GeriPal

JUNE 9, 2022

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? 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.

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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

So, there was this study called, Acute Care for Elders, where they developed these specialized units and they had specialized attention to multidisciplinary geriatric domains for inpatient hospitalized older adults, and they showed great outcomes. So, the docs actually wrote orders for tests, medications, consults. Alex: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. And so we do have consultants who come in the building. And usually it’s simply for a consultation. What do we know about. Go ahead, Alex.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 10, 2024

And so we often have one person go in to do the initial contact, the initial consult, and it can be anybody from any of the professions. One person has done the initial consult, and then we discuss as a team and then decide, do we need to go in, you know, more than one of us, or who is the next, who is the right person to.

Screening 120

Screening IT Family Families 120

GeriPal

AUGUST 29, 2024

And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. 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. After a very long 1 hour consult, you’re exhausted.

IT 132

IT Illness Family Families 132

GeriPal

SEPTEMBER 22, 2022

There’s no special thing to say, but sometimes we’re tempted to treat serious illness communication in that way, conversational judo or something, that I can maneuver around an encounter and create something new. All these studies in this fringe… We want the special key. Josh: Mm-hmm. Yeah, totally. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. He was the special prosecutor.

Family 112

Family Families Patient-Centered IT 112

GeriPal

MAY 8, 2025

So in our trial, because of security reasons, we are required by Health Canada to store the substance in a special secure area in my office. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office. James, I think you got the song request for Alex. James 01:34 Yeah, right on.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 28, 2022

I think that there are times when we use humor to cope, and that’s a special and very tender space for of people to share in, but is not something that you want to expose to the light of the world. Did they ask for a consult?” I think it was a doctor describing early palliative care consults. We’ve got him.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 14, 2022

We got some really special guests with us. So for those of you listening via YouTube, here’s the live version for those of you who are listening on the podcast, you’re going to get my prerecorded version with lots of loops and I’m doing consultation with my new music teacher who’s a music producer in LA.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

APRIL 10, 2025

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. 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.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 13, 2025

What I think so special about palliative care is that there’s some really radical and important ideas that sort of undergird our work and that provided a foundation for our work. Are we losing that thing that makes palliative care special, that Dame Cicely Saunders talks about those. It really is special. Eric 13:14 Okay.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MARCH 24, 2023

And the hard part is, as a provider in palliative care, I actually have very little say of which hospice the individuals we consult to go to. It’s going to be published as a special report in JPM I hope in May with as of today, 279, I think HPM physician colleagues, signatures including 21 of the living past presidents of the academy.

IT 114

IT Provider Patients Family 114

GeriPal

DECEMBER 5, 2024

So has a special resonance for, I think, a lot of people who are Tragically H ip fans. His lymphoma had relapsed, and palliative care was consulted to help with his symptoms. It was my first concert without my parents. Alex 01:54 And you’ve been requesting, I think, the Tragically Hip previously, but we got denied.

IT 107

IT Community Patients Families 107

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Welcome back to GeriPal, Tony. Tony: Hey, thank you. Welcome to the GeriPal Podcast, Marian. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 10, 2022

She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. That’s a problem in our healthcare financing system. Welcome to the GeriPal Podcast, Joan. Joan: Thanks. I’m delighted to be here.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 5, 2024

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. 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 I was.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Kara 10:43 Those are inpatient consults?

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 26, 2024

But my co-fellow and I, we were on service for the ethics service and we had a run of consults where the clinician who placed the consults framed the consult as an issue of ambivalence. So this, I think we had three or four consults. They were all struggling from really different places with very different things.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

AUGUST 1, 2024

Now there’s evidence for some more specialized hormonal conditions. People are coming from the south, they’re coming from the islands for their surgeries or for their rare disease consultations or their specialty follow ups for really advanced or difficult cases. Go on, Anna. What are some of the others?

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

FEBRUARY 2, 2023

That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” One is What Got You Here Won’t Get You There, which is this fabulous book by a guy named Marshall Goldsmith who’s a business consultant. moment – about yourself and the ways you interact with others.

IT 104

IT Medical Student Medical Families 104

GeriPal

JULY 20, 2023

But in California where I practice medical aid and dying is legal and similar to other issues that are controversial in some places, many physicians do not prescribe or do visits for medical aid and dying consultations. Joe: Yeah. And we’re just happy that you don’t always need an X waiver now just to prescribe buprenorphine.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73