GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 82

Individual Community IT Chronic Condition 82

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

JANUARY 25, 2024

In their communities? I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are. They’re mostly living at home and living their lives in the community.” With their regular providers? Lyndsay: Yeah.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. So it really helped form community between patients and helped build community with the palliative team that was involved. Because we don’t.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together? Eric: Okay.

Consulting 116

Consulting Patient-Centered Patients IT 116

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 116

Community IT Relationship Healthcare 116

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. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

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

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. You did a rural tele-palliative care consultation study. NCP guideline, standard consultation.

Consulting 64

Consulting Community Patient-Centered Families 64

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. The social determinants of health and what community well being was a big part of. those experiencing homelessness).

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so we do have consultants who come in the building. And usually it’s simply for a consultation. Reasons why people thought about consulting palliative care. But we, we do a lot of, a lot of care in the facility. Connie 21:45 Right, right.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MAY 4, 2023

How do we see each of you as individuals who are having your own struggles? Eric: Yeah. I wonder from a provider perspective, if you’re open to talking about your team. From a personal emotional perspective, what do you think makes it hard? All of a sudden, I was like, wow. It’s everywhere. Alex: It’s so deep.

IT 83

IT Families Family Illness 83

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera.

Families 98

Families Family Patient-Centered IT 98

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. It’s by choice, just like in the community. Michele: Thank you for having me. Eric: And you’re also the medical director of the hospice unit here.

Families 133

Families Family IT Community 133

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

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. We tested two different nudges individually and then we combined them. What is sludge?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Eric: Great. Now it’s 70%.

IT 115

IT Provider Patients Families 115

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” So lo and behold, that’s how I met Thor. We have some sites that’s volunteers.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Eric: And what do we know about the outcomes of individuals getting these procedures, especially those with cognitive issues and dementia. Welcome to the GeriPal podcast, Samir. Samir: Thanks, Alex and Eric.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. It sets space between us and the individuals we’re trying to take care of. How do you see the light? It just depends.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” So lo and behold, that’s how I met Thor. We have some sites that’s volunteers.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

DECEMBER 14, 2023

There’s obviously private hospitals, academic hospitals, community hospitals. And so the combination of the institutional structures, as well as the extreme cases that each individual doctor feels will actually help create this different culture, be it high or low intensity. Did we really do right by this person as an individual?

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

JANUARY 11, 2024

And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing. So it started off for individuals with a terminal illness. So there’s some concern, yeah. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. For those individuals, how do you think about that? And we’ve been consulted multiple times. And then we sign off and then eventually get consulted again because the team put him on IV Dilaudid. I think it is just about any clinician.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

MARCH 10, 2022

That’s a problem in our healthcare financing system. I was like, how do you disseminate this knowledge out to these community nursing homes in rural Georgia so that people know about this? We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. It’s not case finding.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

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. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Alex 10:40 Wow.

Families 108

Families Family Patient-Centered Patients 108

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. People are coming from the south, they’re coming from the islands for their surgeries or for their rare disease consultations or their specialty follow ups for really advanced or difficult cases.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

DECEMBER 12, 2024

And really they’re trying to understand what reasonable quality of life can this person expect to achieve and just agonizing over those decisions, over every individual decision. We do consults all the time on these where different people will say, no, it makes sense to try. Do we do antibiotics or no antibiotics? It may not be.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. But in California where I practice medical aid and dying is legal and similar to other issues that are controversial in some places, many physicians do not prescribe or do visits for medical aid and dying consultations. Eric: Well, can I ask about that, Joe?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73