GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? Happy to be here.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

MAY 5, 2022

Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. Lastly, I also just want to give a shout out to the last article above which also includes this lovely checklist of methods to address hearing loss in clinical encounters. Transcript.

IT 102

IT Screening Hospital Clinic 102

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. David 00:26 Thanks.

Medical 98

Medical IT Patient-Centered Healthcare 98

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. David Bekelman conducted a RCT of a nurse and social worker telephone intervention (ADAPT intervention) for people with heart failure and lung disease (COPD or ILD). And then, you chose for the intervention to include a nurse and a social worker.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). Article on buprenorphine in the elderly.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens. Simple, right?

Families 144

Families Family Patient-Centered IT 144

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. It’s the same measure we used in the New England journal article.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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. 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

MARCH 24, 2023

For a deeper diver into these issues, check out some of the following links: Ira’s Stat new article “Hospice care needs saving” GeriPal’s episode on the growing role of private equity in hospice care Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations. Ira: I like the article. Thank you, Anne.

IT 113

IT Provider Patients Families 113

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. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Yael, welcome to GeriPal.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Eric: Which brings us to an article. Bragging rights.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! Bill: Thank you. Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. But that was my take home from Danny’s article. Janet, welcome back to the GeriPal Podcast. Janet 00:26 Thank you so much. Oh, my goodness.

Patients 72

Patients Clinic Patient-Centered Illness 72

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

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA. But wait, there’s a shiny new anti-amyloid drug, lecanemab! (No This is Eric Widera.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Marian: I have been a palliative care nurse practitioner for a number of years.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

DECEMBER 8, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. This is Eric Widera. Oh my gosh.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 10, 2022

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . And to keep it short work for an article.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation. So we know these patients are really, really sick.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It meets in-person, once a month, over nine sessions.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. 60% of all medical costs have nothing to do with your health diagnosis. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89

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 83

Patient-Centered IT Hospital Patients 83

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. These are oncology nurse practitioners. And I work right next to Don at the time. So I went right next door, and I was like, don, we don’t talk about this.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 29, 2022

So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. But that’s something that we never get taught in medical school, and it’s not a bad thing to negotiate with somebody.

Families 96

Families Family IT Patient-Centered 96

Medical Xpress

JUNE 23, 2025

The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room. Other factors including humidity, wind and peoples ages and medical conditions play a role in heat illness as well, Wood says. 40°C (101–104°F).

Illness 53

Illness Engineering Nurse Practitioner Medical 53

GeriPal

DECEMBER 21, 2023

But for other- Diane: And it’s on the medical side. They can be nurse if you want to. They can be advanced nurse practitioner. I think Care Ecosystem, it was the navigator patient dyad with a family member, but there was also a social worker, nurse and pharmacist that was part of this team. Malaz: The MVP.

Patient-Centered 125

Patient-Centered IT Families Family 125

Pamela Wible MD

JUNE 19, 2025

Published 2/5/19, updated 6/19/25) Rowdiest audience ever (at a medical conference at least). It’s now so common that more than half of all doctors report symptoms, with medical students , residents , and even senior clinicians feeling pushed to the brink. Among medical trainees suicide is the number one cause of death today.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on nurses and nurse aids so now you have to help deliver meals.”.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136