GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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? Should we just use the referrals, whatever’s coming into us, whoever, whatever clinician decides.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

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.” Or somebody who has other physical cognitive problems at any age. Those things do just accumulate with age.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. We might say, “Of course you’re sad, you just got a very serious diagnosis.” If you’re low energy, well, is that the illness or depression? Is this a new onset depression? Is this an adjustment disorder?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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

We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. You can choose comfort-focused care or you can choose to continue chemotherapy.

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

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. We did not just rely on a physical symptom measure, which many of our colleagues are doing.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. And I said, sure. We haven’t really talked about this.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. That this is iterative from diagnosis to end-of-life, right? Get the hospice referral. I actually just said, “I’m going to be sick,” and I didn’t go into work. 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

Physician's Weekly

JUNE 13, 2025

Philip Maxwell, Victoria, British Columbia A Seattle reader delivered a diagnosis on X: So I guess this article and the Dr. Interviewed are far left progressive. They gave me another referral and reported the practice to Medicare. .” So, American doctors, pack your luggage, come on over and join us.

Vaccination 52

Vaccination Family Families IT 52