GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So I was initially getting a lot of post transplant symptom stuff.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. How much of your training was focused on managing substance use disorder training and palliative care? Naheed 15:53 Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

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

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

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. This is Eric Widera.

IT 99

IT Patient-Centered Family Families 99

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. Widera and Smith have no relationships to disclose.

IT 88

IT Patient-Centered Patients Medical 88

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 about establishing a relationship and rapport. It’s not just about physical symptom management. Palliative care.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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

JUNE 6, 2024

There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship. These are oncology nurse practitioners. Areej 34:19 Yeah, sure.

Illness 130

Illness IT Physicals Patients 130

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. Widera and Smith have no relationships to disclose. We were agnostic on the timing.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79