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.

Families 106

Families Family IT Patients 106

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. Eric: And that’s similar to the 2016 JAMA paper, right? Did it negate everything from the 2016 trial?Palliative

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right.

Illness 110

Illness Hospital Patient-Centered Patients 110

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

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. 2016 Jan;37(1):3-15; quiz 16-7, 47. Inborn Errors of Metabolism.

Consulting 59

Consulting Individual Families Family 59

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. So like I said, I got to meet Thor, I believe it was May, 2016. Heather: Sure.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. So I have thought about this for months, maybe years since your 2016, cycle blog, but we have picked Under Pressure by David Bowie and Queen. And how am I going to manage their pain? Two great videos on buprenorphine initiation. Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Alex: And, it means pain management. ” I think we started the blog in 2007 or 2008, we were doing that up until 2016. Alex: We are only on the fourth of 10.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Wait, first of all, what’s the incidence of calling EMS for falls over almost a decade, I think like 2007 to 2016, and what happens to people afterwards? Katie: Awesome.

Community 114

Community Transportation IT PCP 114

PEMBlog

DECEMBER 14, 2023

Learn all about diagnosis and management of this common problem in this brief podcast episode. 2016 Apr;83:78-83. So this management is conservative, includes upright feeding, antireflux therapy, so alterations to how you Feed, burp, and position. Isaac A, Zhang H, Soon SR, Campbell S, El-Hakim H. Int J Pediatr Otorhinolaryngol.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

APRIL 10, 2025

I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients. Eric 04:26 So that 2016 study was in the ED, but it was getting specialty palliative care to see them when they were hospitalized, is that right? Primary outcome was quality of life.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 11, 2024

The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Four percent. But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 30, 2023

As I was cleaning up my office, I found something I’d written in 2016. ” I think that’s what I’m talking about with action, or it might be family leave policies. This was something you were … You’re a grieving daughter and also trying to manage probably a lot of other things during the pandemic.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. But once I got into medicine, I found myself attracted to the field of psychiatry.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

BMJ

JUNE 25, 2021

Findings from a longitudinal study using primary care records, Family Medicine and Community Health 2021; 9: e000780. This can also be seen in the sequential treatment decisions in managing cardiac risk 3 and the alternating statin therapy usage. Health Survey for England 2016: Prescribed Medicines.; 2017;390(10100):1345-1422.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40

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.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

APRIL 20, 2023

A huge portion of that difference in wealth you can trace back to the fact that their families were not able to get into the housing market. So there’s this myth out there like, “Oh, homeless folks are just disconnected from their friends or family, and if only we connected them by Facebook, all would be good.”

Mental Health 123

Mental Health IT Community Individual 123

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

Robert was first asked by one of his own patients for assistance in dying in 1991, far before aid in dying was legalized in California in 2016. He has an interest in hospice and of life care, pain management and medical ethics. This is going to be harmful to them and their family at the end of life. I got it the second time.

Provider 19

Provider Medical Hospital Patient-Centered 19