GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

My Green Doctor

JULY 2, 2025

It is time to transform healthcare systems to be climate resilient. This means: Training healthcare professionals to understand and manage the growing connections between the environment and illness. Investing in climate-smart healthcare infrastructure—clinics that can withstand extreme heat, storms, and flooding.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. Eloise, welcome to the GeriPal podcast. They just kept at it.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

AUGUST 11, 2022

– Serious Illness Conversation Guide podcast. What I fell in love with and felt incredibly compelled by was the taking care of seriously ill patients and particularly helping them negotiate emotionally the experience of being very seriously ill. AlexSmithMD . Links: – PDIA Faculty Scholars Program. Transcript.

Illness 109

Illness IT Family Families 109

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

GeriPal

NOVEMBER 17, 2022

I got a background in [inaudible 00:15:46], a background in public health, background in social work. And when I was getting my PhD, I wanted to find something that spoke to me, and I had been doing clinical work in nursing homes. But why I decided to look at medical and mental health care and assisted living.

Community 97

Community IT Mental Health Medical 97

GeriPal

JULY 11, 2024

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. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

Individual 85

Individual Community IT Chronic Condition 85

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 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

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. 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. Pain Manag Nurs.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. Alex: And are the regulations similar or different in terms of six month required prognosis or less, should the disease take its usual course, or illnesses leading to a short prognosis? We have about 450 inpatient mental health beds. There are clinics.

Family 132

Family Families IT Community 132

GeriPal

APRIL 6, 2023

We just couldn’t find one that quite fit our needs, and I’m sure that they differ to some extent by the clinical context, so we reviewed a bunch of categorizations that were in the literature and this was the most parsimonious group that we could come up with, that I thought captured the core elements of spirituality.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. They wanted you to be respectful of their cultural beliefs and their, you know, faith beliefs that were driving their health and illness.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. But that is really the nature of this experience.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

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? Does this issue ring true to you clinically? Alex 08:36 Right.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108