GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

OCTOBER 12, 2023

” Somehow, there’s this signal that the patients and families had to pick up that maybe the surgeon wasn’t so enthusiastic, or if I just dump risk on them, maybe they’ll say, “I don’t want this.” What I need to navigate with that patient and their family, is it valuable to you? Every time.

IT 128

IT Family Families Patient-Centered 128

GeriPal

NOVEMBER 21, 2024

Somebody shouts at my front Desk staff because they’re pissed off about their appointment time. But if we’re going to have a family meeting, that’s a different circumstance. I said, you know, I don’t usually start my appointments in laughter. Because like Amanda said, everything we see is coping.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JUNE 15, 2023

Five minute appointments. So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. And patients and family members tell us that they worry that their clinician is going to be overly focused on that mortality number now. Alex: Go ahead Matt.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

APRIL 28, 2022

Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. Did they ask for a consult?” That’s scare tactics. Eric: Yeah. Somebody asked the question.

IT 145

IT Hospital Patients Illness 145

GeriPal

FEBRUARY 16, 2023

So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

Patients 109

Patients IT Family Families 109

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 18, 2024

Have you had a family history of substance use disorder? Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. And they ask questions like, have you used substances? The old version of the ORT, the Opioid Risk Tool asked about pre-adolescent sexual abuse.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. It’s not case finding.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

I wonder if you could suggest an empathetic conversation that I could have with her that would not sugarcoat the idea that she has cancer, but do it in the most supportive possible way, and taking into account that she’s got a family and she’s got young kids?” And then, this little mini consultant. ” Alex: Wow.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

DECEMBER 12, 2024

You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? Patients who are sort of estranged from family members who then have to make these decisions for somebody that they don’t really know.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JULY 20, 2023

And so one of the patients that we mentioned in that article is a gentleman who lived four hours away who was unable to come to chemotherapy appointments because his pain was so debilitating once we gave him not a huge amount of opioids, he was actually able to come get chemotherapy and then live for much longer.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73