GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. I think this is…Treatment of community acquired pneumonia in just regular medicine awards, not in the ICU three versus seven days. Lona: Absolutely. Eric: Can I touch on the last study? Was there a difference Sonali?

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JANUARY 12, 2023

So that’s one, this patient-centered geriatric assessment and management approach. Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. And the goal is to maybe just form a community of people so that we can learn from each other.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

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 124

IT Hospital Patient-Centered Individual 124

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 yet we’re also in a different place in diabetes monitoring and management. Eric: And you can probably tell already, the topic at hand is diabetes management in late life.

Diabetes 73

Diabetes Management Patient-Centered Families 73

The Medical Futurist

JUNE 21, 2025

SkinIO , Scanoma , Miiskin , FirstDerm , Direct Derm , iDoc24 , and SkinVision all work based on the same principle: they promise patients the option to self-check their symptoms and then to connect to a dermatologist online for consultation within a very short period of time. If there were ever a time to join us, it is now.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

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 114

Community Transportation IT PCP 114

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

Individual 81

Individual Community IT Chronic Condition 81

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 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 25, 2024

In their communities? It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. They’re mostly living at home and living their lives in the community.” With their regular providers? Eric: Oh, wow. Lyndsay: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 10, 2024

If they don’t, they know how to get to community resources. DorAnne 30:25 I also wanna make a shout out for pain and symptom management with social work and chaplains. So we totally forget that all of us are symptom managers as well. The collaboration is actually the center. It’s like the jewel of what we do.

Screening 119

Screening IT Families Family 119

GeriPal

MAY 8, 2025

And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Due to this sense of allostatic overload, like you’re just overwhelmed and you don’t have the resources, the self efficacy or the self esteem to manage it. So 5ht2 was. Because we don’t.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

OCTOBER 24, 2024

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? I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

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 115

Community IT Relationship Healthcare 115

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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 100

Healthcare IT Community Illness 100

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 132

Patient-Centered Hospital Patients IT 132

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 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? They’re often angry.

Patients 72

Patients Clinic Patient-Centered Illness 72

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 99

IT Community Patient-Centered Medical 99

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 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 4, 2023

I will say one of the challenges in the field is many hospices don’t know how to take care of children or young people, and so you have these folks in the community who you’re trying to provide services to, and you just can’t connect them to the same types of resources you’re used to using. Who’s your community?

IT 83

IT Families Family Illness 83

GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. Eric 13:00 I also love that too, because even on our inpatient ballot of care consult service, whenever somebody says that they’re unrepresented or they don’t have a surrogate, we never believe that until we usually look up.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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 132

Families Family IT Community 132

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 115

Patient-Centered Illness Healthcare IT 115

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. Is that right too?

Hospital 125

Hospital IT Patient-Centered Patients 125

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. Now it’s 70%. Who sees you?

IT 113

IT Provider Patients Families 113

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. But you know, we managed to work it through and people got used to it and throughout the duration of the trial.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. What does it mean for functional status, symptom management, location of care? Yep, for geriatrics?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Welcome back to GeriPal, Tony. Tony: Hey, thank you. Welcome to the GeriPal Podcast, Marian. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 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. Eric: When I try to think about what a doula does, should I call it a consult? How do you see the light? It just depends.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 10, 2022

It improves symptom management. 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? Of intensively hand feeding? Ruth: It’s not incredibly expensive.

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. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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 102

Healthcare Professional Healthcare IT Relationship 102

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 106

Families Family Patient-Centered Patients 106