GeriPal

NOVEMBER 9, 2023

If you’re going to be talking to the brand new intern on the service, or the chief executive of the hospital, are there some themes or similarities to how you’d approach that in the mentoring, sorry, not the mentoring, the coaching process? Second thing to say is that I think referrals are really important. Beth: Yeah.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 12, 2025

I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. And sort of a few years ago, we would sometimes see referrals a bit later than we would have liked. There really was very little. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 15, 2024

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.” Eric: Oh, no.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. 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? I do tend to focus in the hospital setting.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 30, 2025

We would make referrals to psycho oncology. I would make referrals to Joe as well as part of the team. But that did not limit those clinicians from making referrals, as Vicky was just saying. But we do have the information about referrals to other ancillary providers as part of that multidisciplinary team. So it matters.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Alex: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

ABIM

JUNE 24, 2025

Preliminary data show that 90% of respondents are clinically active with the majority in hospital- or system-owned practice (38%), academic faculty practice (32.9%) and private practice (26.8%). Most (49.5%) are in single-specialty group practice or multi-specialty group practice (38%).

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control. Diff rates, for example at a unit level.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Jessie: Exactly. Eric: Which brings us to an article. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic? I see them both inpatient and outpatient.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 22, 2023

When they built a new prison hospital in Stockton, the dialysis went there. Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals. Michele: So historically we did do dialysis here. Michele: Yeah. We have that.

Family 132

Family Families IT Community 132

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. They followed them during the course of their hospital stay. We randomized individual patients either to the SKY framework or to usual care. These studies are important. Lexy: Yeah.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

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Nurse Practitioner Hospital Family Families 60

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. So tiny, tiny, in a hospital bed.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95

IT Clinic Screening Patients 95

Family Medicine Initiative

APRIL 10, 2024

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. 2 , 4 I believe this is crucial and that all politicians should know about it.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. 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.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. Ideally the conversation would happen before, but also clinicians were able to make referrals to facilitators. It’s a lot. Eric 12:01 Does it talk about like outcomes, like the outcomes of cpr? Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you.

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Telemedicine Telehealth Patient-Centered Board-Certified 73