GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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 123

Patient-Centered IT Illness Patients 123

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 Family Families 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 98

IT Patient-Centered Patients Board-Certified 98

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 110

Patient-Centered IT Patients Healthcare 110

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

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 117

Management Patient-Centered Patients IT 117

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 123

Mental Health Patient-Centered Illness Screening 123

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

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 119

Provider Illness IT Healthcare 119

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. And Katie, as an advanced practice provider, is much better than I am at explaining how this works. Jessie: Exactly.

Illness 137

Illness Patient-Centered Screening Clinic 137

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 98

Family Families Patient-Centered IT 98

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 111

Illness Hospital Patient-Centered Patients 111

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 113

Family Families Patient-Centered IT 113

GeriPal

SEPTEMBER 7, 2023

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. We brought up your JAGS article, which we’ll link to our show notes about some of the geriatric needs, falls. John: You know, Eric, I think it’s a definite possibility.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

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 79

Patient-Centered IT Patients Illness 79

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. So it’s a very scary culture for people who are not in healthcare.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

OCTOBER 5, 2023

We’ve invited Jacqueline Kruser and Bob Arnold on this week’s podcast to talk about their recently published JAMA Viewpoint article titled “ Reconsidering the Language of Serious Illness. ” Sunita: Honestly, I’d be happy to provide the vocals. And I wonder, because I read that need part a lot in this article.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? Tell me about your illness.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

JUNE 15, 2023

For example, there was one article that we reviewed for Jags where it asked great questions, they gave great prompts, and ChatGPT answered great questions about antipsychotics and gave a list of references to back up ChatGPT’s assertions. I think the AI can allow for that complexity but still provide some guidance.

IT 100

IT Patient-Centered Patients Healthcare 100

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. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life. ” So we kept going.

Hospital 126

Hospital IT Patient-Centered Patients 126

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 127

IT Patient-Centered Illness Education 127

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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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? Potentially harmful elements of that coping mechanism for your relationship with your four year old. What are you seeing in terms of the relationship between this patient and their family? Amanda 32:36 Yeah.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes.

Community 116

Community IT Relationship Healthcare 116

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 100

IT Community Patient-Centered Medical 100

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

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 109

Illness IT Patient-Centered Patients 109

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 114

Primary Care Patient-Centered IT Patients 114

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. 29% (n=86) of the participants were undecided about getting vaccinated.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

APRIL 28, 2022

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. And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. I think that as everyone is already starting to allude to, I think that there’s this in between space with adolescence and young adulthood that falls between our two areas of pediatrics and adult provider work. Eric: Yeah.

IT 83

IT Family Families Illness 83

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 74

Patients Clinic Patient-Centered Illness 74

GeriPal

AUGUST 11, 2022

There was a Stanford article talking about you as a pioneer in this field. It is an indicator that to provide the best care, we need to go deeper into trying to understand what the dynamics are there. My question is, what article are you most proud of? Eric: It’s definitely the American family physician article that you-.

Illness 110

Illness IT Family Families 110

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 122

Consulting Hospital Patient-Centered IT 122

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. I loved the relationship that we developed and the fun we had.

IT 105

IT Patient-Centered Family Families 105