GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? By diagnosis? 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? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. So it matters.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” That’s where it really gets to this individual risks and balances, individual situation. Alex: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. Eric 12:05 Any pearls on the diagnosis of HFpEF.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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: Yes. Jessie: Exactly. Eric: Which brings us to an article.

Illness 136

Illness Patient-Centered Screening IT 136

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.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. 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. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And that referral can be done in real time, a soft handoff. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And is it at all individualized to the patient? Before the primary care visit.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79