GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. So, if it’s a hospitalized patient, usually the referral will come through to the SLP service. And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults.

IT 124

IT Patient-Centered Hospital Individual 124

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 115

Community Transportation IT PCP 115

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. We would make referrals to psycho oncology. I would make referrals to Joe as well as part of the team. Who will emerge victorious? So those social workers were involved.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. I like it, John. William: Yeah.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. Naheed, welcome to the GeriPal Podcast.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Or somebody who has other physical cognitive problems at any age. Emmy: Ended up starting a program, outpatient at our hospital at the time. Eric: Yeah.

IT 102

IT Family Families Diagnosis 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

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.

Family 132

Family Families IT Community 132

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 96

Primary Care Diagnosis Screening IT 96

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 Family Families 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 Family Families 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 119

Patient-Centered IT Patients Hospital 119

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 130

Illness IT Physicals Patients 130

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 79

Primary Care IT Clinic Patient-Centered 79

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