GeriPal

NOVEMBER 2, 2023

First, we’ve invited Jerry Gurwitz to talk about his recently published article in JAMA titled The Paradoxical Decline of Geriatric Medicine as a Profession (while it’s not the most upbeat title for the future of geriatrics, Jerry sees it as a call to action). I was going to start off by asking Jerry about why he wrote the JAMA article.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. 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.

Family 97

Family Families Patient-Centered IT 97

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. 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. Eric 04:42 There was even less on GeriPal. Can you tell us?

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IT Patient-Centered Patients Board-Certified 96

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 was really passionate about helping the people and also their families. AMA PRA Category 1 credit(s) ™. There has to be more than this.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. This topic came up with Bernie published an article in New England Journal called Deciding for Patients Who Have Lost Decision-Making Capacity Finding Common Ground in Medical Ethics. AMA PRA Category 1 credit(s) ™.

Family 112

Family Families Patient-Centered IT 112

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. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

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Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 21, 2024

Here are some more resources we’ve discussed in the podcast Dani’s NEJM article on coping: “ Should I Laugh at That? But if we’re going to have a family meeting, that’s a different circumstance. And so I let him educate me. We’re going to have to be able to open the box. So help serves and hinders in everybody.

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Illness IT Patient-Centered Patients 125

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).

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Finance Board-Certified IT Provider 95

GeriPal

AUGUST 11, 2022

There was a Stanford article talking about you as a pioneer in this field. There was no conversation with the patient or the family about this. And the families were part of it, which is not what it was like in the hospital. Susan: Thank you. Eric: I wonder if, as a pioneer in the field… And I was just reading about that.

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Illness IT Family Families 109

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston.

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Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. And I just want to highlight, Jennifer has a great JPSM article that just came out. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. It’s since spread to over 70 VAs. Heather: Sure.

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Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. Eric: I do not want my family to listen to my podcasts. laughter] Alex: Yeah.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

NOVEMBER 7, 2024

Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis. Eric 11:50 I also have to ask, because we will have a link to this article. One of my favorite articles. Would you mind just describing what you did in that article? This is Eric Widera.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those.

Patient-Centered 99

Patient-Centered IT Family Families 99

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. They’re still engaging fully with their family and with the activities and the hobbies that they’re still able to do. AMA PRA Category 1 credit(s) ™.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live.

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IT Patient-Centered Healthcare Illness 105

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.

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IT Community Patient-Centered Medical 99

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 ). John: I am what I am, which is a family practice doctor.

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Provider Illness IT Healthcare 117

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

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Family Families IT Patient-Centered 93

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. Eric: Yeah.

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IT Hospital Patients Illness 145

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. And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. I’m Na Ouyang. Have to see.

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Consulting Community Patient-Centered Family 63

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.

Family 97

Family Families IT Board-Certified 97

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. So we see a lot of problems with symptom management, a lot of family conflict. Some will have stronger relationships with hospice.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. We’re going to be talking about default palliative care, a new article that just came out in JAMA this week, co-paired with another article that was published that we did a podcast on last week. and consulting for Papa Health. Ashwin: Yeah.

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Consulting Hospital Patient-Centered IT 120

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. A pill organizer, having family. Or mitigating the contribution from heart failure itself.

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Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 17, 2023

And I think that’s what’s important for families to know because everyone wants to stop this disease and roll back the clock to make their loved one better. But all of this has to be understood by the patient and the families and so that they’re comfortable of that. Remember, family member. Before you go on it.

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Patient-Centered IT Clinic Patients 98

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.

IT 91

IT Patient-Centered Healthcare Patients 91

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. 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.

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Family Physician Family Families GP 130

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. The one thing that we know is that education alone will not actually deliver behavior change. I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. So let’s just start there.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. I can remember two instances of storytelling in training or in education, I guess. One of the questions was, “Can you name a song by the Tragically Hip?” Transcript Eric 00:01 Welcome to the GeriPal Podcast.

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IT Community Patients Family 107

GeriPal

SEPTEMBER 5, 2024

And for this podcast in particular, both Bill and Louise wrote articles that we’re going to be discussing particular patient cases. So while you don’t have to, we’re gonna summarize these articles. If you have a chance to read those articles before you listen to this podcast, I highly recommend that you do.

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Patients IT Patient-Centered Hospital 98

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.

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Patient-Centered IT Screening Individual 66

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. Joe, Josh, welcome back to Jerry Pal. Is that right, Hope?

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IT Patient-Centered Patients Medical 87

GeriPal

JANUARY 11, 2024

Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods.

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Illness IT Medical Provider 144