GeriPal

AUGUST 25, 2022

Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. -@AlexSmithMD. Transcript.

Families 107

Families Family IT Patients 107

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . We got some really special guests with us. And that’s a lot easier if all providers were X waivered too. Learn about using the low dose buprenorphine patch: . Transcript. Eric: Welcome to the GeriPal Podcast.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. Why do so many (most, all??)

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

APRIL 28, 2022

So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. And so here’s a picture of four healthcare providers behind bars. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? And I actually think the cool thing about a needs-based approach would allow us to better utilize the service. By diagnosis? By prognosis?

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 116

Consulting Patient-Centered Patients IT 116

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

JULY 13, 2023

It’s really special to be here and to be talking about this paper, which was really important to Randy. And if I remember that study correctly, it was priming both patients and providers in the outpatient setting to do goals of care conversations. We also provided reassurance that this is not a long conversation.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Think about CPC+.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JULY 20, 2023

What was life for you as a provider pre-pandemic? We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. And so we’re able to provide access to those patients that may be home-bound or home limited or have a lot of struggles to get in.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73