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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things. Yeah, Medicaid program.

Screening 120
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Palliative care for cancer: Podcast with Jennifer Temel and Areej El-Jawahri

GeriPal

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So I really opted to specialize in lung cancer because I thought that was the appropriate population to build a supportive and palliative care research agenda. Jennifer: Thanks.

Illness 111
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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. Or electronically, to fill out, right? Do you worry about that? This is terrific.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. 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. Why do so many (most, all??)

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. It’s complicated because right now there’s no mechanism other than cost avoidance. Eric: And how did you do that? Why another study? So the question is, how do you pay for it?

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Who should get Palliative Care? Kate Courtright

GeriPal

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? But there’s no real system and systematic electronic way to identify need-based palliative care right now. By diagnosis? Alex: Yeah.

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Allowing Patients to Die: Louise Aronson and Bill Andereck

GeriPal

Alex 15:13 This is really complicated. They have a special skill, and when they see someone who needs it, they need to use it. That makes it really special for them and for me. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. This shouldn’t have happened. And I was.