Finance Healthcare Professional Individual Patients 
GeriPal
JANUARY 20, 2023
Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. I know you’ve been a strong advocate for nursing home patients particularly in California.
GeriPal
FEBRUARY 23, 2023
Summary Transcript Summary You know when you walk out of a patient’s room and have that sense, “This isn’t going to go well.” The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Should you stop at “no?” AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.
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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. LJ: So that was kind of where I came down, I don’t know what Hillary and Sarah…what you guys thought? Yeah, I agree.
GeriPal
FEBRUARY 6, 2025
That screening influences kind of further treatment, actually, probably more importantly, patient outcomes. And when I asked the patient, well, what happened, the test was sprung on them. And then the family tells me they can’t keep an appointment, they can’t manage their finances. Nate 06:04 Right. And then what?
GeriPal
OCTOBER 27, 2022
As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain.
GeriPal
JUNE 5, 2025
So, how can we improve palliative care for individuals in nursing homes? Eric 03:25 So we have a lot to talk about, but I’m wondering if we can kind of take a big step back and just talk about the patient population that’s in nursing homes. Alex 03:21 Beautiful, beautiful song. Thank you so much. And you see the need.
GeriPal
MARCH 10, 2022
That’s a problem in our healthcare financing system. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Nursing homes are subsidized by their Medicare, by their rehab patients. We didn’t respond. That doesn’t work.
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