GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. In fact, as Lauren Hunt found , the average likelihood that a person will be disenrolled from one hospice vs. another is two. AlexSmithMD.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 2, 2023

By 2015 that number increased to 4% of US adults. I also heard that if you look at all individuals in the US, about 4% of individuals are taking one of the gabapentinoids, 10% over 65. These are families who are in distress. In 2002, 1% of adults were taking gabapentinoids (gabapentin and or pregabalin).

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

JUNE 29, 2023

And back then, mostly we took care of each other in the cells and it was like a family thing. AIDs didn’t know any color or creed, so it was a family thing, we all took care of each other. I am there with individuals who are dying. And it’s a family environment, it becomes like a big family here.

IT 97

IT Families Family Board-Certified 97

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? Welcome to the GeriPal podcast, Samir. Samir: Thanks, Alex and Eric.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

DECEMBER 14, 2023

It’s the clinicians on the rounding team, yes, but also the multidisciplinary team is really important, how they support the patient, the family, the doctors, the nurses, but also how the broader institutional structures such as ethics committees, et cetera, how they support. And then was trying to find different hospitals.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

DECEMBER 15, 2022

Heather: I do Alex, and I’m so happy to have this song request, it’s called The Eye by Brandi Carlile, which comes from a quite old 2015 album called The Firewatcher’s Daughter. Been in the hospital four times, vented, been told the story to her family, she won’t live. So I would love to hear. Heather: Sure.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.” And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MARCH 3, 2022

When patients leave the hospital, the infection may be cured, but the patient and family will need to contend with a host of major new functional and cognitive deficits. Severe sepsis is a syndrome marked by a severe infection that results in one organ failure. Alex: What happens when people survive? It’s not just about the ICU.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. The MAID issue then came on the table in Canada after the 2015 Supreme Court ruling in Carter v.

Illness 144

Illness IT Medical Provider 144

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis. Group 1 consisted of older individuals, mainly diagnosed in the hospital and with poorer COC. Study Design and Analysis: Retrospective cohort study.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels.

Healthcare 130

Healthcare IT Education Hospital 130

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. God, it must have been like 2015, 2016. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” 2015, 2016.

Patient-Centered 126

Patient-Centered IT Families Family 126