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? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By diagnosis? By prognosis?

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. My general answer is that driving is usually not considered medically necessary.

Family 102

Family IT Families Diagnosis 102

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” Really important person, who later in his life got very interested in healthcare.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

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. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. Like, how close to the end of life is it all just in seriously ill patients, I guess.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 20, 2023

Alex: We are delighted to welcome Joe Rotella, who’s the Chief Medical Officer of the American Academy of Hospice and Palliative Medicine. So we’re going to be talking about telemedicine, telehealth for people with serious illness. So now that the emergency response has ended, what’s to be done? Joe: Great to be here.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73