GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Communication techniques we can use when talking to individuals with hearing loss. COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Transcript.

IT 102

IT Screening Hospital Clinic 102

GeriPal

NOVEMBER 9, 2023

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. We’re doing a lot of interactive relationship building. See also the long list of disclosures in the JAMA Network Open study. ” They can coach you.

Board-Certified 109

Board-Certified IT Primary Care Referral 109

GeriPal

JULY 10, 2025

Eric 00:13 And Alex, today we’re going to be talking about individualizing blood pressure in older adults. Before we talk about individualizing blood pressure, let’s talk about what is hypertension? It wasn’t a randomized controlled trial, but took individuals in rural villages in China. This is Eric Widera.

Individual 68

Individual Hypertension Patient-Centered IT 68

GeriPal

JUNE 8, 2023

And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes. So I’m more familiar with patients who develop diabetes after treatment, but I’m really interested in learning about patients that Nadine cares for.

Diabetes 73

Diabetes Management Patient-Centered Families 73

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 90

Board-Certified IT Community Medical Student 90

The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

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. And really learning from them about what kinds of things healthcare might provide, that might be of help to them. AMA PRA Category 1 credit(s) ™.

Patient-Centered 121

Patient-Centered IT Illness Patients 121

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 104

Telehealth Patient-Centered IT Patients 104

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 136

IT Families Family Physicals 136

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Eric: Which brings us to an article. Jessie: Exactly.

Illness 135

Illness Patient-Centered Screening IT 135

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?”

Families 97

Families Family Patient-Centered IT 97

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Wonderful work. Every Veteran has a story.

Patient-Centered 114

Patient-Centered Illness Healthcare IT 114

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 112

Primary Care Patient-Centered IT Patients 112

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 104

IT Patient-Centered Healthcare Illness 104

GeriPal

MAY 18, 2023

Eric: And in the article that’s being published in JAGS, you have multiple tables. I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on.

Medical 97

Medical IT Patients Clinic 97

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 ). It sets space between us and the individuals we’re trying to take care of.

Provider 116

Provider Illness IT Healthcare 116

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. Alex: We are honored to welcome Dr. Rajagopal, who goes by Raj, who is the author of Walk with the Weary: Lessons in Humanity in Healthcare. We know that a department of healthcare cannot give it.

Community 114

Community IT Relationship Healthcare 114

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) ™. Alex: Okay, interesting.

IT 125

IT Patient-Centered Illness Education 125

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) ™.

Families 111

Families Family Patient-Centered IT 111

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. The article was titled, “ Change is coming ” – which also gives you a hint as to today’s song request. Eric: Absolutely. I was going to stop at that point.

IT 91

IT Patient-Centered Healthcare Patients 91

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

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. Eric 11:50 I also have to ask, because we will have a link to this article. One of my favorite articles. Would you mind just describing what you did in that article? This is Eric Widera.

Management 115

Management Patient-Centered Patients IT 115

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. You’re talking about a paradigm shift in healthcare.

IT 103

IT Patient-Centered Families Family 103

GeriPal

DECEMBER 14, 2023

So we’re going to have a link to the article that you published in JAMA IM titled The Hospital Culture and Intensity of End-of-Life Care at Three Academic Hospitals. So before we talk about the results, can you give us a very brief overview of what you did in this article? Eric: Yeah, and for our listeners, excellent job, Kai.

Hospital 124

Hospital IT Patient-Centered Patients 124

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 109

Illness Hospital Patient-Centered Patients 109

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. I would say that. Ashwin Kotwal: Yeah, that’s right.

IT 98

IT Community Patient-Centered Medical 98

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. What were those spiritual domains? Is that your grandchildren?

IT 98

IT Patient-Centered Families Family 98

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. ” You recently published an article in the New Yorker titled, I can’t even read my own, what was the title again? Of course not.

Illness 135

Illness IT Patient-Centered Families 135

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. And you can’t really predict how each individual might react to the same experience.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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? Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. Why did you even decide to write this article? We wanted the definition to be pretty broad of what a pull.

Patient-Centered 76

Patient-Centered IT Patients Illness 76

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. Individuals over 65 years of age at home Yes 23 (65.7) 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? From just the abstracts we had so many questions. I’m Na Ouyang.

Consulting 62

Consulting Community Patient-Centered Families 62

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 106

Illness IT Patient-Centered Patients 106

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 76

Patient-Centered IT Hospital Patients 76

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. It’s all individual. We could have talked for hours! And I get to play a Bob Dylan song that’s been on my bucket list to learn.

Illness 127

Illness IT Diagnose Medical 127