GeriPal

JUNE 5, 2025

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. And so I tried to get her actually to pain management, and I couldn’t.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Maybe we’ll get to talking about that today. Jessie, welcome back to GeriPal. Should they?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. Mazie, I know it changes locale to locale, because your referral sources are going to be different.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 17, 2024

If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist? Eric 14:10 Yeah. Eric 19:32 And I love this.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? As you can imagine, get referrals from healthcare workers, emergency departments, primary care, cancer care hospital, you know, internal medicine to our service. And that’s about half of our referrals. Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 15, 2024

Same thing with kind of medication management. So one of the big pieces of this is that idea of a referral at a second time when they’re less overwhelmed and stressed to figure out what happened. All of these are factors that are on the individual level. We do that in medicine all the time.

Community 115

Community Transportation IT PCP 115

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. So I get all the referrals from my great colleagues in primary care. And I gotta manage their blood pressure and their diabetes meds. Nate 14:25 Oh.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

OCTOBER 20, 2022

If there’s a clinical decision that would significantly affect the patient’s quality or even quantity of life, like dialysis decision making, transplant referral, all kinds of things like that and I really want the most accurate estimation of kidney function possible, I send a cystatin C to get a more accurate estimate.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. And so if we look at things from either a managed care or a population health point of view, there is a huge impact of the distress that these family members face.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 22, 2023

If the community hospital isn’t able to provide a service like tertiary care, oncology care, they would get a referral to UCSF or wherever, just like anybody in the community. And the dad just totally lost control, major anger management issues. But the cost to society is higher because they have to be escorted by an officer.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 24, 2023

We published a nice piece, I think it was in the Journal of Pain and Symptom Management. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. We began this here in Winnipeg. We reported some interesting findings that we can delve into further if you want to.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 6, 2022

But before I became a nurse I had a long career at Procter & Gamble in brand management and I worked on the Covergirl and Max Factor business. Look at the way they talk to the public, referral like HIV prep. I’m going to turn to Marian first. Marian: I have been a palliative care nurse practitioner for a number of years.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. It improves symptom management. The post Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 20, 2025

And we got this as a hospice referral, and could we, you know, take her on and support her in hospice? And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Is that right, Hope? Because she’s doing vset.

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. And that referral can be done in real time, a soft handoff. Eric: And Susan? And then, we have nonprofits that are community-based organizations.

Community 89

Community Nurse Practitioner Provider IT 89

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. It’s not just about physical symptom management. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

Get the hospice referral. Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management. appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. So you need to do them in order.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

So, and actually, all of this is actually document, I think what you guys are looking for is more practical advice on sort of management. Eric 39:21 Again, thinking about, like, basic approaches to these really common problems up to date, certainly out there, referrals. Aries, why don’t you start and starting doses.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73