GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. Complicated grief? Advance care planning doesn’t work.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 7, 2023

And following these guidelines is really important because geriatric and palliative care related problems are really common. To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-life care, and similar consequences. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. This is not a framework that means that we stop trying to increase vaccination rates, it means that we still are engaged in outreach to communities that might have distrust.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). That was really the theme song of how the community came together. How do you see the light?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

APRIL 10, 2025

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 24, 2022

This is the latest in our series of podcasts on concerns about, and potential of advance care planning. Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. I worry, as a ex-primary care doctor, how much time I have.

Illness 73

Illness IT Healthcare Patient-Centered 73

Family Medicine Initiative

APRIL 10, 2024

As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue. The following graph shows the striking difference in premature mortality between countries with weak or strong primary care: 2. Over time, communication improves.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. How do I reconcile these two issues?

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. A review article, which I still like to go to. It is kind of weird that my first publication was in jama, part of the Care of the Aging Patient series. Eric 11:14 Yeah, we go way back.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Here are some articles that Kira and I have written about the topic, and that’s really how my interest in addressing sexual health concerns started. So most of us in primary care, it’s probably even worse. So there’s the mantra I think should be go lower the lowest dose and the least complicated to use.

Illness 131

Illness IT Physicals Patients 131

Common Sense Family Doctor

APRIL 25, 2025

The sub-headline from a Medscape news article said it all: "Anesthesiology Still Hot, Family Medicine Is Not." Part of my job was to encourage students' interest in primary care careers and mentor those who chose to enter family medicine. The number of visits to primary care physicians fell by 43% from 2010 to 2021 despite 7.4%

DO 52

DO Family Medicine Family Families 52