GeriPal

MAY 11, 2023

It’s just another example of, I think, that there’s a little extra special sauce there in the Beeson program. There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. They’re not a lot of randomized clinical trials. One might argue they still are.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

OCTOBER 10, 2024

And they begin on today’s podcast with one clinical ask: everyone should be a generalist and a specialist. They are looking to build on both their research and clinical programs and are interviewing candidates for the Associate Chief of Research and for full-time physician faculty to join them in the inpatient and outpatient setting.

Screening 119

Screening IT Family Families 119

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. And so when you have that, that’s so good for the family. That’s so good for us.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. I’ll say it.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. Alex: How is your family doing?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. I heard that.

IT 132

IT Illness Family Families 132

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there. I started our liver embedded liver clinic about seven and a half years ago. We’re talking about liver.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. ICU care was pretty rudimentary.

Family 112

Family Families Patient-Centered IT 112

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting. Eric: So yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. What are you seeing?”

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 16, 2022

We’ve invited some very special guests to talk about the lower urinary tract – Christine Kistler and Scott Bauer. . Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. Scott: Yeah.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

APRIL 14, 2022

We got some really special guests with us. This is both a research and a clinical interest of yours. They don’t have an addiction clinic. Eric: My thought too is that there is this especially for palliative care clinics where we’re going farther and farther uphill, what defines a serious illness. Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. And that family was not necessarily a trusted network. Hillary: So those all differ.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

MAY 22, 2025

My voice is nothing special. 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. Alex 09:00 Not true.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

AUGUST 25, 2022

And yet, we know little about the clinical experience of people with dementia in hospice. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Eric: Alex, we have a super special today.

Family 106

Family Families IT Patients 106

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis? By prognosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. This is my early father’s day gift from the family. Welcome to the GeriPal podcast, Jennifer. Jennifer: Thanks. Welcome to the GeriPal Podcast, Areej. Eric: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. I’m just stunned even writing that! We’ve come so far as a field. Why another study?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And the medical approach to these patients was very limited, but people were treated in their homes, with their families, with enormous compassion and care, which is what was really the antithesis. And that did not seem right to me. And the focus was on their comfort.

Illness 109

Illness IT Family Families 109

GeriPal

MAY 9, 2024

Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. It’s just normal kind of talking to people because you are scuppered if you can’t connect with the patients and families in their home.

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 24, 2023

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. I’m very proud of the work that we do every day and we take care of patients and families no matter where they live or who they are to help them meet their end of life goals. How do we make this work for patients and families?

IT 113

IT Provider Patients Family 113

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. Well, I guess just over 20 years ago. I would put people on hold.

IT 104

IT Patient-Centered Family Families 104

GeriPal

JUNE 13, 2024

Alex 02:20 (singing) “ Well, you wake up in the morning you hear the church bell ring and they march you to the table to see the same old thing ain’t no food upon the table ain’t no pork up in the pan but you better not complain boy, you get in trouble with a man let the midnight special shine a light on me.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

APRIL 6, 2023

That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. 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. And I have the luxury in my clinic to see them back every few weeks and.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. They ordered mild to hot. laughter] Alex: Yeah. We mentioned her name before.

IT 126

IT Patient-Centered Illness Education 126

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 IT Hospital Patients 77

GeriPal

APRIL 28, 2022

What are your thoughts about using humor to convey ideas, thoughts, clinical work? I think that there are times when we use humor to cope, and that’s a special and very tender space for of people to share in, but is not something that you want to expose to the light of the world. That’s scare tactics. Eric: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. So we see a lot of problems with symptom management, a lot of family conflict. Many also suffer from distressing symptoms like pain. Kathleen 07:49 Yes.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. So has a special resonance for, I think, a lot of people who are Tragically H ip fans. There’s something magical that happens in small group storytelling. We model that small group storytelling experience today.

IT 107

IT Community Patients Family 107

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. ” I think that’s what I’m talking about with action, or it might be family leave policies. So unlike academic journals and elsewhere. Liz: That’s right.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

OCTOBER 6, 2022

Why is this different from clinical communication skills? If you can get into their attention with something that sounds like something they would want an extra layer of support, team-based care for them and their family. How can we bring in marketing strategies into our public messaging? Transcript. And nobody wants to talk about it.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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

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 16, 2023

We have two authors, books, op-eds, prolific authors, and today’s podcast is a two-part special. So this week we’re going to be talking about writing for the lay public, and next week we’ll be publishing a podcast on writing for healthcare providers. In clinic, I’m helping what, hundreds or thousands.

IT 105

IT Healthcare Professional Healthcare Transportation 105