GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. Eric: How about you, David?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

SEPTEMBER 1, 2022

So in preparation for this, I read a couple articles about social work leadership in palliative care. And the title of his article is, does culture of modern day palliative care social work leave room for leadership, where he interviewed six leaders in palliative care, five or six for social workers. Eric: All right, Barbara.

IT 102

IT Families Family Clinic 102

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Article on buprenorphine in the elderly. We got some really special guests with us. Transcript. This is Eric Widera.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JUNE 16, 2022

We’ve invited some very special guests to talk about the lower urinary tract – Christine Kistler and Scott Bauer. . So older adults between a third and a half have some clinically significant degree of lower urinary tract symptoms, depending on how you define it. Eric: And how common is it in the elderly population? Scott: Yeah.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MAY 25, 2023

I’m not sure if you read that article and whether or not it’s changed your mind or whether or not you want to do any more research in advance care planning. And as you know, it’s a great article. So am I measuring it for that specific clinic level quality metric or am I measuring it for my research study?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? Jennifer: Thanks.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 22, 2025

And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. My voice is nothing special. Eric 11:13 And, Tyler, that’s why I loved your article at J Gym on bringing music and benefits to patients at the bedside. Alex 09:00 Not true.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 24, 2023

For a deeper diver into these issues, check out some of the following links: Ira’s Stat new article “Hospice care needs saving” GeriPal’s episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. Ira: I like the article. Thank you, Anne.

IT 114

IT Provider Patients Families 114

GeriPal

FEBRUARY 8, 2024

Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. Eric Cassell’s article, The Nature of Suffering, that you might think suffering would appear in the definition of palliative care. Alex: That’s a big spectrum right there.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. And when that article went to print, it just went ballistic.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). You write about this, you’ve written this New England Journal article, you’ve written past articles.

Families 112

Families Family Patient-Centered IT 112

GeriPal

OCTOBER 17, 2024

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. Because I think we have someone special, a guest host. He’s in Boston.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 11, 2022

There was a Stanford article talking about you as a pioneer in this field. And you’re talking about developing a field, developing clinical experts in the field, research literature base, and a methodologic approach for a field that was also, as you said, marginalized. My question is, what article are you most proud of?

Illness 109

Illness IT Families Family 109

GeriPal

AUGUST 25, 2022

And yet, we know little about the clinical experience of people with dementia in hospice. Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. It’s something we need to pay attention to, which is what we were talking about in the article.

Families 106

Families Family IT Patients 106

GeriPal

FEBRUARY 29, 2024

The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. Anne: Which episode of the GeriPal podcast has most significantly changed your clinical practice? Alex: Okay.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Ashwin 18:08 These are things that we often see from a clinical standpoint.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

APRIL 28, 2022

What are your thoughts about using humor to convey ideas, thoughts, clinical work? I think that there are times when we use humor to cope, and that’s a special and very tender space for of people to share in, but is not something that you want to expose to the light of the world. I don’t let them dominate the talk.

IT 145

IT Hospital Patients Illness 145

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. by Kearney. I promise its short. Well, I guess just over 20 years ago.

IT 104

IT Patient-Centered Families Family 104

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. So they were a lot of preoccupied with other tasks, but clinical gestalt. Many also suffer from distressing symptoms like pain. What do we know about.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. – @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. So has a special resonance for, I think, a lot of people who are Tragically H ip fans.

IT 107

IT Community Patients Families 107

GeriPal

APRIL 6, 2023

We just couldn’t find one that quite fit our needs, and I’m sure that they differ to some extent by the clinical context, so we reviewed a bunch of categorizations that were in the literature and this was the most parsimonious group that we could come up with, that I thought captured the core elements of spirituality.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Eric: Yeah, I can also imagine … So writing a traditional academic journal article is, one, you said it’s formulaic in a way. It feels special to me. So unlike academic journals and elsewhere.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. And to keep it short work for an article. Welcome to the GeriPal Podcast, Joan.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 20, 2025

To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Why did you write this paper? Is that right, Hope?

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

OCTOBER 6, 2022

Why is this different from clinical communication skills? Like, when a resident is talking to somebody about hospice in a clinical situation, they need to introduce it and explain it as a valid option and talk about that in the context of the choices the patient is facing and the clinical situation the patient is facing.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 16, 2023

We have two authors, books, op-eds, prolific authors, and today’s podcast is a two-part special. So this week we’re going to be talking about writing for the lay public, and next week we’ll be publishing a podcast on writing for healthcare providers. Even if I write a scholarly article. Medicine changes.

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

DECEMBER 7, 2023

AlexSmithMD Additional links: JAMA paper on clinical research risks, climate change, and health Geriatric medicine in the era of climate change Health Care Without Harm: [link] Practice Green Health: [link] Global Consortium for Climate and Health Education: [link] Transcript Eric: Welcome to the GeriPal podcast.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 25, 2024

Summary Transcript Summary We are dusting off our crystal balls today with three amazing guests who have all recently published an article on prognosis over the last couple months: Kara Bischoff, James Deardorff, and Elizabeth Lilley. Eric 00:13 And Alex, we have a super special today, three different articles.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

APRIL 26, 2024

Alex: We are delighted to welcome Bryanna Moore, who is a philosopher and bioethicist, and she’s at the University of Texas Medical Branch where she also directs the clinical Ethics Fellowship. From you reading the 2022 article that was authored? I was a clinical ethics fellow at Baylor College of Medicine. Josh: Yeah.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. We did it by the clinic level.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. A review article, which I still like to go to. Millions of lives are at stake.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

GeriPal

APRIL 21, 2022

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? Institute for Poetic Medicine.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

AUGUST 15, 2024

See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. We do talk about healthcare policy. We do a lot of clinical focused discussions. We shouldn’t be screening every older age and adult who comes into our clinic about these incidents for different reasons.

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Mental Health Community Screening IT 116