Metro Family Physicians

APRIL 19, 2023

By the 4th day, she was coughing & a little short of breath, which continued to worsen rapidly, so that on 4/15/2020, she had to go to the Emergency Room. Since patients are heavily sedated while on the vent, she spent the next 10 days in the hospital being tapered down from these medications. On arrival to the E.R.,

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Family Physician Emergency Room Physicals Family 52

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

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Family Families Patient-Centered IT 112

GeriPal

OCTOBER 12, 2023

” Somehow, there’s this signal that the patients and families had to pick up that maybe the surgeon wasn’t so enthusiastic, or if I just dump risk on them, maybe they’ll say, “I don’t want this.” What I need to navigate with that patient and their family, is it valuable to you? Every time.

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IT Family Families Patient-Centered 128

GeriPal

JULY 11, 2024

So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I think for families and for other providers who are not trained in that, it’s very hard to predict. I’m embedded in the ICU in one of our smaller hospitals. You still want to go to the hospital if you get sick?

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Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.

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Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Rehabbed to Death.

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Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 10, 2025

We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital.

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Patient-Centered Hospital IT Patients 77

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone.

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IT Community Patient-Centered Medical 99

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

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Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 30, 2023

” I think that’s what I’m talking about with action, or it might be family leave policies. She’s not in hospice, and you’re talking about admitting her to the hospital. We have these quality metrics like hospitalization days before death, used hospice, enrolled in hospice, and days before death.

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IT Patient-Centered Patients Healthcare 95

GeriPal

NOVEMBER 17, 2022

I mean, people who used to be in hospitals are now with quicker DRGs. Others take care of people less so, a more hospitality model, if you will. So that whether it’s a pulse form or whether it’s knowing what’s important to your residents and what makes your residents tick of, do hospitals scare you?

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Community IT Mental Health Medical 97

GeriPal

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital.

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Patients IT Patient-Centered Hospital 98

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S. Eric: Yeah.

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Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

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Illness Patient-Centered IT Family 98

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.” Malaz: I love it.

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Patient-Centered IT Family Families 125

Physician's Weekly

JULY 1, 2025

So, in mid-March, he took his family to a primary care clinic at the University of Texas Medical Branch in Galveston. Nguyen, who is a UTMB postdoctoral fellow in public health and infectious disease, said he asked clinic staff whether his family’s insurance would cover the checkups and immunizations. Then the bills came.

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Vaccination Checkup Insurance Family 52

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

Lucky, Jim and many others like him were willing to come on to our podcast those first several months of the pandemic and share their experiences and lessons learned caring for COVID positive patients and their family members. . Or, if they were in the emergency room and decided to be admitted for comfort measures only, I would admit them.

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Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

DECEMBER 12, 2024

You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? Patients who are sort of estranged from family members who then have to make these decisions for somebody that they don’t really know. You know, they.

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Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 13, 2025

Cuts to Medicaid and other federal health programs proposed in President Donald Trump’s budget plan would rapidly push more than 300 financially struggling rural hospitals toward a fiscal cliff, according to researchers who track the facilities’ finances. “People will die” if rural hospitals close, he said.

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Finance Hospital Community Emergency Room 52

Doctors for America

APRIL 22, 2025

Last week, at least six individuals were hospitalized and two have died following a shooting at Florida State University in Tallahassee. Since Columbine, there have been over 420 school shootings in the United States, resulting in countless deaths and lifelong trauma for students, educators, families, and communities.

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Medical Student Emergency Room Community Patient-Centered 52

Physician's Weekly

JULY 3, 2025

That in turn would harm the finances of hospitals, nursing homes, and community health centers — which would have to absorb more of the cost of treating uninsured people — and may force them to reduce services and employees, as well as close facilities. Researchers from the Cecil G.

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Physician's Weekly

JUNE 17, 2025

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. When the Tennant family was told histotripsy would cost $50,000 and insurance wouldn’t cover it, they appealed the denial four times.

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Insurance Patients Behavioral Health Services Diagnose 52

Physician's Weekly

JUNE 13, 2025

In our city of Victoria, for instance, many people do not have a family doctor because so many doctors have retired; those who are left are unable to take new patients because their lists are full. This would present a valuable opportunity for doctors and their families to learn French. Canada fits Americans comfortably.

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