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.

Families 112

Families Family Patient-Centered IT 112

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. That’s a pretty big palliative care study. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

FDA Law

NOVEMBER 29, 2022

CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. The recommendations do not apply to inpatient hospital care, in the emergency department or other observed settings. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R., MMWR Recomm Rep 2022;71(No. RR-3):1–95. 2022 Guideline”).

Patients 52

Patients Patient-Centered ER Individual 52

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. Health care system drives where you end up, which hospital, which state you live in.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Families Family 119

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. Ruth: Yeah.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 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. Like, does that indirect? Is that also a trauma? Kate 41:32 Yeah.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

JANUARY 18, 2024

Most palliative care clinicians would refer back to their primary care provider and not change their hydrochlorothiazide dose or add another agent. The thing I want most is more research in this space to be able to integrate addiction treatment into palliative care. Most oncologists would say no.

Illness 136

Illness Patient-Centered Screening Clinic 136

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. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. Ivermectin to treat cancer. Stem cell treatments. Chelation therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. In the primary care practices that received the advance care planning intervention, rates of advance care planning were higher (about double). Eric 06:26 Great.

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. So most of us in primary care, it’s probably even worse. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal.

Illness 130

Illness IT Physicals Patients 130

Common Sense Family Doctor

MARCH 23, 2025

The proliferation of clinical practice guidelines of varying quality and conflicting recommendations has led to calls to systematically evaluate guidelines for their impact on patient outcomes. You need not be ill enough to be hospitalized or care about practice guidelines to suffer if AHRQ is eliminated for good.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52