PEMBlog

AUGUST 30, 2023

Numerous studies have found that radiographs performed in these clinical conditions rarely reveal information necessitating a change in ED management despite high CXR utilization and wide variation in both children’s specialty hospitals and general EDs. Evaluation of the utility of radiography in acute bronchiolitis.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. My own work focuses on hospitalization and health utilization over time.

IT 102

IT Screening Hospital Clinic 102

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Persons with disabilities were more likely to experience serious illness, death, and adverse consequences by the COVID-19 pandemic. These findings inform our understanding of PCC burden and may have clinical utility for directing care where most needed.

Primary Care 130

Primary Care Patients Diagnosis Family Practice 130

GeriPal

MARCH 14, 2024

So, we use that information to formulate a treatment plan. We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. Eric: I also wonder, is it just the utilization review standpoint? One, we term compensatory strategies, and the other are rehabilitative.

Hospital 124

Hospital IT Patient-Centered Individual 124

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. So we used a lot of rehab to death.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. And bringing more palliative care to the living with serious illness instead of dying from serious illness population.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

The Physicians Foundation

MAY 20, 2025

At a time when chronic diseases remain the number one cause of illness, disability and death nationwide, it is critical for physicians to have the tools needed to support the collective health of individuals across the United States. For more information, visit www.physiciansfoundation.org.

Chronic Disease 40

Chronic Disease Screening Transportation Patient-Centered 40

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. So I do think it’s useful to have that additional information. Alex: National POLST Collaborative. Good to know.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

PEMBlog

MAY 24, 2023

This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Patient that are agitated should always be treated with dignity and respect. We have developed a series of pain focused episodes. Government.

Management 54

Management Patient-Centered Physicals Finance 54

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. And then we incorporated that information into the consultation process. Eric 10:55 So one serious illness. So their caregivers did focus groups.

Consulting 63

Consulting Community Patient-Centered Families 63

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. I put a lot more information about Dr. Groopman and how to contact her in the show notes. But again, metabolic GI illness, interrupt other interruptions in feeding schedule, intense exercise.

Consulting 59

Consulting Individual Families Family 59

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago. Eric: Is end-of-life doula death doula?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? 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.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

FEBRUARY 2, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And PAIR stands for the Palliative and Advanced Illness Research Center. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Where do we go with all of this information? There’s also been some differences in things like staffing. Eric: What do you think?

Families 106

Families Family IT Patients 106

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. We can’t possibly provide enough care to all people with serious illness.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. That’s a lot of information [inaudible 00:35:43], but I share some of that. Thanks to my son Kai for playing the guitar part in 5/4 with strange chords on Riverman by Nick Drake! Alex, is it okay if I ask?

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 26, 2025

I think part of this does stem from a clinical experience and also some of the theoretical models that have evolved around serious illness, you know, to think specifically about dementia. And so trying to think a little bit more about what could be driving some of those alterations in the trajectory for all kinds of serious illness.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

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. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Jennifer 04:25 I can take that on.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73