GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 25, 2024

So, the docs actually wrote orders for tests, medications, consults. There were a lot of those kinds of recommendations being made, and then the nurse and social worker would actually help the patient make the initial contact, make an appointment, whatever it is they need to do, and would follow up with them on how it went. Alex: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 16, 2025

Eric 13:00 I also love that too, because even on our inpatient ballot of care consult service, whenever somebody says that they’re unrepresented or they don’t have a surrogate, we never believe that until we usually look up. Decision making hierarchies by default. What do you think it would take to do that?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. Matt: We have seen pilot level studies, interventions like that one to do clinical ethics consultation. Alex: Yeah, that means you could see more patients, right.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. Even if you haven’t completed a healthcare proxy, durable training for healthcare, most states say here’s a list of people who can make that decision in order. Widera and Smith have no relationships to disclose.

Family 112

Family Families Patient-Centered IT 112

GeriPal

OCTOBER 12, 2023

I’m just wondering, how do we get surgeons, and maybe, how do we teach surgical trainees to move away from this fix-it mentality into the space of deliberation where deliberation is actually invited and prioritized in the surgical consultation? People think of the phases of a typical clinical consultation. ” Eric: Yeah.

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. I said, you know, I don’t usually start my appointments in laughter. And I think that’s why by the end of the appointment, we were able to go to equally deep places that were pretty dark and pretty heavy together.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

APRIL 28, 2022

” And I thankfully haven’t had anybody decline an appointment or something that I knew of because I did this. Did they ask for a consult?” I think it was a doctor describing early palliative care consults. That’s so cool that you make cartoons.” Alex: Let me share one here. I had one ready.

IT 145

IT Hospital Patients Illness 145

GeriPal

MARCH 6, 2025

And so the attitude isn’t like, you know, oh, like they missed an appointment, like, okay, like this is so annoying. There must be a good reason why, you know, they miss this appointment because they value this, but they have a lot of other things on their plate. No, it’s more like they must have been really busy.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. And we’ve been consulted multiple times. And then we sign off and then eventually get consulted again because the team put him on IV Dilaudid. Julia 04:25 I don’t think it’s only those who care for serious illness.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

OCTOBER 20, 2022

On today today’s podcast, we are joined by guest host and UCSF geriatrician Ashwin Kotwal as we welcome Dr. Tisamarie Sherry (Deputy Assistant Secretary for the Office of Behavioral Health, Disability, and Aging Policy (BHDAP) , appointed by the Biden administration). Devika: Thank You. Eric: Thank you. Let’s move over to nephrology.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 18, 2024

Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. The oncologists are probably not going to be the ones prescribing the buprenorphine because they’re not going to be managing this patient. Should they?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 16, 2023

And I was aware in the room that at the appointment when he was mad at the system, I could have sat with that forever. And we received this consult to assist with goals of care. And he was livid. It wasn’t comfortable, but it was fine for me. But when he looked me in the eyes and he said, “You really hurt me.

Patients 109

Patients IT Family Families 109

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

Alex: Yeah, we talk a lot about de-skilling in geriatrics and palliative care, because so much of what we do is a consultant role. And then, this little mini consultant. The post The Promise and Pitfalls of AI in Medicine: Guest Bob Wachter appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

DECEMBER 12, 2024

Another thing you could do is let’s really encourage discussion ahead of time between the appointed surrogate and the patient while the patient’s competent about patients preferences about their values. We do consults all the time on these where different people will say, no, it makes sense to try. The chances are too low.

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