GeriPal

NOVEMBER 9, 2023

Alex: We’re delighted to also welcome Greg Pawlson, who’s Senior Faculty at Lodestar Consulting & Executive Coaching and former President of the American Geriatric Society. Beth: Right now, I’m actually just doing individual coaching, but we are writing a grant to start group coaching next year. Beth: Thank you.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 12, 2025

And sort of a few years ago, we would sometimes see referrals a bit later than we would have liked. We are Seeing referrals at an earlier time point, especially at a point that I feel that I can really help a patient. Is it normally the oncologist who’s making the referrals to you or do they come from people outside of oncology?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Permanente Medicine

JUNE 3, 2025

I think sometimes we don’t necessarily realize the importance in the role that each of us individually as physicians can have with patients both within the exam room but also globally. When you put in that referral, how do we make sure that that patient walks out with the specialty appointment versus phone tag.

IT 52

IT Patient-Centered Patients Medical 52

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. We would make referrals to psycho oncology.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? I have never myself called a palliative care consult as a trainee because we didn’t have one. We need more consults.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 15, 2024

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. All of these are factors that are on the individual level. We’ll get four people done.”

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Jessie: Exactly. Eric: Which brings us to an article. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

New South Family Medicine and MedSpa

SEPTEMBER 17, 2019

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Referral 40

Referral Family Medicine DO Primary Care 40

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

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. Devika: Thank You.

Complication 52

Complication Patient-Centered IT Patients 52

PEMBlog

JANUARY 16, 2025

You can either get one little individual canister of nitrous, or a big canister which costs about 120 to 120. I would consult a toxicologist because I know that this is rare. For those already misusing inhalants, referral to a substance use disorder program is essential. Repeated use can sustain that intoxication. and curiosity.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. Eric: And can I ask you, when individuals come into the hospice unit, again, you mentioned that their family, their friend, their friends are their family that are here.

Families 132

Families Family IT Community 132

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Caroline: I’ve had a lot of n of one experiences, or just clinical experience one on one, where I’ve had to, as the geropsych consultant, encourage families and providers to stop the feeding tube.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. If they get palliative care consult, they get one. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. And how are you going to know that when you’re just getting random referrals from teaching hospitals, for example?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73