GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. We were often the only ones left in the hospital.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. I see this in the hospital when I’m doing addiction medicine consults.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Also the same hospital system?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 9, 2023

Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice. It also feels like, I also grew up in med school in a three hospital system. Welcome to the GeriPal Podcast, Amber.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

APRIL 13, 2023

The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers. And so I was really thinking about why are some of my people that are hospitalized doing better than others? Eric: Do you think that’s common amongst providers?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JANUARY 18, 2024

Anybody with a DEA and… I should be very careful because this is different for physicians and advanced practice providers. And Katie, as an advanced practice provider, is much better than I am at explaining how this works. AMA PRA Category 1 credit(s) ™. As of December of 2022, there is no X waiver anymore.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 25, 2023

Health care system drives where you end up, which hospital, which state you live in. So if we said, like, did you make a decision while one of your loved ones was in the hospital, they would say, Oh, yeah, absolutely. We provide a $300 stipend for like food and marketing or whatever we provide all the materials needed for the event.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

AUGUST 24, 2023

And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. So tiny, tiny, in a hospital bed. ” Whereas for others, it is very much kind of a spiritual journey.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. It’s just that he was foregoing things that we think would have provided him more benefit. An increasing number of federal leaders have a track record of endorsing such products.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 16, 2023

And while I was in the hospital, I never actually got over, like you were talking about, Eric, my defensiveness, the sting to my ego and my character and my worth, enough to get to the place of thinking about how I could be a good doctor for him. Not my normal clinical practice. I started bending over backwards.

Patients 109

Patients IT Family Families 109

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. I think the very simple, practical thing is involuntary weight loss. AMA PRA Category 1 credit(s) ™.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. He really practiced what he preached.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

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 a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. This is what I do here.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. And that really is what prompted me to get certified as a sexual education provider. So provide multiple sort of concrete examples of what you’re talking about.

Illness 130

Illness IT Physicals Patients 130