GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. Summary Transcript Summary. And so that was one, very interesting to me.

Management 122

Management IT Medical Patient-Centered 122

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. Eric: Oh, wow. We’re doing a number of work.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

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. And also I was in the HVMA primary care program. He’s in Boston. Eric 12:21 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. We got a couple of articles to discuss and a lot of different components of this.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. So this point led us to select these articles. Eric: That’s exciting.

Complication 52

Complication Patient-Centered IT Patients 52

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7) 228 (82.6)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MAY 18, 2023

Eric: And in the article that’s being published in JAGS, you have multiple tables. Eric: So I guess it was table two in the JAGS article is about potentially inappropriate drugs. The review articles, the case studies, opinion pieces, things like that. So we’re trying to find articles that maybe support.

Medical 97

Medical IT Patients Clinic 97

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 5, 2025

How to think about primary and specialized palliative care in this setting. The obstacles hindering referrals to palliative care services. Practical strategies to overcome these barriers and enhance care. JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . There was a Stanford article talking about you as a pioneer in this field.

Illness 109

Illness IT Family Families 109

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. It’s been a while since we’ve done a Covid/bioethics podcast (see prior ethics podcasts here , here , here , and here ). Eric: Yeah.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. And I get to play a Bob Dylan song that’s been on my bucket list to learn.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.

Family 132

Family Families IT Community 132

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? Why did you even decide to write this article? And we were able to engage in a conversation about providing him the best care possible while he continues to engage in this therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. We’re going to be talking about trauma informed care.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

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 ). I’m unsure what they do, how often they’re used, and who pays for their work.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. Eric: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So we did have a clinical decision support pop up that said, hey, this patient has serious illness, why don’t you go have a goals of care discussion? Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). I would look at their functional ability. Eric: Sharon.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MARCH 10, 2022

And to keep it short work for an article. It improves symptom management. That’s what nursing and nursing homes should be really, really good at: is providing nursing care that creates comfort. Yeah, it’s a challenging concept to define and to put in a simple phrase. Ruth: Mm-hmm (affirmative). Eric: Yeah.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 1, 2025

A review article, which I still like to go to. It is kind of weird that my first publication was in jama, part of the Care of the Aging Patient series. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. Eric 11:14 Yeah, we go way back.

Primary Care 94

Primary Care IT Provider Clinic 94

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

APRIL 20, 2023

So someone who’s got, let’s say, a psychotic disorder and a substance use disorder, those services are going to be pretty intense case management to help them just manage their life. But nothing in healthcare. We’ll have all of the articles we talked about on our show notes. But it’s not a drug.

Mental Health 123

Mental Health Community IT Individual 123

GeriPal

JUNE 6, 2024

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. So most of us in primary care, it’s probably even worse. And I work right next to Don at the time. He was like, yeah, tell me about it. We just don’t have time.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 20, 2023

You wrote the SF Chronicle article on an op-ed. Carly: Absolutely, and I will say we had a really hard time narrowing it down to these three because amongst those of us who wrote that article, we can think of hundreds of people. They couldn’t get a case manager to refer them in palliative care.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73