GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? 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. Tyler 01:43 Okay. That’s how you do it.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. 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. Pain Manag Nurs. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Should you stop at “no?” Eric: Lynn or Anne?

Families 97

Families Family Patient-Centered IT 97

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. James, welcome to the GeriPal Podcast. Gordon Alwasa.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Three different articles. Who would/should be on that board? I’m Na Ouyang. Eric 00:42 Great.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 16, 2025

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But then recognizing that our relationships impact our health even outside the context of stress.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No She was a heart failure patient.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. Alex 00:40 We’re delighted to welcome Alexis Drutchas, who is a palliative care doc at the Massachusetts General Hospital and Harvard Medical School and co founder, also of the Palliative Story Exchange.

IT 107

IT Community Patients Families 107

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Eric: Speaking of a niche humor, I love this one. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. We could have talked for hours! Alex: Lund.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JANUARY 26, 2023

Our guests Tim Farrell, Ramona Rhodes, and Nancy Lunderbjerg wrote an article in JAGS on this issue, and Sharon Brangman wrote a separate JAGS article on the need to achieve diversity in study populations. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request. Eric: Yes.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. But that was my take home from Danny’s article. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships.

Patients 72

Patients Clinic Patient-Centered Illness 72

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. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. These studies are important. Is that your grandchildren?

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 29, 2023

But the other was she read an article about our hospice in the May of 2018 New York Times magazine. And that article really, it’s by Suleika Jaouad, and it focused on some of the peer workers that we have. And she read that article and was very moved by the work that these men are doing, and so she wrote the song about that.

IT 97

IT Families Family Board-Certified 97

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . I think mortality is the final end path.

IT 95

IT Clinic Screening Patients 95

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Families Family Illness 83

GeriPal

MARCH 30, 2023

Then I got online as a patient advocate and started connecting with the brain tumor community on social media and Facebook and Twitter, and actually started working in the healthcare space, in palliative care advocacy, for a palliative care advocacy organization in California, which is where I’m based, about eight years ago.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

FEBRUARY 20, 2025

A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPCs Trauma-informed care toolkit Mariahs article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults ** This podcast is not CME eligible. Eric 27:08 I’m going to also call out Mariah’s article in jags. Kate 01:09 Yeah.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

JUNE 5, 2025

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. And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 11, 2024

Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team.

Illness 144

Illness IT Medical Provider 144

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. Fam Med Community Health. 150 (54.3) p<0.001 Doctor 83 (65.9)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

Family Medicine Initiative

APRIL 10, 2024

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. Over time, communication improves. Over time, more trust develops.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 93

Illness Hospital IT Patient-Centered 93

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. Chris 07:41 Yeah, it’s a really interesting thing, because the 2010 article was solving the problem of, hey, send us patients, we promise we won’t kill them. Jennifer 00:44 Thanks.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. As we age, our body’s capacity to adapt to things becomes a little more challenge.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home.

Community 89

Community Nurse Practitioner Provider IT 89

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). This is a poem that gets into this issue of, what is the clinician relationship to all that stuff that’s going on around us? Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Widera and Smith have no relationships to disclose. Alex 00:12 This is Alex Smith. Liz 00:32 Thanks.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

And then to see her, it sort of set up this sense of there’s an expectation that we have for the future that what we’re doing in the present moment is somehow going to continue and that we’re going to have an opportunity to maybe deepen a relationship, to provide some healing, to learn more about each other, to form bonds.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102