Plum Health

OCTOBER 11, 2024

Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Choosing the right primary care clinic involves considering several factors, such as clinic locations, healthcare system, and the services offered. Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

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. The post Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. But watch out! Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

AUGUST 29, 2024

Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. 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? There’s this therapeutic relationship. They’re asking you for a consultation.

IT 132

IT Illness Family Families 132

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. But once we realize that almost everybody makes decisions in the context of relationships. That can all start with you.”

Families 98

Families Family Patient-Centered IT 98

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. So, the docs actually wrote orders for tests, medications, consults. And I think, probably, for a lot of specialty palliative care teams, it’s a lot of focus on getting the physician to see the consult. Lyndsay: Yeah. Alex: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 5, 2025

And so we do have consultants who come in the building. And usually it’s simply for a consultation. And, you know, some, some relationship with hospice, some might not do many referrals at all to hospice. Some will have stronger relationships with hospice. Reasons why people thought about consulting palliative care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 10, 2024

This language grounds the hierarchical paradigm in interprofessional relationships because of the scope of practice alone, and then also talking about how this is sort of ingrained in our trainees, as you’ve mentioned. Sometimes we all listen to the initial consult. So everybody is not going in and asking the same questions.

Screening 120

Screening IT Family Families 120

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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.”

Community 115

Community Transportation IT PCP 115

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. Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Eric: Really? Eric: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JANUARY 16, 2025

So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Widera and Smith have no relationships to disclose. Guests Joe Dixon, Timothy Farrell, Yael Zweig have no relationships to disclose. Decision making hierarchies by default. Al, I’m going to turn to you first.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JUNE 19, 2025

Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships. Widera and Smith have no relationships to disclose. Guests Noelle Marie Javier and Jace Flatt have no relationships to disclose.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

SEPTEMBER 22, 2022

And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. And that’s not the information that we’re looking for as much when we’re the palliative care consult team. You had no relationship. Josh: Mm-hmm. Yeah, totally. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

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

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

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. I think probably you’ve been hospitalists at some point in your life, you do palliative care consultations.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. They’ve brought on experts, they’ve brought on additional people who are researchers or consultants who do this work all day long, and have added a lot of content. Eric: Can I ask why?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

NOVEMBER 21, 2024

Potentially harmful elements of that coping mechanism for your relationship with your four year old. And if you look what they did early on, the very first things were relationship rapport building and how was somebody coping with their illness? What are you seeing in terms of the relationship between this patient and their family?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

MAY 8, 2025

And I think unfortunately, when anything kind of is moved into the clinical arena, similar to mindfulness in that way, where all of a sudden people became passive recipients, like they went and they got mindfulness in a consulting office. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. Should they? Are they using substances intermittently or is there a pattern of substance use disorder?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” And my interview guide for the narrative analysis methods were, tell me about you.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 6, 2025

By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. Naheed 17:53 Yeah, they want connection, they want relationship, they want, meaning. Eric 17:52 What do you hear? Naheed 36:55 Yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 28, 2022

Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. Did they ask for a consult?” I think it was a doctor describing early palliative care consults. And they say, “Sir, 12th floor, right. Not that one.

IT 145

IT Hospital Patients Illness 145

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. Now, some of the other secondary things, you know, you may have have seen if it was trigger of specialty palliative care consultations.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. And we’ve been consulted multiple times. Julia 11:02 Yeah.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” And my interview guide for the narrative analysis methods were, tell me about you.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 13, 2025

I loved the relationship that we developed and the fun we had. And I think that the richness of our relationships, like I have kept involved in a lot of the people that I was working with, mostly at home, where people were dying at home. Sue 43:51 I think that’s where the relationship stands of just coming and keeping it going.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. Because as we started off talking about why is this so hard, a lot of it was hard for us and the palliative care team, probably hard for the primary providers as well who are consulting us.

IT 83

IT Family Families Illness 83

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress.

IT 99

IT Community Patient-Centered Medical 99

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. A doctor-patient relationship is mandatory in the case and this can be proven by cross-checking the duty list or from the patient’s case sheet.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

OCTOBER 5, 2023

I point this out a lot more nowadays to the resident teams that consult. If the consult is for “code status,” I always ask them, take a look at your past conversations. And if somebody chooses and we think it’s a bad idea, we get moral distress, we wonder why they chose it. But we gave it as an option. Sunita: I know.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

APRIL 24, 2025

Years and years ago, the first few years as an attending physician, I was consulted to take care of a gentleman with metastatic esophageal cancer. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. Widera and Smith have no relationships to disclose. I knew two things.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. Eric: When I try to think about what a doula does, should I call it a consult? John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. So there’s some concern, yeah.

Illness 144

Illness IT Medical Provider 144

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. And this paper means so much to me because of what it meant about my relationship with Randy. Is that right too? So to me, it’s really amazing.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

DECEMBER 5, 2024

So I think just as much as we focus on the science and the evidence, it’s important to think about the art of how we apply that to people and the relationships and all of the great fun stuff, the stories that unfold in the exam room alongside the science itself. Eric 04:44 Yeah. And I gotta ask Emily, is that why you started Nocturnist?

IT 107

IT Community Patients Family 107

GeriPal

SEPTEMBER 5, 2024

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. Widera and Smith have no relationships to disclose. Guests Louise Aronson and Bill Andereck have no relationships to disclose.

Patients 98

Patients IT Patient-Centered Hospital 98