GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Eric: Which brings us to an article.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms?

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 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. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. If I remember correctly, I think the average was, people were screening positive for depression in this study. I guess, I’d say, and I said this in the article, we saw more movement on the FACT-G subscales of social and emotional quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. You might see me on the TV screens next year.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. It’s in the title of this article.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. I had it on my screen. 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. We’re here to talk about palliative care oncology.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. They communicated by looking at a letter screen and it would track his eye movements. Gordon Alwasa.

Illness 107

Illness IT Patient-Centered Patients 107

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. And so there’s complexity in Understanding how each state manages this. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. To learn more about CME for other GeriPal episodes, click here.

IT 66

IT Patient-Centered Individual Screening 66

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. And so I tried to get her actually to pain management, and I couldn’t. So basic pain management goals of care conversations.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

AUGUST 24, 2023

And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. And decided, interesting article, but it raised as many questions as it answered. ” And we began writing and we got our first grant.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 2, 2024

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. Did they screen charts? Alex, who are our guests today? If they had a busy day before this trial started, what did they do?

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. It is a screening? And the screening questions would just allow you to know that. Who does the assessments, who does screening? This is Eric Widera.

IT 99

IT Patient-Centered Families Family 99

GeriPal

APRIL 13, 2023

Thomas: But the person did screen and used a little bit of the and Social Network Scale and the UCLA Loneliness Scale. Like I said, the patient screened positive for it. I did actually go back in and administer scales at least one time. Ashwin Kotwal: Oh, wow. Eric: 2010 was so long ago, we barely had Amazon Prime then.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 10, 2022

And to keep it short work for an article. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. It improves symptom management. Yeah, it’s a challenging concept to define and to put in a simple phrase. Ruth: Mm-hmm (affirmative).

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

And on that, I found a link to this article by Rick Moody called Elders in Climate Change, No Excuses, in which he argues that elders are the group that benefited most from the massive consumption of fossil fuels in the post World War II eras. Ruth: That’s not prevention, that’s screening. What does that actually look like?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

MAY 1, 2025

A review article, which I still like to go to. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. Eric 11:14 Yeah, we go way back. And I also remember.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

APRIL 21, 2022

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). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Institute for Poetic Medicine.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And pointed out some of these inconsistencies with what was actually noted and concluded in some of the articles.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. We’ll have all of the articles we talked about on our show notes. Than someone who is perhaps dependent on all their ADLs.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

DECEMBER 1, 2023

This is directly from their article draft, which we’ll have on our website: Beta-amyloidosis, having amyloid in your brain or in high levels in your plasma defines the initially detectable stage of Alzheimer’s disease. I’ve got the Alzheimer’s that has me needing someone to manage my checkbook.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. Some of these models I think include more medication management, some of them don’t.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JANUARY 5, 2023

Yvonne Lindgren article mentioned on podcast. He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. Lisa Harris piece mentioned on podcast. SPONSOR: .

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JULY 14, 2022

Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care. The screening process is obviously shifted.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

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.

Vaccination 100

Vaccination IT Hospital Management 100

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.

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Telemedicine Telehealth Patient-Centered Board-Certified 73