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Ambulatory Behavioral Health Referral Patterns in the Setting of Chronic Medical Conditions [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

Early identification and intervention in behavioral aspects of chronic diseases leads to improved function with decreased healthcare utilization, yet we know little about referral patterns for behavioral support of chronic disease. 88% (n= 11,483) of BH referrals were created for the management of a mental health condition.

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Beyond the Diagnosis: A Detailed Characterization of Outpatient Palliative Care Patients [Palliative and end-of-life care]

Annals of Family Medicine

Context Palliative medicine focuses on quality of life for patients with serious illnesses. Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Referrals were predominantly from Pulmonology (60%). Among these patients, 53% identified as male.

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Who should get Palliative Care? Kate Courtright

GeriPal

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By diagnosis? By prognosis?

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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

nursing homes grapple with serious illnesses, and roughly half experience dementia. The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice.

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. LaVera: I trained at UCSF in family medicine.

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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

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. Scientific American Letter to the Editor: Response to Downar et al.

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Should We Shift from Advance Care Planning to Serious Illness Communication?

GeriPal

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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