GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. We might evaluate that in a small number of nursing homes and go from there. 160 billion a year are spent on nursing homes.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! Bill: Thank you. Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. This is Eric Widera. Oh my gosh.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

SEPTEMBER 22, 2022

Alex: Today, we’re delighted to welcome Josh Briscoe, who is assistant professor of medicine and psychiatry at Duke, and a palliative care physician at the Durham VA Medical Center. Well, it’s not just being present, though. Most of serious illness is not medical decisions. Welcome to the GeriPal Podcast, Josh.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MARCH 10, 2022

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . Eric: And Alex, we got a full house today. Ruth: Sure.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It meets in-person, once a month, over nine sessions.

IT 99

IT Patient-Centered Families Family 99

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? So we know these patients are really, really sick. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. 60% of all medical costs have nothing to do with your health diagnosis. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. These are oncology nurse practitioners. Arish, I missed your talk.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

And we had the date, if it was present in the EHR, to provide that context for the clinician. So somebody had to write something down in the medical record that talked about goals of care, and there was no template, there was no form that you filled out for this. You just have to be talking about the overarching goals of medical care.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

DECEMBER 21, 2023

But also there’s also, because many more people… Oftentimes, when I’ll be at a meeting, if I’m presenting, I’ll ask for show of hands how many people have had experience with dementia. But for other- Diane: And it’s on the medical side. They can be nurse if you want to. Why do we need a story?”

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on nurses and nurse aids so now you have to help deliver meals.”.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. And we then did a bunch of work to develop medical criteria, to choose the right patients for hospital-at-home. Annals of Int Med. This is Eric Widera.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115