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. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. In their communities?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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. Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024.

Education 128

Education IT Illness Healthcare 128

GeriPal

JANUARY 11, 2024

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. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

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. Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are.

IT 127

IT Patient-Centered Illness Education 127

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.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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 Families Family 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?

Families 113

Families Family Patient-Centered IT 113

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. We can’t possibly provide enough care to all people with serious illness. Some will have stronger relationships with hospice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. There was an assessment that was focused on four spiritual domains.

IT 99

IT Patient-Centered Families Family 99

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 12, 2024

Widera and Smith have no relationships to disclose. Guests Jane Thomas, Naomi Saks, and Ishwaria Subbiah 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.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

SEPTEMBER 5, 2024

Louise 05:02 Yes, well, I don’t know about 2024, but in 2023, yes, it could happen. You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. Widera and Smith have no relationships to disclose.

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

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 Patient-Centered 80

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. Though they disagreed completely.

Patient-Centered 129

Patient-Centered IT Patients Consulting 129

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.

Families 108

Families Family 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. Widera and Smith have no relationships to disclose. This is not the way you break.

IT 115

IT Families Family 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