GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. The results are… well… let’s just say less than perfect. Anne 01:41 Thanks.

IT 132

IT Illness Family Families 132

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 128

Illness IT Diagnose Medical 128

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. – Anticipatory corpse book mentioned several times on the podcast. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. .

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

DECEMBER 14, 2023

In his book The Hour of our Death Philip Aries described a long evolution in western civilization of cultural attitudes towards dying. More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. You’ve written in a lot of places, including your own books. This is Eric Widera. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today?

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. She covers topics on death, dying, and hospice from a hospice nurse perspective, and she also has a book coming out called “ Nothing to Fear: Demystifying Death to Live More Fully ,” which is now available for pre-order.

Education 127

Education IT Illness Healthcare 127

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Bennett, C.R., Schilling, L., Doorenbos, A. PMID: 26701962.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. And I started my career at Barnes-Jewish Hospital in St. But rarely does the podcast and clinical reality meet in the same day.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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. Raj: It was indeed very, very gradual, and the seeds were sown when I was a medical student. I have written about it in the book. Raj is an anesthesiologist turned palliative care doctor.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ?

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? His latest book is called Becoming Forest A Story of Deep Belonging, and he’s the founder of the Becoming Forest Project.

IT 104

IT Patient-Centered Family Families 104

GeriPal

DECEMBER 15, 2022

On today’s podcast we talk with Jason Karlawish, who we’ve had on previously talking about his book The Problem of Alzheimer’s and with Aaron Kesselhim, to discuss FDA approval of Aducanumab , as well as frequent guest and host Ken Covinsky. . Been in the hospital four times, vented, been told the story to her family, she won’t live.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. Welcome to the GeriPal podcast, Nathan. Nathan: Hello, excited to be here.

IT 145

IT Hospital Patients Illness 145

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. A “Three-Stage Protocol” for Serious Illness Conversations: Reframing Communication in Real Time Transcript Eric: Welcome to the GeriPal podcast. Simple, right?

Family 144

Family Families Patient-Centered IT 144

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? This is Eric Widera. Alex: This is Alex Smith.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

NOVEMBER 17, 2022

You’re independent, drive in and out, and the more help you need, so for example, now you need somebody to help with medication administration. But why I decided to look at medical and mental health care and assisted living. I mean we know medical care has been really important to people who live in assisted living communities.

Community 97

Community IT Mental Health Medical 97

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Yael 02:12 Thank you.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

OCTOBER 3, 2024

Our focus today, however, was on her most recently published book titled How to Say Goodby e. This beautiful book began as a very personal project for Wendy while she was the artist-in-residence at Zen Hospice. What is it about the images of the dying that helps teach medical students? She has a TED talk.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. I have this wonderful opportunity right now where I chair this Department of Health Social Work in Dell Medical School.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 30, 2025

Additionally, here are some of the resources we talked about during the podcast: Eduardo Brueras editorial that accompanies the JAMA paper titled Improving Palliative Care Access for Patients With Cancer Our podcast on Stepped Palliative Care with Jennifer Temel, Chris Jones, and Pallavi Kumar The book What’s in the Syringe?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. The illness narratives suffering, healing, and the human condition. ” BJ: Well, I fall back on using physiology in the sort of medical sense. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Family Families Illness 83

Tiny Physician

JULY 14, 2021

By the end of their internship a few undergraduate medical students would have decided on their favorite branch for residency, based on the limited experience that they had during their internship. There are standard prescribers available in book stores to help the residents.

Internal Medicine 52

Internal Medicine Medical Student Medical Patients 52

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? For more, Laura suggests a book titled, How to Talk to a Science Denier. Think vitamins. Think chemo. What counts as low-evidence?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. We’ll talk about is it in medical practice yet? It came after engaging her.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Medical Assistance in Dying and Palliative Care: Shared Trajectories Transcript Eric: Welcome to the GeriPal Podcast. And who’s a latest book is Dignity and Care: The Human Side of Medicine.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. Links to essays and books by Marilyn McEntyre. Patient Poets: Illness from the Inside Out. Alex: Patient Poets: Illness From Inside Out.

IT 70

IT Patients Medical Illness 70

GeriPal

MARCH 24, 2023

We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. So if you think about 100 patients per year, that you need to have some benchmark after going into business to care for so many terminally ill patients. Welcome to the GeriPal podcast, Joe. I’m excited.

IT 113

IT Provider Patients Families 113

GeriPal

FEBRUARY 20, 2025

And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

SEPTEMBER 5, 2024

Her most recent book is Elderhood. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985. He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. She didn’t die in the hospital.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 12, 2024

She’s a geriatrician and palliative care doc and is associate chair for professional development in the department of Psychosocial Oncology and Palliative Care at the Dana Farber Cancer Institute and Harvard Medical School. We were often the only ones left in the hospital. Jane, welcome to the GeriPal podcast.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Despite your background, Alex.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. Matt, tell me about the book that you just published. ” And we began this edited version of this book. Alex: Great choice.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102