GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. He died in 2024. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Is that fair?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. ABIM MOC credit will be offered to subscribers in November, 2024. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3.

IT 137

IT Family Families Physicals 137

GeriPal

FEBRUARY 22, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. They’re still engaging fully with their family and with the activities and the hobbies that they’re still able to do. While everyone says we should be doing this to the best science available, every hospital has a different interpretation of that.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. ABIM MOC credit will be offered to subscribers in November, 2024. For any MOC questions, please email moc@ucsf.edu.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I think for families and for other providers who are not trained in that, it’s very hard to predict. I’m embedded in the ICU in one of our smaller hospitals.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. Alex: Generally in the hospital-based hospice. Sammy: Thank you so much.

Education 127

Education IT Illness Healthcare 127

GeriPal

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. But if we’re going to have a family meeting, that’s a different circumstance. What are you seeing in terms of the relationship between this patient and their family?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. These hick pick codes are available to any chaplain in a healthcare system.

IT 99

IT Patient-Centered Family Families 99

GeriPal

NOVEMBER 7, 2024

Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. He would go home, and then three weeks later he would be back in the hospital.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JANUARY 11, 2024

A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. ABIM MOC credit will be offered to subscribers in November, 2024. Because in medicine as somebody who works in the hospital, there’s always other treatment options. They could have a prognosis of years, or decades.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 13, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Have you had a family history of substance use disorder? Eric: What matters most is spending the few remaining days, weeks, or months with their family, maybe not having them trek for the entire afternoon to get their methadone. Most of our population has trauma.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. Louise 05:02 Yes, well, I don’t know about 2024, but in 2023, yes, it could happen. She didn’t die in the hospital. A farmer nearby came to. I’m gonna die.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Eric 26:47 How soon after from a hospitalization, all. And if hospitalized, and then the step quality of life is monitored, if their quality of life dropped, they stepped up. Jennifer 27:11 Yes.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 18, 2024

And I wonder, now, was this 2024 version sort of a redo? Would you have that same pessimism that you had then today about these predictive algorithms and their ability to transform healthcare? At the Mayo clinic, for example, they’ve got a very robust hospital at home program. And the first one was with Zeke Emanuel.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

APRIL 26, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Mary Dwyer, who is a lawyer, and bioethicist and assistant professor at Case Western Reserve and University Hospitals. He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 25, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Family 106

Family Families Patient-Centered IT 106

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. And I have a long interest in identifying family caregivers and supporting them in care delivery. Eric 06:26 Great.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 22, 2024

Knowing I was interested in neurology and had opportunities to observe brain death determination in the hospital. Patients families want to know whether their loved one has died. So in the case of Jahi McMath, you were talking about, you know, her family was kicked out of the hospital.

IT 113

IT Family Families Patient-Centered 113

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

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. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

OCTOBER 31, 2024

But it feels the same in that I was on call a lot over the summer, and I took care of a lot of people behind those hospital walls. And we don’t see hospitals being strained as much anymore. The impact on families. But turns out that Jan1 and its family are all very similar. The impact on. I think that was.

Vaccination 127

Vaccination IT Patient-Centered Patients 127

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? After making decisions, many surrogates experience regret, PTSD, and depressive symptoms.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108