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?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

NOVEMBER 17, 2022

I mean, people who used to be in hospitals are now with quicker DRGs. ” And the requests from management were to ask her to prescribe antipsychotics to try and sedate some of these behaviors away. Some take care of people who’ve got more healthcare needs, more mental illness, more dementia. I barely know what it is.”

Community 97

Community IT Mental Health Medical 97

GeriPal

OCTOBER 12, 2023

” And he says, “It’s in the emergency room.” You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube. We know hospital culture influences how we care for our patients.

IT 128

IT Family Families Patient-Centered 128

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. Ruth: Thank you.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. 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.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

APRIL 13, 2023

And so I was really thinking about why are some of my people that are hospitalized doing better than others? I’m wondering, you talked about that patient who was really isolated and coming to the emergency room. .” I’m ageist as a geriatrician that I like older people as I always say, not the younger folks.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. Welcome back to the GeriPal podcast, Haider. Haider: Thank you guys so much for having me back.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

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.

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. Malaz: … to restrain them in the hospital. And I was terrified. And guess what?

Patient-Centered 125

Patient-Centered IT Family Families 125

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.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

Including, I think, a 24/7 palliative care intervention in the emergency room, an inpatient comfort care intervention for COVID-positive patients … doing a tremendous amount. So we anticipated, based on what was happening in Seattle, a pretty large influx of elders that were going to come through the emergency room.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136