GeriPal

DECEMBER 15, 2022

Along the way we address: Is this degree of slowed cognitive decline meaningful to patients or care partners? Eric: So patient narrative storytelling, independent of what we call it, I’d like to turn to both of you and just how you got interested in this as a subject. She was a heart failure patient. This is Eric Widera.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

NOVEMBER 2, 2023

Alex: Today we’re delighted to welcome Jerry Gurwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

SEPTEMBER 22, 2022

Have you ever had that moment when talking to a patient, when you realized that the phrase you just uttered, which you’ve uttered a hundred times before, came out rote and scripted? And in response, the family or patient looked at you like you were from another planet? Summary Transcript Summary. Yeah, I’ve been there too.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. What’s up with Medical aid in dying in Canada?

Illness 144

Illness IT Medical Provider 144

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 78

Patient-Centered IT Hospital Patients 78

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It meets in-person, once a month, over nine sessions.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JANUARY 20, 2023

I work in a nursing home too, and communal dining, gone, most visits for the last three years like leaving being able to leave the nursing home for most residents, gone. I know you’ve been a strong advocate for nursing home patients particularly in California. It’s been such a challenge. Where are the gaps?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

JULY 6, 2023

It could be in housing, it could be a standalone senior center, home delivered meals, nutrition counseling and nutrition education done by registered dieticians. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 13, 2023

On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations. Alex: And Ruth Engelberg, who is an esteemed palliative care and palliative care researcher also at the University of Washington and can be a palliative care center of excellence.

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.” Care Ecosystem.

Patient-Centered 126

Patient-Centered IT Families Family 126

Medical Xpress

JUNE 23, 2025

The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room. Other factors including humidity, wind and peoples ages and medical conditions play a role in heat illness as well, Wood says.

Illness 54

Illness Engineering Medical Nurse Practitioner 54

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

“Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. You’re short on nurses and nurse aids so now you have to help deliver meals.”. You’re short on gowns and facemasks.

Nurse Practitioner 137

Nurse Practitioner Patient-Centered Vaccination Emergency Room 137