GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. It’s not explainable that each individual physician has independently arrived at this very aggressive practice pattern.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. I think it’s really, really complicated. So, that part was not surprising.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 10, 2025

Yeah, that’s a more complicated story. But yeah, it’s complicated. You’d have to tailor it to each individual emergency department because you couldn’t. This is what gets to be complicated for standardization. Do we know these individual things really work in big randomized control?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Or is it just this lingering practice of starting dialysis early before really severe complications develop? And we have these.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. So I think the examples that we’ve seen is an individual will all of a sudden start using humor in a particular way or will using wry humor and that is reminiscent of the kind of humor the person used prior to developing dementia. And the Clin.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. So absolutely, it is complicated. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

JULY 25, 2024

This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. That just leads to issues that can make home care very difficult for these individuals. So you’re kind of the guest host today. Why did you do that paper, James? James 17:03 Yeah, I think so.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. And is it at all individualized to the patient? It’s a lot.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. And one in five people had a serious COVID complication. Monica: Yeah.

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Vaccination IT Hospital Management 100