GeriPal

MARCH 28, 2024

None of the changes that we saw in end-of-life care processes relied on specialist palliative care increases or resources, which is really important because seven of the 10 hospitals that participated were rural or community-based, which is where most Americans receive their care, and also where specialist palliative care is often most limited.

Consulting 116

Consulting Patient-Centered Patients IT 116

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. But in spite of that, it is a lot of work for three individuals to pull all this together. So that this is not something that might affect the individual clinician patient decision.

IT 65

IT Hospital Screening Patients 65

GeriPal

FEBRUARY 6, 2025

And then the family tells me they can’t keep an appointment, they can’t manage their finances. We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. So it matters a lot to the person, to their family, to the community.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MARCH 24, 2022

So I do think it often does happen that younger adults appoint a surrogate when they engage in estate planning, for example. And I don’t think necessarily, that appointment needs to be a medicalized process. It created a lot of challenges. Alex: What did it changed to after 2018? I need structure.”

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

FEBRUARY 27, 2025

For those individuals, how do you think about that? Janet 45:06 They’re probably coming to a location near you soon because the use of methamphetamine or the contamination of drugs out in the community is more widespread. Sach 17:32 For me, it’s our first line opioid. Pearls tips?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

AUGUST 8, 2024

So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals. You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died.

IT 125

IT Families Family Relationship 125

GeriPal

SEPTEMBER 19, 2024

That’s a lot of appointments that we have to account for over time. And the entire community of palliative care said yes, not a palliative care study. And that’s where a lot of hospice referrals happen for these individuals when they’re really declining and they get discharged with, with hospice.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

DECEMBER 29, 2022

I was also working there at an adult day center for individuals with Alzheimer’s and other related dementias. Is it getting to a doctor’s appointment? How would you think about each individual of those three steps? Are you willing to move into a senior community? Alaine: Yeah. What would that look like?

Families 96

Families Family IT Patient-Centered 96

GeriPal

DECEMBER 12, 2024

And really they’re trying to understand what reasonable quality of life can this person expect to achieve and just agonizing over those decisions, over every individual decision. My guess is out in the community there’s more pressure to initiate dialysis for various reasons. Do we do antibiotics or no antibiotics?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. But you’ve got to make it simple and it can’t be to sort of one individual, it needs to be to a practice and that sort of thing. I was getting asked to give talks on how do you do this?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73