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

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. ” Whether it’s referrals that need to be made, or whether they’re specific actions that the person at home needs to take, like a home safety change. Drugs has to do with polypharmacy.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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? When the lymphedema therapy, it’s a type of physical therapy where they do wraps and they go. Eric 43:12 Okay.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

They want you to recognize their pain, not just their physical pain, but their trauma that they’ve experienced as a, as a, as a result of being on the streets. As you can imagine, get referrals from healthcare workers, emergency departments, primary care, cancer care hospital, you know, internal medicine to our service.

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. So I think more to come.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 20, 2022

And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. So if I recall correctly, it’s the MDRD equation that was developed primarily to transition clinicians using creatine to using an estimated GFR, glomerular filtration rate.

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. You do the history, you do a physical exam, you’re doing non specific, you know, blood tests and potentially imaging, and only after that do we even consider the role of biomarkers. Does that sound right?

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. What does the physical environment look like? What might be contributing?”

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. I mean, if I think about personal motivations and early beginnings, I mean, I’m one of three children, and middle child.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JUNE 22, 2023

We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. You can choose comfort-focused care or you can choose to continue chemotherapy.

Family 132

Family Families IT Community 132

GeriPal

APRIL 6, 2023

Some more assessment also potentially some interventional around total pain, including spiritual suffering that actually may worsen physical pain. And so helping physicians have more fluency in general spiritual care and how to make referrals to specialists when needed. So there is this overlap. Eric: And lastly, LaVera.

IT 99

IT Patient-Centered Family Families 99

GeriPal

OCTOBER 27, 2022

So we have a list of various interventions like hospice referral, like more intensive treatment for blood pressure, more intensive treatment for diabetes, for dysglycemia, hyperglycemia, statins, bisphosphonates. So the time to benefit page is trying to make the mortality indexes link more closely to the time to benefit.

IT 95

IT Clinic Screening Patients 95

GeriPal

OCTOBER 6, 2022

Look at the way they talk to the public, referral like HIV prep. The hope is having help for you and your family and support and not being physically uncomfortable. Tony: But the thing I will just say, the parallel there is think of the big public health campaigns that have been really successful: drunk driving, smoking cessation.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. You know, where do you send somebody who is a pelvic, what is a pelvic floor physical therapist and how do you find them? Alex 25:33 Well, you brought up pelvic floor physical therapist, and you said, what is that? You can’t even.

Illness 130

Illness IT Physicals Patients 130

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. appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. So if you are sick, I really encourage you, just take the time off.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. The post Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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