GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. And that can really inform what your own institutional policy is. This is Eric Widera. Alex 01:24 This is Alex Smith. But we always talk about capacity being decision specific. Eric 20:31 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. Five minute appointments. And what we are seeing in our research is that, we’re working on GPT four, is volunteering information that we didn’t ask for. Eric: Please respond.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So, the docs actually wrote orders for tests, medications, consults. But I love this model, too, of what’s the role of the nurse and the social worker in leading those consults, too?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024.

Family 112

Family Families Patient-Centered IT 112

GeriPal

OCTOBER 12, 2023

I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. People think of the phases of a typical clinical consultation. And that’s how we connected. Gretchen: Absolutely. And I think it came out of this good space.

IT 128

IT Families Family Patient-Centered 128

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. On bias and trauma as you.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But the cancer specific databases just don’t have this information. It’s opening this stock box of, all of a sudden, now what do I do with this information? Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

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

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 72

Patients Clinic Patient-Centered Illness 72

GeriPal

FEBRUARY 16, 2023

Keri: It’s all normal, and it’s all data that can better inform our practice. 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. Eric: Bored, thinking about- Dani: Feel helpless. Eric: Yeah.

Patients 109

Patients IT Families Family 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

It was specific to the relationship with the patient, the patient’s social context in which they might take this information. 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. That makes sense.

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. And then once we have the surrogate, let’s really try to give them the information they need to make decisions.

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