GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Susan: Thank you.

Illness 109

Illness IT Families Family 109

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. 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.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. So before we talk about the results, can you give us a very brief overview of what you did in this article? So Liz, let’s jump into the topic.

Hospital 125

Hospital IT Patient-Centered Patients 125

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.

IT 105

IT Patient-Centered Healthcare Illness 105

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.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. That’s scare tactics. Eric: Yeah.

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IT Hospital Patients Illness 145

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.

Family 93

Family Families IT Patient-Centered 93

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. And decided, interesting article, but it raised as many questions as it answered.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. And it was born when I was a medical resident at UCSF Internal Medicine. One of the questions was, “Can you name a song by the Tragically Hip?” Transcript Eric 00:01 Welcome to the GeriPal Podcast.

IT 107

IT Community Patients Families 107

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.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Their family members want them to get out of the hospital sooner. Prior-auth forms?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. And to keep it short work for an article. Rehabbed to Death. Ruth: Aw, thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Alex: What happens when people survive?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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

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?

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation. We looked at reach. We did some qualitative. Basically vital talk.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. Eric 00:13 And Alex, we have a super special today, three different articles. This is Eric W id era.

Family 106

Family Families Patient-Centered Patients 106

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.” From you reading the 2022 article that was authored?

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 26, 2024

He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting. It’s all stemmed from a post that Josh wrote, I’ll caught from his Substack Notes from a Family Meeting. From you reading the 2022 article that was authored? Josh, welcome back to GeriPal.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. I’m hearing family and caregivers. Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

FEBRUARY 2, 2023

I had heard of course heard of imposter syndrome in the past but I didn’t make the connection to myself until I read this article and saw my thoughts printed on the page. Even declining to review an article for a journal is accompanied by some stomach knots (it’s so hard to find reviewers!)

IT 104

IT Medical Student Medical Families 104

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. Families have really checked up on their elders and really, again, sought to care for their elders in special ways during the pandemic.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

APRIL 21, 2022

Institute for Poetic Medicine. 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). We haven’t decided exactly when we’ll publish this podcast, but we may delay it until that article comes out.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable.

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Vaccination IT Hospital Management 100