GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. Nancy 03:05 And just not to do any sort of spoiler alert here, but 2025 is their last time doing this session at AGS. You have to see about 2025 whenever that comes up, but we’ll see maybe.

IT 64

IT Hospital Screening Patients 64

GeriPal

FEBRUARY 27, 2025

But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. Like if a person has an issue, struggle with alcohol, I’m not their alcohol provider, but I may be their opioid provider. For those individuals, how do you think about that?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. Oh, go ahead, Jill.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

NOVEMBER 2, 2023

We were never going to have all the geriatricians that folks had forecast, whether it was 25,000 in 2025 or 30,000 in 2030, we were never going to get there. And one of the things was, “You’re telling us stuff we already know”, and also, “I’m going to critique you in that you didn’t provide any solutions.”

Board-Certified 91

Board-Certified IT Community Medical Student 91

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. We weren’t randomizing providers or patients. You’d have to tailor it to each individual emergency department because you couldn’t. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 9, 2023

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So that’s the interpersonal between the provider and the patient. We can talk in 2025.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 29, 2025

So I think the examples that we’ve seen is an individual will all of a sudden start using humor in a particular way or will using wry humor and that is reminiscent of the kind of humor the person used prior to developing dementia. And Andrea, you can help me out here. And the Clin. But yeah, does that, am I reading remember that?

Families 93

Families Family IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? So their caregivers did focus groups.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. And so spouses are typically the ones for patients who provide most of the caregiving support. And that’s in addition to the financial, emotional companionship, and psychosocial support that spouses typically provide.

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

MARCH 27, 2025

And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. This is what I do here. It’s a lot. Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Illness 79

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.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

OCTOBER 31, 2024

Among us healthcare providers who care for the elderly, I think that is a good thing to protect ourselves and our patients. Do you think we, we can do a randomized controlled trial of these vaccines, given what we know right now, to convince hesitant individuals that, hey, this does it. So that’s really my hope for 2025.

Vaccination 127

Vaccination IT Patient-Centered Patients 127

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Using data from wearable devices, internet searches, and purchasing history?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108