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. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Summary Transcript Summary Diabetes is common. Absolutely.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. So Carmen and Katie developed an EMS Community Partnership program. Word of mouth spread rapidly. And the number of calls for falls dropped.

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. Gender expression is your physical outward manifestation of how you express your gender identity. It was personal to me, but also right. Johnson, actually. Sorry, Martha.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JANUARY 25, 2024

In their communities? And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. They’re mostly living at home and living their lives in the community.” With their regular providers?

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

And I spent the past couple years just collecting data from several hundred early palliative care patients and did a network analysis, which basically just looks at the Correlations between different constructs, whether they’re physical, emotional, social or spiritual. Sorry, Demoralization and chronic pain. Because we don’t.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

OCTOBER 10, 2024

social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. So, for instance, I do a psychosocial screen, I do a physical screen, I do screens in all the other domains. If they don’t, they know how to get to community resources.

Screening 121

Screening IT Families Family 121

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And I believe it needs the community. And the community came in.

Community 116

Community IT Relationship Healthcare 116

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 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

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

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

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. Eric: Yeah. All of a sudden, I was like, wow. It’s everywhere.

IT 83

IT Families Family Illness 83

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. ” I asked the student, “Did you find legs on your physical exam?”

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

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 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. ” I asked the student, “Did you find legs on your physical exam?”

IT 106

IT Patient-Centered Healthcare Illness 106

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

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. The hope is having help for you and your family and support and not being physically uncomfortable. ” Bingo.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JANUARY 11, 2024

And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing. There was no communication on my part that was anything intolerable about my situation. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Ruth: Also in a few short words, we found similar to our initial study that there were differences in physical environment. What might be contributing?”

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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. It’s not just about physical symptom management.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Eric 05:50 Yeah.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73