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About GeriPal

Mission:

GeriPal (Geriatrics and Palliative care) is a forum for discourse, recent news and research, and freethinking commentary. Our objectives are: 1) to create an online community of interdisciplinary providers interested in geriatrics or palliative care; 2) to provide an open forum for the exchange of ideas and disruptive commentary that changes clinical practice and health care policy; and 3) to change the world. We aim to be inclusive. We welcome the perspectives of generalists, specialists, gerontologists, palliative care clinicians, and anyone else interested in care of the elderly or palliative care.

Contributors include:
  • Theresa Allison
  • Bob Arnold
  • Helen Chen
  • Ken Covinsky
  • Anne Johnson
  • Bree Johnston
  • Helen Kao
  • Chrissy Kistler
  • Leslie Kernisan
  • Sei Lee
  • Susan Lysaght
  • Dan Matlock
  • Brad Miller
  • Carla Perissinotto
  • VJ Periyakoil
  • Alex Smith
  • Mike Steinman
  • Brad Stuart
  • Rebecca Sudore
  • Paul Tatum
  • Ori Tzvieli
  • Patrice Villars
  • Ron Walent
  • Eric Widera
 If you are interested in contributing to GeriPal please email either Alex or Eric.


GeriPal Policies:

  • No confidential patient information should be placed on GeriPal, nor should any confidential information be placed in the comments. 
  • This web site does NOT accept advertisements. 
  • All email addresses collected by GeriPal for feed distribution will be kept confidential and will never be used for commercial reasons. 
  • The editors reserve the right to remove comments that are deemed inappropriate due to the commercial, abusive, or offensive nature of a comment. If you think your comment was deleted for inappropriate reasons, please email either Alex or Eric regarding your concern.
  • The information provided on GeriPal is designed to complement, not replace, the relationship between a patient and and his/her own medical providers. 


Further Information


GeriPal was created with the support of the Division of Geriatrics at the University of California, San Francisco. Its content though is strictly the work of its authors and has no affiliation with or support from any organization or institution. All opinions expressed on this website are solely those of its authors and do not reflect the opinions of any academic institution or medical center. If you reproduce the material on the website please cite appropriately.

For questions regarding the site please email Alex Smith, MD (aksmith@ucsf.edu) or Eric Widera, MD (eric.widera@ucsf.edu)

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One out of every four of us will die while residing in a nursing home. For most of us, that stay in a nursing home will be brief, although this may depend upon social and demographic variables like our gender, net worth, and marital status. These are the conclusions of an important new study published in JAGS by Kelly and colleagues (many of whom are geripal contributors, including Alex Smith and Ken Covinsky).

The study authors used data from the Health and Retirement Study (HRS) to describe the lengths of stay of older adults who resided in nursing homes at the end of life. What they found was that out of the 8,433 study participants who died between 1992 and 2006, 27.3% of resided in a nursing home prior to their death. Most of these patients (70%) actually died in the nursing home without being transferred to another setting like a hospital.

 The length of stay data were striking:

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