GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. People don’t ask about it, they don’t screen about it. Eric 04:51 Yeah.

IT 125

IT Screening Patient-Centered Community 125

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. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. We’re going to be covering it in both cancer and in aging.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 6, 2025

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? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

FEBRUARY 8, 2024

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. Eric Cassell’s article, The Nature of Suffering, that you might think suffering would appear in the definition of palliative care. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

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 130

Patient-Centered IT Patients Clinic 130

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 123

Patient-Centered IT Illness Patients 123

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 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

MARCH 9, 2023

Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Theora: Bryan shared that article with me.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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 68

Clinic IT Patients Medical 68

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 123

Management IT Medical Patient-Centered 123

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. 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? What year did your New England journal article come out, Jennifer?

Illness 111

Illness Hospital Patient-Centered Patients 111

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 67

IT Patient-Centered Individual Screening 67

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 109

Illness IT Patient-Centered Patients 109

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Let me share my screen here. And the editors know how to get people drawn into that article. See, I’m still struggling exactly what to call this.

IT 145

IT Hospital Patients Illness 145

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 I was asking this patient about if he had filled out an advanced directive.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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 122

Consulting Hospital Patient-Centered IT 122

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. Like an AI robot goes in the room with the screen and that links to the human palliative care provider and is also the companion. right there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

It is a screening? And so then it would be nice to have those other than the chaplains, be aware of the spiritual component and then just ask some basic screening questions. And the screening questions would just allow you to know that. Who does the assessments, who does screening? I guess FICA is not as cool as SKY.

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 100

IT Community Patient-Centered Medical 100

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. One of my favorite quotes that we used in our article is one by Toni Morrison where she talks about, you know, narrative creates us at the moment that we’re. That we’re creating it.

IT 108

IT Community Patients Families 108

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 they had requested in their cultural tailing that the physician wore a white coat when he was going to be seen on the screen. I’m Na Ouyang. Eric 00:42 Great.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

SEPTEMBER 8, 2022

And I got from your article, while the peaks follow this pattern, people feel a lot of different things where it just reminds me of the times I’ve grieved. The post Prolonged Grief Disorder: Holly Prigerson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Or do we have any?

IT 100

IT Complication Relationship Specialization 100

GeriPal

MAY 29, 2025

From perhaps the most sensitive instrument that we can get the family members report, while at the same time trying to sort of screen out potential false positives that are due to false hope or something like that. Eric 17:28 But what if it’s the other? Andrew 17:29 That’s what fascinates me. That was like, a terrific summary.

Families 94

Families Family IT Patient-Centered 94

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. Because it’s also not just about comfort, because there’s no demonstrable survival or other meaningful benefit for feeding tubes.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 18, 2024

Because I remember there was an article maybe six months ago in JAGS, maybe it was longer than that, everybody was talking about ChatGPT-3.5, And our point, in this article, is that it’s an inherently unsafe system because humans suck at that. Let me ask you a question. And they suck at it for a lot of reasons. Bob: Be well.

IT 140

IT Electronics Patients Healthcare 140

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 130

Healthcare IT Education Community 130

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. So the reasons for not screening are time constraint.

Mental Health 118

Mental Health Community Screening IT 118

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? So that is why there are different screening guideline recommendations around osteoporosis. Eric 11:14 Yeah, we go way back. And I also remember. Meredith 11:29 Yeah.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

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). We haven’t decided exactly when we’ll publish this podcast, but we may delay it until that article comes out. 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 124

Mental Health IT Community Individual 124

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. Lon: No, that’s a straight out screen. Specifically their position is beta-amyloidosis.

IT 117

IT Clinic Illness Hypertension 117

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over.

Patient-Centered 126

Patient-Centered IT Families Family 126