GeriPal

JANUARY 23, 2025

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. Emily 06:11 Yeah, we definitely have a pill for every ill. Maybe even had come in with a complication. We’re starting to adopt them as well for different cultural communities.

Specialization 119

Specialization IT Patient-Centered Medical 119

Physician's Weekly

JUNE 23, 2025

I witness firsthand the joy of well-child visits, the challenges and resilience of patients struggling to control their diabetes, and the Medicare annual wellness visit, all of which represent the collective effort to safeguard individual and community well-being. Outbreaks become more likely, and disease spreads more easily.

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Vaccination Community Individual Illness 80

GeriPal

MAY 19, 2022

And really, the best that had ever been looked at, especially in our population and sort of a cancer serious illness population. 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. Landmark study.

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IT Patients Individual Relationship 139

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. Eric: And swallowing is complicated, right? We have patients who are acutely ill, pulmonary consequences can be really, really serious for a lot of our hospitalized patients. Eric: Because you need saliva to swallow, right? Nicole: Yes. Nicole: Exactly. Raele: Yes.

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IT Patient-Centered Hospital Individual 124

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. .

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Community IT Mental Health Medical 97

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. For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized.

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Family Physician Preventative Care Preventive Care Family 100

GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? And I can only imagine that’s even more complicated in the cancer patient population, where we’re asking them to do so many other things as well. Listen in to learn more!

Diabetes 74

Diabetes Management Patient-Centered Family 74

Doctors for America

MAY 30, 2025

As physicians, we know that access to these evidence-based tools to prevent severe illness, disability, and death, are essential to the care of our patients and our shared goal to improve the health of all Americans. Millions of Americans continue to live with complications of this disease and long COVID.

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Vaccination Medical Student Patient-Centered Community 73

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Remember, our community pediatricians, family medicine doctors, are brilliant. It’s a burning sensation in the chest or epigastrium, and that is the classic symptom in this age group. They can handle this problem.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Mesa Family Physician

MARCH 6, 2025

Unlike appointments that address specific illnesses or injuries, preventive care visits focus on screening for potential health issues, assessing your overall wellness, and helping you establish healthy habits before problems develop. A preventive care visit serves as one of the most valuable tools for maintaining your long-term health.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Thank you for that gift to our community and to the patients. Yeah, yeah, exactly.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 9, 2023

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). Psychedelics have been used by communities around the globe for hundreds of years (or more). Alex: It’s complicated.

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Patient-Centered Community IT Medical 91

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. In their communities? The article we discuss today, also published in JAMA , addresses these two gaps. With their regular providers?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. Complicated grief? Did the caregiver feel heard and understood?

Community 96

Community IT Patient-Centered Primary Care 96

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

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community. Raj: So in Kerala, because it started with the involvement of laypeople, we included the community in care because the existing system had no space for this.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Abby: I think Andrea, you’re hitting on adolescence is super hard.

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IT Family Families Illness 83

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. So we’re going to be today talking about serious illness palliative care in the homelessness population.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? This is Eric Widera. Alex: This is Alex Smith.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

FEBRUARY 23, 2023

Anne Kelly: And I might add to what Anne just described in saying, I think part of the way we got to talking, getting to be able to engage the family is because we took some time to really improve our patient’s illness understanding. Eric: Lynn or Anne? Anne Rohlfing: I just want to piggyback. ” Thank you for explaining to us.

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Family Families Patient-Centered IT 98

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. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. Participants were critically ill and intubated. What is sludge? Eric 01:01 So we got a good topic today.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And oh, guess what?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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. Eric: Well, Terri and Emmy, thank you for joining on this podcast. “Do you guys do this?”

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IT Family Families Diagnosis 102

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. 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.

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Medical IT Patient-Centered Healthcare 99

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. He looked very ill. Bubbles Up is following Bubbles Up as the song will elucidate. How do you see the light?

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Provider Illness IT Healthcare 117

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. What I’m saying is the entire field of serious illness care has for decades been plagued by a really weak evidence base.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 25, 2022

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. I think there just needs to be, in the case of people with dementia, that just better care along the trajectory of illness.

Family 106

Family Families IT Patients 106

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so I specifically chose hospitals that were at different intensities of care based on the Dartmouth Atlas around serious illness and end-of-life care.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. Lauren: Yeah. That’s just one hypothesis. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. There’s so many things that are happening, but I think we’re still just learning as a community to bring all of the professions together, all of our wisdom with the wisdom of the people to really learn, how do we actually address that? Pain Manag Nurs.

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IT Family Families Physicals 137

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Relationships are usually more complicated. We’re looking at community based organizations and we’re just going to keep synthesizing this to try and construct a picture of music in everyday life.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. It’s complicated because right now there’s no mechanism other than cost avoidance. Alex: We had you on just recently, the podcast. We’ve had you on twice before. Kate: Sounds right. Alex: Thank you.

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Consulting Patient-Centered IT Patients 115