GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 114

Community Transportation IT PCP 114

GeriPal

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

Families 102

Families Family IT Diagnosis 102

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JUNE 5, 2025

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. I mean, there’s a workforce shortage of palliative care providers.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

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

JANUARY 18, 2024

Anybody with a DEA and… I should be very careful because this is different for physicians and advanced practice providers. And Katie, as an advanced practice provider, is much better than I am at explaining how this works. But nonetheless, the methadone clinic system is entirely separate from the rest of the healthcare system.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

SEPTEMBER 7, 2023

But I think if I were under normal constraints of the healthcare system, I wouldn’t have that time. ” 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. Well, I do it personally. Mazie: Yes.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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 Referral 99

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. It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Our first guest is a repeat guest.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. They didn’t have a mentor, a financial provider, all of those things.

Families 132

Families Family 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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 24, 2023

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. And the data was saying, “What is really important is the way you, the care provider, experience that person.”

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. I mean, I don’t want to speak to your healthcare system and what’s happened, but that to me seems inappropriate. So for primary care providers, you order that blood test, you own that. And a primary care provider has 18 minutes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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 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. So that’s the other part.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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 Families Family 60

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? And we got this as a hospice referral, and could we, you know, take her on and support her in hospice? Yeah, but I mean, in healthcare you need to appreciate the risks, benefits and alternatives of the proposed intervention.

IT 87

IT Patient-Centered Patients Medical 87

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

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

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

MARCH 27, 2025

At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. 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. Is that right?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. If they had a healthcare agent, then this would be better, right? Get the hospice referral. Because then we would know what they wanted when this hard stuff came.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. Eric 17:46 Well, how do you train them, the frontline people seeing these patients, healthcare providers, geriatricians, oncologists? So provide multiple sort of concrete examples of what you’re talking about. Areej 24:39 For sure.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 20, 2023

What was life for you as a provider pre-pandemic? If we’re going to get really academic, that’s the umbrella, and that can include a lot of things like including phone calls between a provider and a patient or messages in someone’s electronic medical record. What did we learn during the pandemic? Brooke: There was so.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73