GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. The article we discuss today, also published in JAMA , addresses these two gaps. AMA PRA Category 1 credit(s) ™. In their communities?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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? What drove you to write that article on this important trip to Seattle? Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. 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. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. 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. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

IT 97

IT Patient-Centered Patients Board-Certified 97

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. AMA PRA Category 1 credit(s) ™. ” Very specific, rare circumstance.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

AUGUST 11, 2022

– Serious Illness Conversation Guide podcast. There was a Stanford article talking about you as a pioneer in this field. What I fell in love with and felt incredibly compelled by was the taking care of seriously ill patients and particularly helping them negotiate emotionally the experience of being very seriously ill.

Illness 109

Illness IT Families Family 109

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. But once we realize that almost everybody makes decisions in the context of relationships. Should you stop at “no?”

Families 98

Families Family Patient-Centered IT 98

GeriPal

DECEMBER 8, 2022

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. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Yael 30:29 Exactly.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

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. What words to use?

Families 112

Families Family Patient-Centered IT 112

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

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? If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Why did you even decide to write this article? Think vitamins.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness.

IT 105

IT Patient-Centered Healthcare Illness 105

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 ). He looked very ill. My wife is also a physician and she said he’s dying.

Provider 117

Provider Illness IT Healthcare 117

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. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. His work has been published in places like the L.A.

IT 145

IT Hospital Patients Illness 145

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.

Consulting 121

Consulting Hospital Patient-Centered IT 121

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. The idea of listening with your ear, so E being educate, A, assess, and R, respond.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. 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. Some will have stronger relationships with hospice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. They wanted you to be respectful of their cultural beliefs and their, you know, faith beliefs that were driving their health and illness. I’m Na Ouyang. Have to see.

Consulting 63

Consulting Community Patient-Centered Families 63

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.

IT 99

IT Patient-Centered Families Family 99

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. To learn more about CME for other GeriPal episodes, click here. Ashwin 00:49 Excited to be back.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

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.

Patients 98

Patients IT Patient-Centered Hospital 98

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. Thaddeus, you wrote an article in JAGS not too long ago.

IT 88

IT Patient-Centered Patients Medical 88

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. And for about five years, my mom was declining from a dementia illness, we think something Parkinsonian. Eric 04:44 Yeah.

IT 107

IT Community Patients Families 107

GeriPal

JUNE 26, 2025

Tsai-Chin’s article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. And a couple of classic articles in this area. Rebecca 06:30 Yeah, absolutely. And health shocks.

Illness 73

Illness Hospital IT Patient-Centered 73

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 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. 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.

Illness 130

Illness IT Physicals Patients 130

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. She’s a palliative care nurse educator and a writer, and she’s joining us from the great state of Hawaii. Alex: This is Alex Smith.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. Widera and Smith have no relationships to disclose. Doing home care? Hospice visits? Josh: Yeah.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” Widera and Smith have no relationships to disclose. Josh: Yeah.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

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. Why do this? AMA PRA Category 1 credit(s) ™.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Eric 01:07 So we have an amazing lineup of guests and we’re going to be talking about a pragmatic study on advanced care planning, which we’ll have links to in our show, notes for the actual article. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 29, 2022

Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. ” What frustrates me is that so much of our education, either in medical school or nursing school or social work, we’re not taught to handle conflict. So, you don’t want to crimp that relationship.

Families 96

Families Family IT Patient-Centered 96