GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. Relational autonomy was was first introduced to bioethics by feminist scholars, who observed that most people do not make decisions as isolated islands.

Families 98

Families Family Patient-Centered IT 98

GeriPal

AUGUST 31, 2023

I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. He really helped me a lot through the shock and awe of being diagnosed with cancer. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

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? John: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. But it’s the people in the relationships that you meet. And that’s not particularly sexy.

Education 128

Education IT Illness Healthcare 128

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. And most people just haven’t dealt with that before.

Illness 111

Illness Hospital Patient-Centered Patients 111

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

JUNE 23, 2022

So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So maybe the oldest age group.

Screening 100

Screening PCP PCP IT 100

GeriPal

FEBRUARY 27, 2025

Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. For those individuals, how do you think about that? Widera and Smith have no relationships to disclose. Sach 11:01 Yeah, absolutely.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

AUGUST 8, 2024

So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals. 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.

IT 125

IT Families Family Relationship 125

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. Much more about relationships has been my experience. And so we have to teach clinicians the art of relationship. I cracked myself in my head of these individuals. Lingsheng 21:45 Now. Wendy, I have.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. I think that’s a big mistake.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

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. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. It’s about establishing a relationship and rapport.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

And there is this bidirectional relationship between wealth and health shocks. And then I was inspired by this paper and then really interested in looking at the bidirectional relationship between the two of them. Those are all things that could dramatically be a major health shock for an individual. In the community?

Illness 60

Illness Hospital IT Patient-Centered 60

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. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. James 17:03 Yeah, I think so.

Families 108

Families Family Patient-Centered Patients 108

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

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. And is it at all individualized to the patient? It’s a lot.

Primary Care 80

Primary Care IT Clinic Illness 80

Physician's Weekly

JUNE 11, 2025

Rob Kennedy mingled with about a dozen other people in a community space in Clarks Summit, Pennsylvania. Kennedy comes to this memory cafe twice a month since being diagnosed with early onset Alzheimer’s disease in his late 50s. have been diagnosed with some form of dementia. I get to meet their partners.

Patients 52

Patients Families Family Diagnosis 52