GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Psychedelics have been used by communities around the globe for hundreds of years (or more). I’m part of a clinical trial that’s housed at the Lundquist Institute down at Harbor-UCLA.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 114

Community Transportation IT PCP 114

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

FEBRUARY 6, 2025

How should we screen for cognitive impairment? So let’s just say you have a healthy 55 year old or 65 year old in your clinic. 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. Nate 05:29 Ooh.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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

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. Ali John 24:35 In clinical trials. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

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. See screenshot below. James: Yeah.

Clinic 67

Clinic IT Patients Medical 67

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

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

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 64

IT Hospital Screening Patients 64

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

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. Alex 16:45 That really rings true with my clinical experience. And I know I do primarily inpatient work.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It is a screening? laughter] Eric: I feel like there are a lot of cool chaplaincy acronyms. Lexy: Great.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 8, 2024

She softened to her suffering, and she trusted me enough to have a moment, that she could look into that and see that, yes, she had her clinical judgment, which was fine, but also that there was another processes going on, which was her own suffering. ” That’s not a spiritual screen. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

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. Alex 19:12 And what’s the clinical takeaway from that?

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. I think it started off from a need, a hunger in the community.

IT 107

IT Community Patients Families 107

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. What are your thoughts about using humor to convey ideas, thoughts, clinical work? The best ideas for research come from my clinical experience. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 22, 2025

Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? You might see me on the TV screens next year. We’re looking at community based organizations and we’re just going to keep synthesizing this to try and construct a picture of music in everyday life.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JULY 28, 2022

I had it on my screen. 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. Maybe I could turn to both of you how you got interested in this. What was the title of it, again? A career changing trip to Seattle.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 5, 2025

So they were a lot of preoccupied with other tasks, but clinical gestalt. Yes, I know Lynn Flinton, who’s a frequent guest host of this podcast, was actually one of the interventionists in her studies is like, would be the palliative care doc who’s looking on a screen and being wheeled into somebody’s room on a monitor.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Ruth, you’re involved in including it in the nursing curriculum. What does that actually look like?

Healthcare 129

Healthcare IT Education Community 129

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. My mom, who’s half chinese and half hawaiian, helped rally the asian american community in Michigan after the Vincent Chin incident.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

MAY 1, 2025

Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Millions of lives are at stake. Meredith wore a shirt that said Silence=death.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

APRIL 21, 2022

I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? I think that we forget that the clinical encounter is very often just two people in a room experiencing each other, and that that’s what is the beginning of that sacred space of healthcare and healing.”

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

I would talk about this, except I was a clinician, and I’m seeing these folks in the hospital and in clinic. 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. Not true, actually.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

AUGUST 1, 2024

So I’m hearing, and I’d love to talk about specific diets and maybe the evidence for them, but before we do that, how should we ask about this in our clinics? Eric 18:14 Elizabeth, how do you bring it up in your clinic? So fourth year is where you start your clinicals. Emily, I got a question for you. Alex 18:25 Yep.

IT 116

IT Diabetes Patient-Centered Chronic Disease 116

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. So what that means is I take care of you just in my clinic, just in my hospital. ” Diane: Fantastic.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. And by the way, we have really good reason for that because this isn’t like a prescribing clinician within a clinic or an outpatient clinic or something. From a clinical perspective, it makes no difference. Eric: Yeah. Go ahead Eric.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73