GeriPal

MAY 19, 2022

So, Dr. McPherson, as far as I can tell, she’s really the only person in our professional community who in any sort of serious public way said, folks we need to do something about this. I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way.

IT 139

IT Patients Individual Relationship 139

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. But estimates in community dwelling older adults are around 15%. This is Eric Widera.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. So that’s one, this patient-centered geriatric assessment and management approach. Are they community dwelling? And that model just made sense.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

JANUARY 23, 2025

And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Of the medication.

Specialization 120

Specialization IT Patient-Centered Medical 120

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 116

Community Transportation IT PCP 116

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? For instance, Friday night, Saturday night parties are of community wide. Is that your feeling, too?

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

JANUARY 25, 2024

In their communities? It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. David: Right.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. And I believe it needs the community.

Community 116

Community IT Relationship Healthcare 116

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Eric: Yeah. Emmy: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Naheed 15:53 Yeah, yeah.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

APRIL 10, 2025

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. But yeah, it’s complicated.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. What are the patients that we remember? Abby: Yeah.

IT 83

IT Families Family Illness 83

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. Thank you for that gift to our community and to the patients. Eric 00:14 And Alex, this one’s been a long time in the making.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. ” Right? This is what we’re expecting.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MARCH 28, 2024

None of the changes that we saw in end-of-life care processes relied on specialist palliative care increases or resources, which is really important because seven of the 10 hospitals that participated were rural or community-based, which is where most Americans receive their care, and also where specialist palliative care is often most limited.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

MAY 26, 2022

There were community-minded motivations, there were motivations that were not having to do with health but having to do with, “So my kids won’t keep calling me and telling me I have to get vaccinated,” type motivations so. And on the prioritization front, I think we ended up being pretty skeptical.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. And oh, guess what? Ann: Yeah, I’ll let Tamra speak if you want.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

AUGUST 25, 2022

Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. As a nurse case manager in hospice, half of my patients had dementia. I just want to highlight some work.

Families 107

Families Family IT Patients 107

GeriPal

MAY 22, 2025

Our volunteers are starting to take over ownership of this program, so we’re kind of like building a team to help kind of maintain it, manage it, and make sure that everything’s on the up and up with it. Relationships are usually more complicated. And we’re. We’re sort of. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. There’s obviously private hospitals, academic hospitals, community hospitals. I guess the VA is federal though. Liz: Right. I think it constrains us quite a bit.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

MAY 15, 2025

Many were community hospitals. But for me, who’s practicing in North Carolina and not just at the main resource hospital, but also at the smaller hospitals, the community hospital, we look at this across the geography. But you know, we managed to work it through and people got used to it and throughout the duration of the trial.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Bubbles Up is following Bubbles Up as the song will elucidate. How do you see the light? The reality is how do you pay for it right now?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. Eric: Thank you Bill. So that would be wonderful.

Illness 144

Illness IT Medical Provider 144

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. And many of them do not feel comfortable going to yet another clinic.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. I don’t know how our patients manage that. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. The intervention itself is very straightforward.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115