GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. hospice use).

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

MARCH 2, 2023

2011-2014 JAMDA 2020 Efficacy of Gabapentinoids: Gabapentinoids for Pain: Potential Unintended Consequences. Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. JAGS 2022 Trends in Antipsychotic and Mood Stabilizer Prescribing in Long-Term Care in the U.S.:

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. We were often the only ones left in the hospital.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

BMJ

MAY 10, 2022

METHOD The cross-sectional study was conducted on family physicians and family health staff working in primary care family health centers in Üsküdar district of Istanbul with a population of 520,771 between 25-29 December 2020 [4]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. Today we’re going to be talking about narrative writing specifically for healthcare professionals. She’s not in hospice, and you’re talking about admitting her to the hospital.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

JANUARY 20, 2023

You were on a National Academy of Sciences committee started in 2020? To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. Eric: All right, let’s jump into this topic. Improving nursing home quality. Jasmine: Yes. Is that right?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MAY 26, 2022

Emily: And so even in the pandemic, we’ve seen circumstances like this where hospitals wrote allocation policies that were going to give preference to frontline healthcare workers in hopes, right, that they would incentivize them to stay on the job knowing that they would be taken care of and because they had been working for the public good.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

NOVEMBER 2, 2023

I was very close with my grandparents growing up, and then I actually was exposed to geriatrics as a pre-med student at Yale New Haven Hospital as one of the volunteers and Dr. Sharon Inouye’s initial help trial and had a fabulous role model Dr. Verano, who I wanted to be. Ryan: Actually, a very similar story as to Jerry. Yes, I own it.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. I guess the question for you, Naomi, is as a chaplain, what is the role do you think of the other healthcare providers, the nurses, the doctors, the pharmacists in broaching spiritual suffering, existential suffering? Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

SEPTEMBER 21, 2023

Karen has a Cambia Sojourns award to pilot an intervention in which Black/African American former caregivers are trained to provide peer support to current caregivers (Peer2Care). I think as researchers, we need to do our due diligence to follow that and healthcare providers, of course, ’cause we want to be sensitive.

Community 128

Community Family Families IT 128

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. I’m just thinking we all went through a major traumatic event in 2020 and the subsequent years. So we all went through a pandemic. I guess that’s an event.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

DECEMBER 7, 2023

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. Big heat waves in England in 2020, 2,224 excess deaths in the obits over the age of 65.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

DECEMBER 29, 2022

December 2020. In social work, it’s called self-determination of the client, meaning at the end of the day, I can provide resources to this older adult or to this caregiver, whoever it may be. Then we have the provider and then we also have another family member, but we put a time limit on it. Geriatrics. Alaine: Yeah.

Family 96

Family Families IT Patient-Centered 96

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. I had planned to start doing in-person poetry sessions with cancer patients at the beginning of 2020. So beginning, literally April 1, 2020 until now I started with one poetry recession a week.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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.”

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Bruce: Yeah.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. That was his literally his life during those spring months of 2020 and it scared the hell out of me. .

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

OCTOBER 31, 2024

Summary Transcript CME Summary In March 2020, we launched our first podcast on COVID-19. Eric 03:29 Lona, I am not sure you remember this, but over four years ago, March, mid March of 2020, we did a podcast on a novel respiratory virus that was coming out of Wuhan. And we don’t see hospitals being strained as much anymore.

Vaccination 127

Vaccination IT Patient-Centered Patients 127

GeriPal

JUNE 2, 2022

We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” . it was April, 2020.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

APRIL 17, 2025

Farah provides clear examples from the Biden administration, in which having the most diverse cabinet in history was critical to building bridges, empathy, and inspiring others to feel included. I took my kids in 2019, 2020. So it’s 2020. She still remembers that I was in a meeting for hospitalists.

IT 70

IT Community Government Management 70