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.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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.

Families 112

Families Family Patient-Centered IT 112

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? Eric: Okay. Kate: 3,500.

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Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 12, 2023

I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. ” And he says, “It’s in the emergency room.” Gretchen: Absolutely. And I think it came out of this good space. I need to fix it.”

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IT Families Family Patient-Centered 128

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals. So I go between.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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.

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Nurse Practitioner Hospital Families Family 60

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

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

FDA Law

MAY 21, 2024

For each factor, the NPRM noted that DEA’s position is that additional information during the rulemaking will further inform about the appropriate schedule for marijuana. The NPRM noted that DEA “has not yet made a determination as to its views of the appropriate schedule for marijuana.” Basis at 18; NPRM at 44,605.

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. 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: Great, thank you both.

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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.

Illness 98

Illness Patient-Centered IT Patients 98

Doctors for America

MAY 30, 2025

This federal law has required hospitals with emergency departments to provide stabilizing treatment, including abortion, to patients experiencing medical emergencies for nearly four decades. The ACLU and our partners will not stop fighting against these continued attacks on our reproductive freedom.”

Patients 93

Patients Medical Student Patient-Centered Emergency Room 93

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. Every time you experience pain, it is informed by so many different things.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. I could walk down the hall and get information. Malaz: … to restrain them in the hospital. So what that means is I take care of you just in my clinic, just in my hospital. And I was terrified.

Patient-Centered 125

Patient-Centered IT Families Family 125

Physicians News Digest

FEBRUARY 18, 2025

Health officials are urging the public to take preventive measures as hospitals nationwide grapple with a surge in influenza cases. The CDC estimates that there have been approximately 300,000 hospitalizations and 20,000 flu-related deaths this season.

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Vaccination Emergency Room Complication Healthcare 52

GeriPal

JULY 14, 2022

Alex: We are delighted to welcome back two very special guests who were with us early in the COVID pandemic, and really shown a light on what was happening for the rest of us who could see this giant wave coming, and were just thirsty for information and experiences from those people who were experiencing it early. Darrell: Yes, you did.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

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.

Finance 52

Finance Hospital Community Emergency Room 52

GeriPal

DECEMBER 12, 2024

And then once we have the surrogate, let’s really try to give them the information they need to make decisions. And so there’s chances that we could do better with this information. You just give the information to the surrogate and say, but if you feel strongly otherwise, don’t do this and that that possibly has.

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Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 17, 2025

Prior authorization varies by plan but often requires patients or their providers to get permission (also called precertification, preauthorization, or preapproval) before filling prescriptions, scheduling imaging, surgery, or an inpatient hospital stay, among other expenses. The practice isn’t new.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

Physician's Weekly

JUNE 13, 2025

Walk-in clinics are overbooked, the emergency rooms at the hospitals all have overfull waiting rooms and doctors and nurses are doing 12-hour or longer shifts. I had a biopsy in a hospital last month, and one of the nurses spoke to me as if I were a 2-year-old. I only wish I had read this article a month ago.

Vaccination 52

Vaccination Families Family IT 52