Sarguni Singh
speaker
92 appearances
1 recordings
1 series
first heard Oct 2023
last heard Oct 2023
Sarguni Singh’s voice in public audio — every appearance, attributed to the second.
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Appearances
And then at noon, a patient will say, you know what?
I'm done.
I want to go to hospice.
And then everything is just flipped.
And we're like, let's enroll them.
Let's get them home later today.
It's really dramatic.
So what I try to do when I discharge these patients to SNF who I worry are not going to do well, I first try to introduce uncertainty.
And I say, I try to get the idea that things might not go the way you're hoping.
And that's always tricky because you want to try to preserve hope, but also plan for what might realistically be happening.
And then try to give patients and their family members the words and the tools to advocate for themselves when they're floating between SNFs and home health and back to hospitals.
seeing different teams.
And that's kind of what my approach has been while I'm working in this system that is not ideal.
Yeah, we looked at changes in activities of daily living for patients with cancer discharged to a SNF.
And about half of the people, there were about, I think, 4,000, 5,000 patients.
claim beneficiaries and only half of them had ADL scores documented.
And so it was challenging to then measure changes if we didn't really have all of the functional status measures in the data set.
So
I just wanted to comment about, you know, I think that it's, I think there needs to be a culture change around serious illness communication and who can really engage in it.
with patients and their families.
Showing 61–80 of 92 · page 4 of 5
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