GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). And that’s why we need this community support, I think. Transcript.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

APRIL 27, 2023

“What we’ve seen to make it really work is you either have to be in the hospital, where we’ve taken over palliative care in the hospital, or you have to be contracted with managed care and get it at some kind of risk, because community-based palliative care is very difficult to make operate right now from a profitable [perspective].”

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. I think this is…Treatment of community acquired pneumonia in just regular medicine awards, not in the ICU three versus seven days. Lona: Absolutely. Eric: Can I touch on the last study? Was there a difference Sonali?

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JANUARY 12, 2023

Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And so I thought let’s try to figure out actually how many they are, where they are they in academic centers and community centers. Are they community dwelling?

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. So, if it’s a hospitalized patient, usually the referral will come through to the SLP service.

IT 125

IT Patient-Centered Hospital Individual 125

The Medical Futurist

JUNE 21, 2025

SkinIO , Scanoma , Miiskin , FirstDerm , Direct Derm , iDoc24 , and SkinVision all work based on the same principle: they promise patients the option to self-check their symptoms and then to connect to a dermatologist online for consultation within a very short period of time.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. They know how to manage a lot of these back at home and in the community, so giving them that sense of control even towards the end is I think hugely important.

Diabetes 74

Diabetes Management Patient-Centered Families 74

My Green Doctor

MAY 29, 2025

MGD Marketing Consultant Judy Holm is a Certified Ambassador for Climate Interactive, spotlighting how our changing climate is reshaping global health — and how tools like En-ROADS can help us prepare and respond. Vulnerable populations — children, the elderly, and low-income communities — are bearing the brunt of its health consequences.

Consulting 52

Consulting Healthcare Professional Mental Health Healthcare 52

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 116

Community Transportation IT PCP 116

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JANUARY 25, 2024

In their communities? And in the community, not just in acute care”, which is just… First day of nursing school, they’ve told us, “You have to remember that a hospitalization is a blip on somebody’s screen. They’re mostly living at home and living their lives in the community.”

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MAY 8, 2025

So it really helped form community between patients and helped build community with the palliative team that was involved. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office. But also it brings community. It took a whole order of us to pull this off. And they did.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

OCTOBER 24, 2024

Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. For instance, Friday night, Saturday night parties are of community wide. Is that your feeling, too?

Medical 100

Medical IT Patient-Centered Healthcare 100

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? Eric: Okay.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

OCTOBER 10, 2024

If they don’t, they know how to get to community resources. DorAnne 34:56 Well, on our team, which is a community hospital, not an academic institution, we have our morning palliative care huddle when we all review all of the patients who have been referred to our team and that we’re following. So that’s one idea.

Screening 121

Screening IT Families Family 121

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community. Raj: So in Kerala, because it started with the involvement of laypeople, we included the community in care because the existing system had no space for this.

Community 116

Community IT Relationship Healthcare 116

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. You did a rural tele-palliative care consultation study. NCP guideline, standard consultation.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JUNE 5, 2025

And so we do have consultants who come in the building. And usually it’s simply for a consultation. But you’ve talked to people who are doing palliative care consults right now and I think have learned a lot about what this looks like in practice in terms of referral processes. Connie 21:45 Right, right.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MAY 4, 2023

I will say one of the challenges in the field is many hospices don’t know how to take care of children or young people, and so you have these folks in the community who you’re trying to provide services to, and you just can’t connect them to the same types of resources you’re used to using. Who’s your community?

IT 83

IT Families Family Illness 83

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 23, 2023

And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. It might be a hired caregiver, it might be a social worker in the community or other person who may not identify with that word friend or family. That can all start with you.” Alex: That’s a great point.

Families 98

Families Family Patient-Centered IT 98

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. It’s by choice, just like in the community. Michele: Thank you for having me. Eric: And you’re also the medical director of the hospice unit here.

Families 133

Families Family IT Community 133

GeriPal

APRIL 28, 2022

So I wonder Nathan, comment, if you could for us, on these comics, graphic art as a mechanism for teaching people, whether it’s within the palliative care community or the broader audience of clinicians that this clearly would appeal to as well. Did they ask for a consult?” Definitely puts you in palliative care jail.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. There’s obviously a lot of flaws in the healthcare system. A love letter kind of back to my community.

IT 108

IT Community Patients Families 108

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” So lo and behold, that’s how I met Thor. We have some sites that’s volunteers.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. What is sludge? Sludge is apparently when you create barriers or extra work for someone.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 115

IT Provider Patients Families 115

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” So lo and behold, that’s how I met Thor. We have some sites that’s volunteers.

IT 106

IT Patient-Centered Healthcare Illness 106

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. For any MOC questions, please email moc@ucsf.edu.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Welcome back to GeriPal, Tony. Tony: Hey, thank you. Welcome to the GeriPal Podcast, Marian. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

DECEMBER 14, 2023

There’s obviously private hospitals, academic hospitals, community hospitals. When Eric and I were doing those… Well, many people were doing these telepalliative care consults in New York at Columbia Presbyterian Hospital remotely during COVID. And he’s such a loss to the palliative care community.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Eric: When I try to think about what a doula does, should I call it a consult? How do you see the light? It just depends.

Provider 119

Provider Illness IT Healthcare 119