GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Widera and Smith have no relationships to disclose. Yeah, yeah, exactly.

Illness 134

Illness Patient-Centered Patients IT 134

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. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. He died in 2024.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. Four percent. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. For any MOC questions, please email moc@ucsf.edu.

Education 128

Education IT Illness Healthcare 128

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. Eric: Definitely MAID- Alex: Eric knows, MAID in Canada Eric: Medical Aid In Dying in Canada. Alex: That one’s easy.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare?

IT 137

IT Family Families Physicals 137

GeriPal

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. ABIM MOC credit will be offered to subscribers in November, 2024. What words to use? Is the POLST useful?

Family 113

Family Families Patient-Centered IT 113

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. And assisted living doesn’t offer the same level of medical supportive services as nursing homes.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” There was an assessment that was focused on four spiritual domains.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

SEPTEMBER 12, 2024

She’s a geriatrician and palliative care doc and is associate chair for professional development in the department of Psychosocial Oncology and Palliative Care at the Dana Farber Cancer Institute and Harvard Medical School. Widera and Smith have no relationships to disclose. Jane, welcome to the GeriPal podcast.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. And PAIR stands for the Palliative and Advanced Illness Research Center. Ashwin Kotwal reports receiving a research grant from Humana Inc. and consulting for Papa Health.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

SEPTEMBER 5, 2024

And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985. Louise 05:02 Yes, well, I don’t know about 2024, but in 2023, yes, it could happen. But one of the things I worry about, when we really know medically where this case is going and we find, how many times has this happened?

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Eric 21:46 So this study showed that in people with chronic critical illness, having palliative care lead one and a half sessions in an ICU around prognosis and goals. Is this superior to that?

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

GeriPal

APRIL 11, 2024

Widera and Smith have no relationships to disclose. Guests Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. For any MOC questions, please email moc@ucsf.edu. Welcome to the GeriPal podcast.

Patient-Centered 129

Patient-Centered IT Patients Consulting 129

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. Like, how close to the end of life is it all just in seriously ill patients, I guess.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose.

Family 108

Family Families Patient-Centered Patients 108

GeriPal

AUGUST 22, 2024

Alex 28:22 That’s not in the vital talk, serious illness, communication. That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. There’s disagreement within, some medical associations are against this.

IT 115

IT Family Families Patient-Centered 115

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Can we do better?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110