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. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended? Is that fair?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 4, 2024

If they didn’t do it all by themselves, they talked to the family and it was a conversation, but also there wasn’t a whole lot that doctors can do then. And that changed in 1969 I think the first advanced directive was created by Luis Kutner. Bernie: Well, there was a time when doctors made these decisions.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. So I do think it often does happen that younger adults appoint a surrogate when they engage in estate planning, for example.

Illness 72

Illness IT Healthcare Patient-Centered 72

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. So delivering those month visits in clinic, often in tandem with their other oncology appointments.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. Eric: I think about it as the first one to address individuals’ curative therapy. Tom: That’s probably true. Is that right?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Have you had a family history of substance use disorder?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. 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. those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 6, 2025

And then the family tells me they can’t keep an appointment, they can’t manage their finances. Well, even for somebody like you, who’s pretty familiar with the instruments, it might cause distress for the patient, maybe their family. So it matters a lot to the person, to their family, to the community.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 8, 2024

We cover a wide range on this topic, weaving in our own stories of loss with Thomas’s experiences, stories, and poems from years of caring for families after their loved one’s have died. And so the, just means that we want to minimalize any bother that attends the death in the family. And I wonder your thoughts about that.

IT 124

IT Family Families Relationship 124

GeriPal

DECEMBER 29, 2022

So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. I was also working there at an adult day center for individuals with Alzheimer’s and other related dementias. ” And they were not happy.

Family 96

Family Families IT Patient-Centered 96

GeriPal

SEPTEMBER 19, 2024

That’s a lot of appointments that we have to account for over time. 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. So I don’t know how clinically meaningful that week difference was to families.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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