GeriPal

MAY 15, 2025

Many were community hospitals. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? If not, why not?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.” And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

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

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. 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. How do you see the light?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

APRIL 28, 2022

Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. I think it was just sort of commentary that I had running in my head about what is the real utility of this radar?

IT 145

IT Hospital Patients Illness 145

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. If it was going to be for 48 hours to get them through a community acquired pneumonia.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

APRIL 10, 2025

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. 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

MARCH 28, 2024

None of the changes that we saw in end-of-life care processes relied on specialist palliative care increases or resources, which is really important because seven of the 10 hospitals that participated were rural or community-based, which is where most Americans receive their care, and also where specialist palliative care is often most limited.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. So we see a lot of problems with symptom management, a lot of family conflict. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. And the entire community of palliative care said yes, not a palliative care study. There was a difference, though, in hospice utilization, right? Eric 29:20 Yeah.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

But we all know intuitively as clinicians and as people in the community, we see people have these events and then we see them have a much faster decline after that. We focus on function and mortality because these are outcomes that really are important to patients and families. In the community? What is your function?

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JULY 20, 2023

We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. And I think that it was percolating in a lot of the palliative care community. I think you’re a loving family doing the best you can.” I was getting asked to give talks on how do you do this?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73