU Associate Professor, Geriatric Medicine, Daniel Matlock, MD, was a co-author on this paper exploring the "risk-benefit trade-offs" of certain cardiac electronic devices. Significantly, they "introduce a framework for helping clinicians and older adults make these challenging decisions collectively." Read more.
 Pub: Incorporating Specific Functional Strength Integration Techniques to Improve Functional Performance for Veterans After Total Hip Arthroplasty: Protocol for a Randomized Clinical Trial
8 August 2019 - Eastern Colorado GRECC researchers Jennifer Stevens Lapsley, PT, PhD, and Cory Christiansen, PT PhD, along with colleagues from the University of Colorado Physical Therapy Program wrote this paper detailing a research protocol to determine "if a functional strength integration intervention" improves outcome after total hip replacement surgery. Read more.
 Pub: Intravenous fluid resuscitation is associated with septic endothelial glycocalyx degradation
23 July 2019 - Eastern Colorado GRECC researcher and CU Assistant Professor in the Division of Infectious Diseases, Dr. James Colbert, is part of a study team exploring treatment of sepsis in hospital settings. One method of treatment is intravenous fluid resuscitation; this study suggest that this treatment may contribute to injury of the internal lining of the patients blood vessels. This study has garnered a good amount of interest in the scientific Twitter community as indicated by the Altmetric score below. Read the open publication.
 Pub: Psychiatry's stance towards scientifically implausible therapies: are we losing ground?
17 July 2019 - Eastern Colorado GRECC researcher, Dr. Russell Glasgow, co-authored this provocative short piece in The Lancet Psychiatry. The authors ask whether "blind allegiance to randomised controlled trials in the absence of scientific plausibility can lead to nonsensical recommendations". The authors recommend that leaders in mental health and readers of journals not take RCTs alone as proof of this or that but that the proposed therapy be also in the realm of the plausible. Read the complete article.
 Pub: A Randomized Phase II Trial of Pioglitazone for Lung Cancer Chemoprevention in High Risk Current and Former Smokers
15 July 2019 - Dr. Patrick Blatchford, a Biostatistician, and member of Eastern Colorado GRECC is a co-author on this paper. Read more
 Geriatric and Palliative Care SCAN ECHO Series Transcript: Hearing Loss or Dementia: How hearing impacts patient outcomes by Steve Huart, AuD
10 July 2019 - The July 2019 Geriatric and Palliative Care SCAN ECHO Series featured Steve Huart, AuD. Dr. Huart is an Audiologist and Supervisor of the Audiology Department at the Rocky Mountain Regional VA Medical Center in Aurora, Colorado.
Watch this presentation online or download the PDF
 Pub: Culture and Sanity at the End of Life
9 July 2019 - Drs. Daniel D. Matlock and Stacy Fisher, CU SOM General Internal Medicine, co-authored an editorial comment on an article lead by Julie Bynum MD, MPH in the Journal of the American Geriatrics Society. The Bynum article, Serious Illness and End‐of‐Life Treatments for Nurses Compared with the General Population, explores healthcare utilization by nurses as compared to non-nurses. Matlock and Fischer discuss the need for a drastic change in how our culture views end-of-life care. If trained, experienced healthcare professionals opt for the similar levels of care (that is "a philosophy that technology can fix everything, and that death is failure") understanding and witnessing the issues of "high-cost, low-value" care in the last months of life then it is only through a flipping of our culture that change might occur. The authors end with, "When the culture is insane, sanity is working counter to that culture." Read more.
 Pub: The effects of exercise session timing on weight loss and components of energy balance: midwest exercise trial 2
9 July 2019 - The authors of this paper include Ed Melanson, PhD, FACSM of Eastern Colorado GRECC and CU SOM School of Physical Therapy. The study explores whether the time of day that a person exercises relates to the amount of weight loss they experience. Specifically did overweight/obese individuals who exercise in the morning compared to those who exercise late afternoon/early evening experience weight loss over a 10-month period. Persons who exercised sporadically, that is some morning and some later were also compared. It is unclear why it happens but those exercising early or on an early/late schedule lost significantly more weight than those who exercise later in the day. Read more.
 Pub: Medicare Mandates for Shared Decision Making in Cardiovascular Device Placement
8 July 2019 - Dr. Daniel D. Matlock was a co-author on this paper, "In the interest of promoting patient-centered care within the cardiovascular space, the Centers for Medicare and Medicaid Services (CMS) introduced requirements for the use of evidence-based patient decision aids. Documented use of these tools, designed to support shared decision making (SDM), is now a condition for reimbursement for 2 cardiovascular therapies: left atrial appendage closure and primary prevention implantable defibrillators for patients with systolic heart failure" Read more.
 Pub: Conducting Clinical Research in Post-acute and Long-term Nursing Home Care Settings: Regulatory Challenges
3 July 2019 - Drs. Hillary Lum and Jennifer Stevens Lapsley ABSTRACT: Despite multiple initiatives in post-acute and long-term nursing home care settings (NHs) to improve the quality of care while reducing health care costs, research in NHs can prove challenging. Extensive regulation for both research and NHs is designed to protect a highly vulnerable population but can be a deterrent to conducting research. This article outlines regulatory challenges faced by NHs and researchers, such as protecting resident privacy as well as health information and obtaining informed consent. The article provides lessons learned to help form mutually beneficial partnerships between researchers and NHs to conduct studies that grow and advance NH research initiatives and clinical care. Copyright © 2019 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. KEYWORDS: Post-acute care; long-term care; nursing homes; research regulation Read more.

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