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Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia

GeriPal

So, if it’s a hospitalized patient, usually the referral will come through to the SLP service. Eric: I also wonder, is it just the utilization review standpoint? Eric: So, given that, what does the assessment for dysphagia look like? Nicole: Yeah, so again, it does depend a bit on the setting.

IT 125
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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

So what we found is up to 30% of people would call 911 again for a fall, and of those calls, some people became very high-utilizers and so they would call 911 over and over again. I think once someone becomes kind of a high-utilizer, it’s a slippery slope. I had no idea that people were calling 911 that much sometimes.

Community 116
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Like, yeah, utilization of hospice has increased pretty well. Eric 21:49 Yeah.

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Who should get Palliative Care? Kate Courtright

GeriPal

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?

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RCT of Chaplaincy: Lexy Torke, Karen Steinhauser, LaVera Crawley

GeriPal

Did your intervention Lexy actually have any effect on utilization, which again, somewhat argue is the reason that services palliative care get funded? And so helping physicians have more fluency in general spiritual care and how to make referrals to specialists when needed. Lexy: Well, so no. Eric: And lastly, LaVera.

IT 99
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Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

The specifics of how it does that depend on the population in which it’s implemented, and the outcome measure that is utilized. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. Or was able to do dignity therapy with somebody who was in a personal care home.

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Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

GeriPal

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. There was a difference, though, in hospice utilization, right? I don’t know if we captured where the hospice referral came from. That is correct.