GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Emergency rooms. Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 12, 2023

” And he says, “It’s in the emergency room.” The problem is, that’s actually not a very good narrative for nearly everything we take care of in healthcare. Wasn’t that the Provide Your Opinion, Don’t Hide It? We hope you enjoy this episode. I need to fix it.”

IT 128

IT Families Family Patient-Centered 128

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And so I thought about it a while, called, and sure enough, they brought him up to the emergency room.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

AUGUST 15, 2024

This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism. Like, do you think maybe, you know, let’s educate. We do talk about healthcare policy.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.”

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

SEPTEMBER 14, 2023

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. And the treatments are different than what hospice might provide in the home setting. I trained at Hopkins. We had, since the late seventies, a home-based primary care program.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. Or, if they were in the emergency room and decided to be admitted for comfort measures only, I would admit them.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

DECEMBER 12, 2024

Algorithms using millions of direct observations of a persons behavior to provide an authentic portrait of the way a person lived? Then they just looked at those people who were healthcare agents as assigned by durable power of attorney for healthcare and it didn’t really change anything. I think amputation was on there.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108