GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And the nurse can’t dose it, they have to individually dose it.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. For those individuals, how do you think about that? I think it is just about any clinician.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JUNE 22, 2023

When they built a new prison hospital in Stockton, the dialysis went there. Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals. These older patients are costing a ton in healthcare costs. Keith: Yes.

Family 132

Family Families IT Community 132

GeriPal

APRIL 14, 2022

I got one more lightning question, Janet, you’re at UCSF you’re caring for a patient in the hospital. Eric: Well, I also just want to say one more last thing about buprenorphine and I know we’re out of time, but one of my favorite dementia articles was a stepwise pain protocol for individuals with dementia.

Illness 102

Illness Patient-Centered IT Nurse Practitioner 102

GeriPal

JANUARY 20, 2023

Jasmine: Within the report, and that’s kind of tricky, we say we want more education, we want expanded roles, we want individuals to be able to do more. Goal five is focused on quality insurance, so designing a more effective and responsive system of quality assurance. Tell me about that. So it’s give and take. Eric: Okay.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. The only time that Medicare is paying for nursing homes is in that post acute hospitalization rehab context.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

AUGUST 8, 2024

And this seems very basic, but try it with your insurance agent or your pastor, you know, or your banker at 03:00 in the morning. So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals.

IT 124

IT Family Families Relationship 124

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. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. You come over to the clinic, you go to the hospital, you provide service, and the insurance and you negotiate how much you’re going to get paid.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115