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. As a nurse case manager in hospice, half of my patients had dementia. And I had a blast playing Take the Money and Run! AlexSmithMD.

Family 106

Family Families IT Patients 106

GeriPal

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. ” And they’re like, “Well, it would be unethical not to talk to the family.” I guess the VA is federal though. Liz: Right.

Hospital 125

Hospital IT Patient-Centered Patients 125

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.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. And then the second one in 2015. They may have few family members, live alone.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. Alex: What happens when people survive?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? 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? She has advance dementia. Eric: So, let’s talk about that. So, decision-making and surgical procedures.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 29, 2023

And I actually shared that story with Bonnie’s manager and she just thought it was pretty cool that the whole thing had come full circle, the song that she was inspired by them and then they were so moved by the song that she wrote. And back then, mostly we took care of each other in the cells and it was like a family thing.

IT 97

IT Family Families Board-Certified 97

GeriPal

MARCH 2, 2023

By 2015 that number increased to 4% of US adults. 2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. These are families who are in distress. Now that we are in this position, when I think about data for pain management specifically, I feel like yes, there’s value to it.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 25, 2024

God, it must have been like 2015, 2016. And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So, information from, like, a family member, spouse, or a son or daughter.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 7, 2023

And we have gone from 250 members at the end of 2015 to about 26,000 right now across the United States and a number of chapters that have grown. And so if you’re talking about healthcare providers and healthcare systems, start with waste and do an education with people of how to manage the waste. And you start small.

Healthcare 129

Healthcare IT Education Community 129

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. And this was in 2015 when I started to think about this project. I got it the second time. Lori: Absolutely.

Provider 19

Provider Medical Hospital Patient-Centered 19