GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers.

Diabetes 74

Diabetes Management Patient-Centered Families 74

The Clinical Problem Solvers

MAY 2, 2022

Dr. Valtis is a 4th year Med-Peds Resident at Brigham & Women’s Hospital and Boston Children’s Hospital, and his research focuses on race and the utilization of security responses in the inpatient hospital setting. Yannis Valtis, Ebi Okah, and Carine Davila, about research in their respective fields.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

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 123

Patient-Centered IT Illness Patients 123

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Bennett, C.R., Schilling, L., Doorenbos, A. PMID: 26701962.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! Good to know.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

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

JANUARY 30, 2025

We really spent a lot of time helping the clinicians see that a patient’s illness, understanding and prognostic awareness was just as important as their pain scale, their pain score. The patient refuses to ever talk about the fact that this illness could take their life. Lynn, what were you doing in Covid 2020?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. That was January 2020. We had, you know, it was a Monday night in June of 2020.

IT 108

IT Community Patients Families 108

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. The illness narratives suffering, healing, and the human condition. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. Wallace, C.L.,

IT 137

IT Families Family Physicals 137

GeriPal

FEBRUARY 20, 2025

I’m just thinking we all went through a major traumatic event in 2020 and the subsequent years. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. So we all went through a pandemic. I guess that’s an event.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

SEPTEMBER 21, 2023

I think that’s something we’ve seen even with the most recent issues that came out, not new issues, but came to the surface with the racial reckoning that we saw in 2020 related to murders and deaths and killings and that sort of stuff that helps to reshape how we refer to different groups of individuals in our community.

Community 129

Community Families Family IT 129

GeriPal

SEPTEMBER 12, 2024

And also, by the fall of 2020, I was pretty sure that I didn’t want to be a leader anymore. We were often the only ones left in the hospital. And then found myself in that role during the pandemic and learned some things about myself that I didn’t know. Namely, I actually like working in a crisis. We went into the rooms.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. I had planned to start doing in-person poetry sessions with cancer patients at the beginning of 2020. Redwing: I did the first week of March in 2020, and then as we all know, the world shut down and changed. To let it go. . Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 29, 2022

December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. We really don’t want seniors living at home alone when we know it’s dangerous for them and it’s going to make them end up in the hospital and go to a nursing home. Geriatrics.

Families 96

Families Family IT Patient-Centered 96

GeriPal

NOVEMBER 3, 2022

I t’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block , who have been struck by personal illness and loss. And then to see her show up in our hospice unit in April of 2020, it just completely broke my heart. And it was the first time I recognized someone.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Bruce: Yeah.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

OCTOBER 31, 2024

Summary Transcript CME Summary In March 2020, we launched our first podcast on COVID-19. Eric 03:29 Lona, I am not sure you remember this, but over four years ago, March, mid March of 2020, we did a podcast on a novel respiratory virus that was coming out of Wuhan. And we don’t see hospitals being strained as much anymore.

Vaccination 128

Vaccination IT Patient-Centered Patients 128

GeriPal

JUNE 2, 2022

We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” . it was April, 2020.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 16, 2024

For hospitalization, for death, for all sorts of adverse events, I think are a reason for concern. Eric 30:42 Trump did a MoCA in 2020, I remember that he did the OmoC ever. If it’s 2020 or a Democrat and people were talking about Trump having dementia. Eric 29:15 Yeah. Because any candidate prognostication does matter.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141

GeriPal

APRIL 17, 2025

It was last month, a staff meeting where the leadership wanted to staff up the mornings and decrease the number of rounders, and they wanted to staff up the hospital admitter to the mornings. I took my kids in 2019, 2020. So it’s 2020. She still remembers that I was in a meeting for hospitalists. It’s the pandemic.

IT 71

IT Community Government Management 71