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

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. They can’t believe it, but we come back again and again and again gently to provide that support. And so the attitude has unfortunately become like, we just don’t provide care to folks.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

JUNE 22, 2023

And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. They didn’t have a mentor, a financial provider, all of those things. He provides spiritual support to the patients, to the staff, and to the peer workers.

Family 132

Family Families IT Community 132

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. So I think more to come.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. Eric: Sorry, I was on mute.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 6, 2025

So I get all the referrals from my great colleagues in primary care. So for primary care providers, you order that blood test, you own that. And a primary care provider has 18 minutes. And how can I expect a primary care provider to do that? And even a prostate cancer. You should be scared. Does that sound right?

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. Look at the way they talk to the public, referral like HIV prep. Look at the way they talk to the public.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ).

IT 99

IT Patient-Centered Families Family 99

GeriPal

OCTOBER 27, 2022

And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. That’s a difficult decision to make, and providing these estimates can help clinicians and patients with that type of shared decision-making. And have a great night, everybody.

IT 95

IT Clinic Screening Patients 95

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. So at our cancer center, we have physicians, advanced practice providers. As Pahlavi said, you could refer to other providers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists?

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. This is what I do here. We were agnostic on the timing.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. Get the hospice referral. And I also think, we still operate under pay for… We get paid for the services we provide, right? So if you are sick, I really encourage you, just take the time off. Eric: Yeah.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73