GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes.

Diabetes 73

Diabetes Management Patient-Centered Family 73

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. Consultations versus telehealth. But watch out! Alex 01:06 Yeah, go in person.

Telehealth 104

Telehealth Patient-Centered IT Patients 104

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. I guess, I’d say, and I said this in the article, we saw more movement on the FACT-G subscales of social and emotional quality of life.

Patient-Centered 121

Patient-Centered IT Illness Patients 121

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.” Rather, most of us live and make decisions in relationship to one another. And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Eric: Which brings us to an article. Jessie: Exactly.

Illness 135

Illness Patient-Centered Screening IT 135

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

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. You write about this, you’ve written this New England Journal article, you’ve written past articles.

Family 111

Family Families Patient-Centered IT 111

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? 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 we do have consultants who come in the building.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. NCP guideline, standard consultation. Have to see.

Consulting 62

Consulting Community Patient-Centered Family 62

GeriPal

OCTOBER 5, 2023

We’ve invited Jacqueline Kruser and Bob Arnold on this week’s podcast to talk about their recently published JAMA Viewpoint article titled “ Reconsidering the Language of Serious Illness. ” You recently published an article in the New Yorker titled, I can’t even read my own, what was the title again? Of course not.

Illness 135

Illness IT Patient-Centered Family 135

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 ). It sets space between us and the individuals we’re trying to take care of.

Provider 116

Provider Illness IT Healthcare 116

GeriPal

JANUARY 20, 2023

But if you want to learn more, check out these links: The report by NASEM titled “ The National Imperative to Improve Nursing Home Quality ” The website for the Moving Forward We will also link to the JAGS articles co-authored by seven committee members that focus on specific recommendations of the NASEM report when they get published (stay tuned).

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MAY 8, 2025

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. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office.

Illness 106

Illness IT Patient-Centered Patients 106

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. And I’ll share that my own relationship with my father, who was a doctor, was a complicated one. Raj is an anesthesiologist turned palliative care doctor. What do you think about that?

Community 114

Community IT Relationship Healthcare 114

GeriPal

DECEMBER 14, 2023

So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-Life Care at Three Academic Hospitals. So before we talk about the results, can you give us a very brief overview of what you did in this article? Eric: Yeah, and for our listeners, excellent job, Kai.

Hospital 124

Hospital IT Patient-Centered Patients 124

GeriPal

APRIL 24, 2025

We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. Why did you even decide to write this article? We wanted the definition to be pretty broad of what a pull.

Patient-Centered 76

Patient-Centered IT Patients Illness 76

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult.

IT 104

IT Patient-Centered Healthcare Illness 104

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. I loved the relationship that we developed and the fun we had.

IT 103

IT Patient-Centered Family Families 103

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. I would say that.

IT 98

IT Community Patient-Centered Medical 98

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” And my interview guide for the narrative analysis methods were, tell me about you.

Patient-Centered 114

Patient-Centered Illness Healthcare IT 114

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. So that’s great. We looked at reach.

Patient-Centered 76

Patient-Centered IT Hospital Patients 76

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. How do we see each of you as individuals who are having your own struggles? Eric: Yeah. I wonder from a provider perspective, if you’re open to talking about your team.

Family 83

Family Families IT Illness 83

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 71

Patients Clinic Patient-Centered Illness 71

GeriPal

JANUARY 11, 2024

Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 19, 2024

So you, Jennifer, probably have, like, the most cited, probably should be the most cited randomized controlled trial of palliative care and lung cancer patients that everybody, every palliative care article I’ve seen, whether or not it works, always includes, it was outpatient palliative care in lung cancer patients. All of this is.

Patient-Centered 117

Patient-Centered IT Patients Hospital 117

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. Eric 00:09 Welcome to the GeriPal podcast.

Family 105

Family Families Patient-Centered IT 105

GeriPal

JULY 17, 2025

The ways in which death anxiety manifests in our patient’s choices and behaviors varies tremendously, and our responses as clinicians must be individualized. The key is that looking inwards to understanding our own unique relationship with mortality can deepen our ability to authentically accompany the experiences of our patients.

Patient-Centered 55

Patient-Centered IT Patients Relationship 55