GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? She falls and breaks her hip. She has advance dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. How do you make decisions about work and family? Alex: I’ve got to show you the back of the Jersey.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 15, 2023

Audio: [electronic voice] Alex Smith has been taken over by an artificial intelligence. 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. This is Eric Widera. Alex: Go ahead Matt.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 15, 2025

And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? These were EHR documents in the patient’s chart built within the Atrium Health’s electronic health record, where they document other things. Justification has been used in multiple other contexts.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

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. Karl: Okay. Karl: You can write it in. That’s part of why that not part of the form, right?

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

MARCH 28, 2024

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 10, 2025

Corita 09:39 Yeah, so we used the electronic health record, I think, in support. And so we did a similar intervention but using electronic means. And it’s very traumatic obviously for the family and all of that and the team really. Yeah, that’s a more complicated story. But yeah, it’s complicated.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. That gets really complicated as well. The family meeting. Kate: So it was a little windy path.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And I think the advanced planning debate is really a question of, how do we help this very complicated situation? It’s hard for your family to know. It’s part of our family mythology. We see them struggle, right?

Illness 98

Illness Patient-Centered IT Families 98

Physician's Weekly

JUNE 17, 2025

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. When the Tennant family was told histotripsy would cost $50,000 and insurance wouldn’t cover it, they appealed the denial four times.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52