GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 102

Community IT Individual Patient-Centered 102

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

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: So let me ask you this, Rale, because I feel like, it could be wrong, but the most common time where we start diagnosing dysphagia is during a hospital stay.

IT 125

IT Hospital Patient-Centered Individual 125

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Non invasive H. Non invasive H.

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.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

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. Our impact areas focus on access to affordable care, community health and prevention, and health justice and equity.

Vaccination 72

Vaccination Medical Student Patient-Centered Community 72

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 129

Illness IT Diagnose Medical 129

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. That patient past cache.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. 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. Happy pride and thanks for the invitation, Alex and E.

Individual 82

Individual Community IT Chronic Condition 82

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 111

Illness Hospital Patient-Centered Patients 111

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 129

Community Families Family IT 129

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

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. Somebody who’s older, maybe just diagnosed them with very mild dementia.

IT 102

IT Families Family Diagnosis 102

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

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

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. So we are going to leapfrog over the healthcare system education and we’re going to go straight to the citizens of the world and we’re going to give them the insider tips to how to improve their illness experience.”

Education 128

Education IT Illness Healthcare 128

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 74

Patients Clinic Patient-Centered Illness 74

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? But there was an impact on us as a team too. Eric: All right, Anne Rohlfing.

Families 98

Families Family Patient-Centered IT 98

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. The patient refuses to ever talk about the fact that this illness could take their life.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. We need to figure out how to create this community of palliative care social work scholars. It’s good.

IT 102

IT Families Family Clinic 102

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. This is the non-medical part of someone being ill. How do you see the light? This is not that.

Provider 119

Provider Illness IT Healthcare 119

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. People across all diagnoses want hospice care. Really, the inputs into care and some of the outcomes that patients have experienced.

Families 107

Families Family IT Patients 107

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%.

IT 115

IT Provider Patients Families 115

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Those have a very, very long time horizon.

IT 95

IT Clinic Screening Patients 95

GeriPal

OCTOBER 3, 2024

I wonder if you could say a little bit more about the meta Institute in particular and what it is that clinicians today can do to learn, to be more present and learn about the need to be thoughtful and compassionate in the care that they provide people with serious illness. Frank 08:43 Well, briefly. Where can they go? Lingsheng 43:28 I did.

IT 123

IT Patient-Centered Patients Relationship 123

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with severe mental illness (SMI) who develop dementia are a particularly complex and understudied population with various healthcare needs. Population Studied: Individuals living in the community aged 65 and older, diagnosed with SMI, who received a first dementia diagnosis between January 2013 and December 2015.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

GeriPal

AUGUST 8, 2024

And I think, oh, there was something she did besides getting cancer and dying, which requires such a focus, you know, cancer and terminal illness of any kind. You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. So green burial, I think, works very well.

IT 125

IT Families Family Relationship 125

GeriPal

JUNE 26, 2025

I think part of this does stem from a clinical experience and also some of the theoretical models that have evolved around serious illness, you know, to think specifically about dementia. And so trying to think a little bit more about what could be driving some of those alterations in the trajectory for all kinds of serious illness.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. I think this is a topic we don’t talk about as much in the context of serious illness. Don, welcome to GeriPal. Don 01:11 Thank you so much.

Illness 131

Illness IT Physicals Patients 131

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. I guess we would say that most trials are superiority trials.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. This has become a community of people all over the world who come together every week. To let it go. . Why not live as long as possible?

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Alex (singing) Alex 02:34 All right, this was a fun one.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia.

Families 108

Families Family Patient-Centered Patients 108

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. You can broaden the scope of diagnoses.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115