Annals of Family Medicine

NOVEMBER 20, 2024

Additionally, five major themes emerged regarding barriers in delivering care: finance, infrastructure, staff shortages, limited community connections, and delayed care. Conclusions. These findings highlight the clinical strategies employed by psychiatrists in Ghana and the significant barriers they face in delivering care.

Clinic 130

Clinic Illness Mental Health Finance 130

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Should you stop at “no?” Anne Kelly: Hi there. Nice to be here. Eric: Lynn or Anne?

Family 97

Family Families Patient-Centered IT 97

GeriPal

MAY 25, 2023

It does seem that if communities, particularly historically marginalized communities, are interested in ACP, that fact should carry some weight in how resources are allocated to research and health care financing. And I wonder when we think about targeting particular population, it’s not just, you know, how seriously ill they are.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. 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. Cognitive impairment.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

FEBRUARY 6, 2025

And then the family tells me they can’t keep an appointment, they can’t manage their finances. Well, even for somebody like you, who’s pretty familiar with the instruments, it might cause distress for the patient, maybe their family. So it matters a lot to the person, to their family, to the community.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 27, 2022

They wanted time to prepare, to get their spiritual house in order, to get right with God, to think about moving near to the grandkids, to get their finances in order, to prepare their wills. So we wanted to create a model that’s going to reflect that sort of risk and what it also means for their families and financial decisions.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 26, 2025

I think part of this does stem from a clinical experience and also some of the theoretical models that have evolved around serious illness, you know, to think specifically about dementia. And so trying to think a little bit more about what could be driving some of those alterations in the trajectory for all kinds of serious illness.

Illness 93

Illness Hospital IT Patient-Centered 93