GeriPal

MAY 15, 2025

We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. We tested two different nudges individually and then we combined them. Their family members want them to get out of the hospital sooner.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.” Are there any tools?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. It sets space between us and the individuals we’re trying to take care of.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. So we have the intervention is a big part. Again, it’s not the only part. Karl: Okay.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. And my community and about my family and those kinds of things.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. Alex: It gets very local and individualizes as you were saying. The family meeting.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JANUARY 20, 2023

The technology committee however, is interested in using technology and coming up with a new set of goals, priorities and preferences and basing the process on working with nursing home residents, care partners or family members if they’re involved. And the technology piece, so doing less with staff. Tell me about that.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Just an extraordinary cast of individuals who were really so incredibly inspiring.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. Eric: I think about it as the first one to address individuals’ curative therapy. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 14, 2022

But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. Don’t worry about their alcohol use or drug use. Give some pleasure.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. And it’s very traumatic obviously for the family and all of that and the team really.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. So in those cases, can we adopt an approach to mental health care that centers primarily around quality of life of patients and their families? There’s a Boguts case, a patient with anorexia who utilized medical aid and dying.

Illness 101

Illness Mental Health IT Patient-Centered 101

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. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. We focus on function and mortality because these are outcomes that really are important to patients and families. Alex 14:28 Yeah, yeah. Tai Chen, any other social disruptive events? So that’s also related to marital status. And do you die?

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. There was a difference, though, in hospice utilization, right? So I don’t know how clinically meaningful that week difference was to families.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 20, 2023

We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. I think you’re a loving family doing the best you can.” But you’ve got to make it simple and it can’t be to sort of one individual, it needs to be to a practice and that sort of thing.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73