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.” Certainly my bias is that healthcare professionals really do have a role in this discussion. Is this our role?

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” So I just want to start out by saying I think one of the reasons a lot of the referrals also don’t happen, it’s not just lack of access to care. And having a cancer diagnosis and treatment is freaking stressful. Sure, yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 18, 2024

Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. ” Thoughts on that?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic? Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. Eric 07:02 And real quick, Sarah, who do you see?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

If the community hospital isn’t able to provide a service like tertiary care, oncology care, they would get a referral to UCSF or wherever, just like anybody in the community. So we’re designing a program where it won’t matter on what the housing is.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 27, 2022

So we have a list of various interventions like hospice referral, like more intensive treatment for blood pressure, more intensive treatment for diabetes, for dysglycemia, hyperglycemia, statins, bisphosphonates. So the time to benefit page is trying to make the mortality indexes link more closely to the time to benefit.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 20, 2025

And we got this as a hospice referral, and could we, you know, take her on and support her in hospice? Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. And the family members said, okay, now’s the time we need to honor her request. And honestly, this was not a well planned out thing.

IT 88

IT Patient-Centered Patients Medical 88

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. Within eight weeks of diagnosis of advanced disease. 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 6, 2023

It’s that first place that you start where it may not be the AAAs job, but we’ve organized where they have to have the partnerships and they know who the players are and they know who to make a referral to. And that referral can be done in real time, a soft handoff. I think most states have them. Do I exercise, do I smoke?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. And I said, sure. And I had that mortified look on my face of God.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? Get the hospice referral. appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. What’s that and what’s the shift there? Rachelle: Juliet, do you want to take that one? Juliet: Sure.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. You didn’t ask about it, but for us, it was very important to examine differences for older adults with a diagnosis of dementia. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79