GeriPal

FEBRUARY 22, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Unfortunately, we lack the financial structures to reimburse psychologists that would incentivize widespread inclusion on palliative care teams. Because we live in the world as it is, not as it should be, Des has helped develop an app ( link to pilot trial hot off the press !)

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. Much more to come. I saw them only twice. Ashwin, welcome back.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

JANUARY 16, 2025

He died in 2024. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. Eric is skeptical. Let it be (hint hint). Let It Be from the Beatles. Eric 01:46 Great, Alex.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) Renal P al?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. ABIM MOC credit will be offered to subscribers in November, 2024. 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. Naomi: Yes, I do. Everybody Hurts by REM. laughter] Alex: That’s right.

IT 137

IT Families Family Physicals 137

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JANUARY 18, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. I got this.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. He was also the one who we have to thank for suggesting this podcast! Hsien Seow & Samantha (“Sammy”) Winemaker : Hsein and Sammy’s goal was to start a revolution with their podcast “ The Waiting Room Revolution ,” which is now in its 7th season! Great title.

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. Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Dani 01:51 Yeah.

Illness 125

Illness IT Patient-Centered Patients 125

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. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

FDA Law

JANUARY 18, 2024

Rescheduling Recommendation, 2024 FDA’s 2023 analysis and recommendation finally came to light when Texas attorney Matt Zorn posted it on his website a week ago. FDA conducted the eight-factor scheduling analysis required by the CSA in 2016 and found that marijuana continued to meet the scheduling criteria for remaining in schedule I.

Medical 69

Medical Physicals IT Healthcare Professional 69

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Eric 02:00 Okay, I got a question for you.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

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. Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 13, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 03:38 A ll I can say is that the reason why I’m here is because I was a failed professional bass player. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. Eduardo, welcome to the GeriPal podcast.

Illness 133

Illness Patient-Centered Patients IT 133

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. But before we go into all of that, I think, Bill, you have a song request for Alex. Here we go.

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. Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. At some point.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 18, 2024

Skepticism on the ability of predictive models to transform healthcare Consolidation of EHR’s into the hands of a very few companies, and potential for the drug and device industry to influence care delivery by tweaking AI in ways that are not transparent and already a sort of magical black box. .” Bob: I’ll give it a try.

IT 139

IT Electronics Patients Healthcare 139

FDA Law

MAY 21, 2024

On Thursday, May 16, 2024 , the Attorney General issued a Notice of Proposed Rulemaking (“NPRM”) to initiate rulemaking proceedings to reschedule marijuana. The NPRM was signed by the Attorney General but published by DEA in the Federal Register on May 21, 2024. 44,597 (May 21, 2024). 21 U.S.C. § 21 U.S.C. § 812(b)(3).

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

APRIL 11, 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. Summary Transcript Summary Ambivalence is a tough concept when it comes to decision-making. What about ambivalence on the part of the provider?

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

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. We talk today with Betty Ferrell, who has been a nurse for 47 years, and is the founder and PI of ELNEC. Jenny: Good to be here. Jenny: I do.

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. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. Liz 00:32 Thanks.

Families 106

Families Family Patient-Centered IT 106

GeriPal

MARCH 27, 2025

And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 22, 2024

Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist. We’ll have a link to that in our show notes. We’re gonna double up on that subject. Alex 01:07 We haven’t figured it out. Alex 01:48 All right.

IT 113

IT Families Family Patient-Centered 113

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. On today’s podcast we talk with Malaz Boustani of Indiana University, as well as Diane Ty, the senior director of the Milken Institute Center for the Future of Aging, about the GUIDE model. This is Eric Widera.

Patient-Centered 125

Patient-Centered IT Families Family 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

Alex 00:07 We are delighted to welcome back Lona Mody, who is a geriatrician, translational infectious disease researcher, and professor at the University of Michigan and the Ann Arbor Va. Lona, welcome back to GeriPal. Lona 00:21 It’s great to be here. Peter, welcome to the GeriPal Podcast. Peter 00:36 A pleasure to be on Alex and Eric.

Vaccination 127

Vaccination IT Patient-Centered Patients 127

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms. Can we do better?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108