GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). LaVera: I trained at UCSF in family medicine. You started off as a physician, right? LaVera: Yes.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. 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.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 6, 2022

.” The assumption for most of these focus group members was that medicine is a business, that there are incentives that physicians and other clinicians are responding to that are not transparent, and that decisions are being made that are in the interests of the health system, not in the interest of the patient and family.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. There was a hesitancy to engage black families.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . What, published in JAMA IM? James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. And the entire community of palliative care said yes, not a palliative care study. We won’t kill your patient. I’m so sorry.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. I’m hearing family and caregivers. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

And so clearly it matters how you bring up the topic, who brings up the topic, and probably the timing when this comes up for patients and families, just like we think about conversations about illness and prognostic understanding, I wish there was a good prevalent state data on how big this is of a problem in serious illness at large.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. She sought me out to come and tell me a story because about 10 years earlier, she and her family, their loved one was dying in a hospital in Florida and they tried to access palliative care and they couldn’t get the doctor to refer them to palliative care.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73