GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So it’s an example of something that can start outside of the healthcare system and move its way in. And the reality is they don’t.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

DECEMBER 14, 2023

In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying. More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. I mean, Cass Sunstein and Dick Thauer wrote a book entitled nudge. I highly encourage you. So you’re doing these nudging trials.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? So we created these heat maps where you could see for each individual what actually happened in the days and you. 77 days, but that’s not very long at all, you know, at least in my book. And we have these.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 26, 2023

I know that from Sarguni, we have some population level data, but are there any individual tools that you could use like an e-prognosis for function for hospitalized older adults? Tamra: It’s incredibly complicated because to date, there’s not really a validated tool that’s mandated to be used across all settings.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 3, 2022

Lauren: Although again, still thinking about what that means for an individual older adult is really important. I think it’s really, really complicated. Julien: But every time we look at one of these individual interventions, we’re not always seeing what we want to see. So, that part was not surprising. Eric: Great.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. And usually there’s a reason for that that is hard to sometimes overcome.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JANUARY 5, 2023

To examine how clinicians might act in the face of such bans, we turn to Lori Freedman, who wrote a book about clinicians (primarily Ob-Gyn’s) who work in Catholic Hospitals. Many links: Mara Buchbinder’s book – Scripting Death: Stories of Assisted Dying in America. It’s bigger. It’s bigger than you and you are not me.

Provider 19

Provider Medical Hospital IT 19