GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. Why is that important in the emergency room?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 4, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Families 112

Families Family Patient-Centered IT 112

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). People saw that there were people who needed to have supportive care, didn’t need to have the level of nursing that was provided in nursing homes, and there was money to be made. Another one had to do with the category of medical and mental healthcare providers and care.

Community 97

Community IT Mental Health Medical 97

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. ” And he says, “It’s in the emergency room.”

IT 128

IT Families Family Patient-Centered 128

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

SEPTEMBER 5, 2024

So elderly people who aspirated, got pneumonia, had an mi, didn’t get hauled off to the emergency room on an ambulance crew so they could die in the ER. And he had a deadly fear of being institutionalized, based on his previous present experience. And it’s not the same, but it does provide information.

Patients 98

Patients IT Patient-Centered Hospital 98

FDA Law Blog

MAY 21, 2024

The Attorney General also released DOJ’s Office of Legal Counsel (“OLC”) opinions providing the rationale and support for the NPRM. The Attorney General, after considering HHS’ recommendations, “concludes that there is, at present, substantial evidence that marijuana does not warrant control under schedule I.” 44,597 (May 21, 2024).

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

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.” ” You know?

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

FEBRUARY 24, 2022

And then three weeks later, you’re in the emergency room and somebody else talks with you for a little while. But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself. Get the hospice referral.

Illness 98

Illness Patient-Centered IT Families 98

Medical Xpress

JUNE 23, 2025

Enzymes provide the body with instructions for what it needs to do, and when people lose energy and water, biochemical systems in the body start to fail, Wood says. The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room.

Illness 53

Illness Engineering Nurse Practitioner Medical 53

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that.

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

GeriPal

DECEMBER 12, 2024

Butstay with us heremight AI help to address some of the major issues present in surrogate decision making? Algorithms using millions of direct observations of a persons behavior to provide an authentic portrait of the way a person lived? But more and more patients end up in emergency rooms and ICUs and they’re unrepresented.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 13, 2025

The article “ American Doctors Are Moving to Canada To Escape the Trump Administration ” (May 30) presents us Canadians with welcome news. 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.

Vaccination 52

Vaccination Families Family Appointment 52