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

JUNE 22, 2023

And then from that, through community activists, ACT UP, legislators who felt that there needed to be something done, doctors within CDCR who cared passionately about the HIV population and others, all came together and we were able to eventually get funding for this 17-bed inpatient hospice. It’s by choice, just like in the community.

Families 133

Families Family IT Community 133

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. So it matters a lot to the person, to their family, to the community. Alex 26:33 Yeah. Nate 26:36 Right.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

OCTOBER 6, 2022

Even with this whole discussion about diversity, even in our regular community, we are not actually making progress when you look at nationally weighted surveys. Look at the way they talk to the public, referral like HIV prep. The hope is having help for you and your family and support and not being physically uncomfortable.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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

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 ). I wonder if you could tell that story for our listeners. George Soros had the project on Death in America.

IT 99

IT Patient-Centered Families Family 99

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. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. What does the physical environment look like? What might be contributing?”

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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. It’s not just about physical symptom management.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. You know, where do you send somebody who is a pelvic, what is a pelvic floor physical therapist and how do you find them? Alex 25:33 Well, you brought up pelvic floor physical therapist, and you said, what is that? You can’t even.

Illness 131

Illness IT Physicals Patients 131

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. We were agnostic on the timing.

Primary Care 80

Primary Care IT Clinic Illness 80

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