GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). So you’re right.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JANUARY 12, 2023

Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics. Eric: And particularly, the one that seems the hardest is changing the physical environment. I spent so much time trying to talk to others to find out this information.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 20, 2024

George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways. And we can talk about that later in terms of potential clinical implications that may have code. How do you think about this from a clinical perspective when you’re seeing individuals in your office?

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JANUARY 23, 2025

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Eric 15:32 Could do this in clinical practice.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. So, the consult will come in and then we’ll do what we call a clinical bedside evaluation, where we’ll go and see the patient at the bedside. Here at UW Health, we call it our Swallow Service. We actually have even subspecialization, which is kind of fun.

IT 124

IT Patient-Centered Hospital Individual 124

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

GeriPal

JUNE 8, 2023

If in your own work, your clinical work, is this something that you see people struggle with you, you see yourself struggle with? So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids. Absolutely.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. So Carmen and Katie developed an EMS Community Partnership program. Word of mouth spread rapidly. And the number of calls for falls dropped.

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 25, 2024

In their communities? David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. They’re mostly living at home and living their lives in the community.”

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. Gender expression is your physical outward manifestation of how you express your gender identity. It was personal to me, but also right. Johnson, actually. Sorry, Martha.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

OCTOBER 10, 2024

And they begin on today’s podcast with one clinical ask: everyone should be a generalist and a specialist. social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. In other words, in addition to being a specialist (e.g. Naomi 01:09 Thank you.

Screening 120

Screening IT Family Families 120

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. Dr. James, welcome to the GeriPal Podcast. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So delivering those month visits in clinic, often in tandem with their other oncology appointments. Who will emerge victorious? So no differences between the modalities.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

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. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 8, 2024

I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is a difference, too, between physical suffering, and we have to also give that its dignity. I think there is definitely a place, especially physical.

IT 137

IT Family Families Physicals 137

GeriPal

FEBRUARY 6, 2025

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

FEBRUARY 29, 2024

But when we have people in rural areas of California, so we don’t know our clinical site, we go from San Francisco all the way to the Northern California border, super rural areas. So, I’m super proud of being able to reach out to people in rural communities. Lynn: I would question that today. Lynn: Great. Go for it, Anne.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

DECEMBER 8, 2022

And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. These were clinically significant and statistically significant improvements. I’m just stunned even writing that! Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

DECEMBER 15, 2022

And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare. So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 26, 2022

It wasn’t just to get healthcare workers to stay on the job, it was to thank them or recognize their service. Another area where this came up that I think has to just be clearly reciprocity is that people who were volunteers or clinical trial participants were often prioritized to some extent for COVID 19 vaccines. Alex: Yeah.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

MARCH 2, 2023

And so there are fewer opioids going out into the community, and we’re decreasing this risk of opioid use disorder, and all of the other things that have contributed to the opioid crisis. I understand that it can be a hard place clinically. Eric: Although pregabalin, right, more misuse of pregabalin out in the community.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

APRIL 3, 2025

It always has clinical relevance to practice today. So I’m going to ask Eric and Ken to identify their favorite topic that they’ve covered to discuss any of the updates that they’re thinking that can be relevant to clinical care of older people. Nancy 17:10 So there’s a follow up. Ken 26:02 Okay.

IT 64

IT Hospital Screening Patients 64

GeriPal

MAY 4, 2023

We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical social worker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). But when I have, I find that they’re often some of the hardest patients to care for. Welcome to the GeriPal podcast, Abby.

IT 83

IT Family Families Illness 83

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

GeriPal

MAY 22, 2025

A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones. I am not a board certified. Oh, my gosh.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Certainly a lot of communities we’re thinking about LA right now and the collective trauma that they’re experiencing from the fires. Eric 04:19 Yeah.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Was in Journal of Clinical Oncology and that was interesting. It was not plug and play, that we did see differences between the study groups that in that clinical trial, but it was really driven by the lung cancer patients.

Illness 110

Illness Hospital Patient-Centered Patients 110