GeriPal

FEBRUARY 15, 2024

Katie: Well, if we just look at what we can do ourselves for our bodies, I mean strengthening, balance training, working on motor control, keeping ourselves fed so that we maintain our proper nutrients in our body so we can maintain an upright position, those are all key things an individual hopefully would be trying to do as best as they could.

Community 115

Community Transportation IT PCP 115

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. Jessie: Exactly. Eric: Which brings us to an article. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JUNE 9, 2022

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? Should we just use the referrals, whatever’s coming into us, whoever, whatever clinician decides. By diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic? Can you come and be in our clinic once a week? Eric 07:02 And real quick, Sarah, who do you see? Sarah 24:19 Well, I don’t know.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. Of these interventions in those individuals. The post How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Nate 27:46 So.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JUNE 22, 2023

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. Eric: Does the chaplaincy also provide support to them, or can they visit the hospice unit, those individuals? Michele: Yeah. We have that. Alex: Mm-hmm.

Family 132

Family Families IT Community 132

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. They followed them during the course of their hospital stay.

IT 99

IT Patient-Centered Family Families 99

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. But what we wanted to do was to control for regional … what’s that called?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. I don’t know if we captured where the hospice referral came from. So the problem of, hey, look at us, we promise we’ll be helpful.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And that referral can be done in real time, a soft handoff. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. It’s a lot. Eric 12:01 Does it talk about like outcomes, like the outcomes of cpr? Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

Joe: Well, the proposed rule changes would’ve included, for example, that you have to have a face-to-face encounter with a patient in order to prescribe over telemedicine, or you have to have received a referral from someone who did have a face-to-face, and they also would’ve had to be DEA certified. What state are they in?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73