GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

MARCH 14, 2024

Eric: And swallowing is complicated, right? So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. Are there things that we can do to prevent the complication of aspiration, which we most fear, aspiration pneumonia? Nicole: Yes.

IT 124

IT Patient-Centered Hospital Individual 124

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. And I can only imagine that’s even more complicated in the cancer patient population, where we’re asking them to do so many other things as well.

Diabetes 74

Diabetes Management Patient-Centered Family 74

Plum Health

OCTOBER 11, 2024

If you have a chronic condition like asthma, diabetes, or arthritis, unexpected complications or flare-ups can occur at any time. Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Rao Doctor

APRIL 3, 2025

Consulting your doctor ensures proper treatment. Using these methods can reduce temperature discomfort and minimize complications. Strategies for managing fever While these resources are invaluable for augmenting your understanding of fever, they should complement, rather than replace, professional medical advice.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 12, 2025

So you have the consultation. And so on the inpatient side, which I see a lot of inpatient consults here, a large portion of what I do before they even come down to my department is making sure that they would be candidates for the simulation and treatment for the reasons that I described. Procedure as well as the treatments.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 9, 2022

And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. I have never myself called a palliative care consult as a trainee because we didn’t have one. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

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?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 25, 2024

It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? So, the docs actually wrote orders for tests, medications, consults. David: Right.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too?

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

AUGUST 29, 2024

I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? They’re asking you for a consultation. This is a complicated case. After a very long 1 hour consult, you’re exhausted. And it’s a lot of if, if. If not, go ahead, Eric, go ahead.

IT 132

IT Illness Family Families 132

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 23, 2023

And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that. That can all start with you.”

Family 98

Family Families Patient-Centered IT 98

GeriPal

JUNE 15, 2023

So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. And then when we started coming up with mortality models or other sorts of prediction models with five factors or seven factors, people were like, “That’s too complicated. Eric: Really?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? People think of the phases of a typical clinical consultation. And that’s how we connected. Justin: That’s probably the million dollar question. When can I see again?”

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. Ann: My palliative care doc is great.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. Eric: Yeah. What are the patients that we remember?

IT 83

IT Family Families Illness 83

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. Yeah, that’s a more complicated story. But yeah, it’s complicated. So that’s great. And it was like 29eds. Yeah, yeah.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

NOVEMBER 21, 2024

And the person who was coming to me for consultation said, well, how do I get them to open up the box? This is so complicated. To get even more complicated. This is complicated. What you said is humanity is complicated. I’ve put that in a small box. And my first question was, why? Dani 42:36 You had me.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

FEBRUARY 15, 2024

But that was a small pot of money and we went to first call a handy person, it was going to be $500 for a consultation, let alone the installation, and we were like, “This is absolutely cost-prohibitive. We’ll get four people done.” So I think that the evidence is starting to get there.

Community 115

Community Transportation IT PCP 115

Tiny Physician

MARCH 30, 2022

She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days. Postpartum hemorrhage is an unfortunate and well-known complication of delivery. link] What is postpartum hemorrhage?

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Because it’s complicated and we don’t want to over complicate prayer listeners. What is sludge? I highly encourage you.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

DECEMBER 14, 2023

When Eric and I were doing those… Well, many people were doing these telepalliative care consults in New York at Columbia Presbyterian Hospital remotely during COVID. The post Influence of Hospital Culture on Intensity of Care: Liz Dzeng appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. The first one is I would want the general public and healthcare professionals to really understand actually what natural dying and death look like.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

I love it and, but I just wondering as I’m doing inpatient consults or people are doing outpatient care or you’re caring for people and you don’t have this program, let’s say you can advocate for. It’s appreciating how it can go and not like having a rigid trajectory. That’s really important.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 12, 2022

When we think about palliative care delivered here, like individuals with chronic pain, non-serious illness chronic pain, non-life threatening illness, oftentimes if we get consulted on them, we don’t even see them, may just be discontinued in most palliative care places. What do you think about that?

Community 115

Community IT Relationship Healthcare 115

GeriPal

DECEMBER 19, 2024

Eric 12:11 And we consult psychiatry. People who have serious medical illness and have psychiatric complications as a result, or people who have coexisting psychiatric illness and serious medical illness and that this issue of maid sort of brings things. We do not have a psychiatrist, but we have consultants. Alex 40:57 Yeah.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MARCH 7, 2024

I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. Eric: When I try to think about what a doula does, should I call it a consult? It just depends. That’s probably too medical.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

I recently had this patient in clinic who, for complicated reasons that I won’t go into, our outpatient clinic had to put limits on his frequency of visits with me. And we received this consult to assist with goals of care. Because we will have a different kind of countertransference to different formulations. And he was livid.

Patients 109

Patients IT Family Families 109

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. We consult all the time on patients who have advanced directors who say one thing and we’re in a situation where it’s clear they want to do something else. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

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 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. We started a clinic here in 2008 at the VA, and what we found was that, you know, our median time from consult to death before we started clinic was like 18 days, somewhere around there, like somewhere around two weeks. Eric 10:44 No, all consults.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

And I think the advanced planning debate is really a question of, how do we help this very complicated situation? And I think a lot of times when we get consulted, we’re asked for the outcome, right? appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 22, 2024

So, I mean, one thing that I take from Winston’s great paper, which I consulted in writing mine and cited, although maybe not as frequently as I should have, is this idea that a lot of these terms, and I think this is a philosophical perspective that Winston and I are both sympathetic to. Sean 17:40 Yeah. The post What is Death?

IT 113

IT Family Families Patient-Centered 113