GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. And so I really gain that and I love the chorus words that she uses in this song.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And I’ve gotten really close to that family.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Clinical experience. Maria 29:14 We’ll be more statistical than clinical, I think. Most patients don’t recover.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . What are your thoughts about using humor to convey ideas, thoughts, clinical work? Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” That’s scare tactics.

IT 145

IT Hospital Patients Illness 145

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. A pill organizer, having family. Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. Emily 03:59 Medicine is both a science and an art. We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. Ricky 11:23 Yeah.

IT 107

IT Community Patients Family 107

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Their family members want them to get out of the hospital sooner. Prior-auth forms?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Alex: What happens when people survive?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 13, 2025

And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. Later on, of course, we added health professionals to, you know, give us more information. And my community and about my family and those kinds of things. Our consultation. Marie 11:03 Yes.

Consulting 63

Consulting Community Patient-Centered Family 63

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. Ashwin 18:08 These are things that we often see from a clinical standpoint.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. But once I got into medicine, I found myself attracted to the field of psychiatry.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 3, 2024

How the act of drawing can help us sloooow down, pay attention to the people and world around us, and ultimately let go… The possibility of incorporating drawings in research and even clinical care. And I think up until the time when my aunt was passing, I had been very afraid of the idea of death in my family. That was it.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 31, 2022

Marilyn: Well, I lived in a three generation family and my grandmother was an English teacher, and my mother was a teacher and everybody read. And so poetry was just part of the family discourse. So all of that, the language dimension of clinical work is, it seems to me very much more fine tuned or refined. Since a kid?

IT 70

IT Patients Medical Illness 70

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. Thaddeus 00:46 Thank you.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” I was a clinical ethics fellow at Baylor College of Medicine.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Alex: We are delighted to welcome Bryanna Moore, who is a philosopher and bioethicist, and she’s at the University of Texas Medical Branch where she also directs the clinical Ethics Fellowship. He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? The folks that we were seeing either in clinic or inpatient, were probably a lot sicker than the ones that we’re seeing now.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Eric 18:14 Elizabeth, how do you bring it up in your clinic?

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. And also, you know, do they know of anyone, friends, family, coworkers who’s been attacked, were assaulted as a part of these incidents? We do talk about healthcare policy. We do a lot of clinical focused discussions.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

APRIL 21, 2022

Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? You basically don’t even ask the family, you just stop the bleeding.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108