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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. So pretty soon, I hope, we’ll be able to do this all electronically by anyone who wants to. Mazie, I know it changes locale to locale, because your referral sources are going to be different.

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Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

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. Or somebody who has other physical cognitive problems at any age. They’re really not. Those things do just accumulate with age.

Families 102
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Who should get Palliative Care? Kate Courtright

GeriPal

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? I was always critical care bound since medical school. And do we have entirely a clinician referral-based practice?

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

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
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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

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. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management.

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Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

GeriPal

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. Sydney 22:01 Well, it’s what’s in the electronic health record.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

And it was really good for my mental and physicalPhysical health, obviously, but mental health really. And then you can make a medical recommendation that matches with what they’ve told you. Get the hospice referral. So if you are sick, I really encourage you, just take the time off. And that skill is hard.

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