GeriPal

JUNE 8, 2023

So a lot of these patients that I care for are at risk for mortality or poor prognosis in general, and wanting to know how do we still provide them with quality care without giving them too many pricks, too many titrations when it comes to insulin. The long-term repercussions aren’t as big of a deal anymore. It maxes out.

Diabetes 73

Diabetes Management Patient-Centered Family 73

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

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. With their regular providers? And really learning from them about what kinds of things healthcare might provide, that might be of help to them.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

The Clinical Problem Solvers

FEBRUARY 8, 2023

A more Western perspective on health care emphasizes the role of physicians and health care providers and marginalizes the role and contributions of doulas and midwives. One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Families Family Physicals 137

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. Relationships are usually more complicated.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. ” So there’s this combination of it’s hard to build that insight or it’s maybe not as common as we as providers think it is. AMA PRA Category 1 credit(s) ™.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. And I think the question for our field is, is that because the estimates that we have of GFR based on creatinine provide misrepresentation or an inaccurate representation of someone’s kidney function.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

Medical 97

Medical IT Patients Clinic 97

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

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.

Illness 136

Illness Patient-Centered Screening Clinic 136

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) ™. She helped them do something about it.

IT 126

IT Patient-Centered Illness Education 126

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

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 ). Providers are not providers that people want answers and determinations and decisions.

Provider 117

Provider Illness IT Healthcare 117

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?”

Family 97

Family Families Patient-Centered IT 97

GeriPal

JULY 28, 2022

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? And my article is about when I was a mid to junior faculty member trying to build this career.

Illness 110

Illness Hospital Patient-Centered Patients 110

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? It’s just that he was foregoing things that we think would have provided him more benefit. Why did you even decide to write this article? Laura 10:36 Yeah, I was just.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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? And so I let him educate me. Potentially harmful elements of that coping mechanism for your relationship with your four year old. I sort of called out the coping. Alex 17:20 Yeah, not as healthy.

Illness 125

Illness IT Patient-Centered Patients 125

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 the palliative care service doesn’t necessarily need to provide those potentially. Some will have stronger relationships with hospice.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. 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 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. I thought I was going to be a professor or educator, decided I didn’t like that. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

SEPTEMBER 7, 2023

So I would say that a lot of the education we received were on cutting edge research and the latest drugs in clinical trials, the latest cellular therapies that are coming out. But I mean, I would also add that not all of the responses to the PGA, and to the provider part that is completed, are coming from the patient.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. I thought I was going to be a professor or educator, decided I didn’t like that.

IT 105

IT Patient-Centered Healthcare Illness 105

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. So when they do meet it, how are you going to be in relationship to it? Gordon Alwasa. I always get.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

AUGUST 11, 2022

There was a Stanford article talking about you as a pioneer in this field. Brian: I guess I’m thinking about hearing all this as a more recent product of medical education here. And learners were excited about it and interested in it because a lot of these people were fantastic educators. Susan: Thank you. Susan: Great.

Illness 109

Illness IT Families Family 109

GeriPal

APRIL 10, 2025

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. We weren’t randomizing providers or patients. The one thing that we know is that education alone will not actually deliver behavior change. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 27, 2025

But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. But that was my take home from Danny’s article. Like if a person has an issue, struggle with alcohol, I’m not their alcohol provider, but I may be their opioid provider.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 11, 2024

Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. But there was this expectation once the Supreme Court ruling went through and as legislation was being developed that palliative care physicians would be the ones providing this. AMA PRA Category 1 credit(s) ™. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. We’re going to be linking to two important JAGS articles that our guests wrote just recently in JAGS. To learn more about CME for other GeriPal episodes, click here. Kate 01:09 Yeah.

IT 66

IT Patient-Centered Individual Screening 66

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

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. They may have a long relationship with that cardiologist, so it requires some collaboration.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? From just the abstracts we had so many questions. I’m Na Ouyang.

Consulting 63

Consulting Community Patient-Centered Family 63

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

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