Sarguni Singh
speaker
92 appearances
1 recordings
1 series
first heard Oct 2023
last heard Oct 2023
Sarguni Singh’s voice in public audio — every appearance, attributed to the second.
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Appearances
Thank you.
Excited to be here.
Yeah, definitely.
You know, I work as a hospitalist at the University of Colorado and I primarily work on two services, our ACE service, which is acute care of the elder.
So 70 to an older patients with multiple comorbidities and then our inpatient oncology service.
And I think I became interested in SNF outcomes just by seeing the distress that I was seeing in my patients that I would send there.
And it was much more noticeable on the cancer service just
There's a lot of intense decision-making that happens after patients are discharged to skilled nursing facilities.
And then really just sending them there thinking this is not the right place for them.
Understanding the decision-making and discussions that happen in the hospital that get them into the SNF in the first place.
And then seeing them a few days later come back with a lot of worsened symptoms, a lot of distress for the patient and their family.
And sort of being part of this cycle of being rehabbed to death from the hospital side, I think is really morally distressing.
And so that's how my interest kind of came about, especially with the cancer focus, just because I was seeing such a different experience in patients and their families on that service compared to ACEs.
And so I became more interested in what are the outcomes of patients with cancer when they do go to a nursing facility?
Why do we not have more palliative care access in nursing homes?
And that's kind of led my research interest to where it is now.
I really, I hear what you're saying and I struggle.
You know, it's very challenging from a hospitalist standpoint because I think there's definitely a population of people who are not educated well about what are the outcomes when people go to subacute rehab, who benefits from that.
Largely the messaging I would say is
you're going to a nursing facility to get better and stronger and then you'll go home.
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