GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. So our inpatient hospitals are kind of under resourced for music therapy. That’s.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Welcome to the GeriPal podcast, Jennifer. Jennifer: Thanks.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Families 97

Families Family Patient-Centered IT 97

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

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Joe 41:30 Yeah.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. COVID-19 diagnosis of self Yes 24 (44.4) 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” What does this diagnosis mean to you? And that was really how SWHPN started.

IT 102

IT Family Families Clinic 102

GeriPal

JUNE 22, 2023

And then from that, through community activists, ACT UP, legislators who felt that there needed to be something done, doctors within CDCR who cared passionately about the HIV population and others, all came together and we were able to eventually get funding for this 17-bed inpatient hospice. It’s by choice, just like in the community.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. So she had them early in diagnosis and then a little bit later. Alex: She is working in Sweden and researching in Sweden, in Lund. Did I say it right, Lund? Juliet: Lund, yeah. Alex: Lund. Juliet: You got it right. Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. She wasn’t communicating, she couldn’t remember anybody’s name, nothing. Fifty percent have a diagnosis in their record of decedents have dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

IT 83

IT Family Families Illness 83

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. There’s a cost avoidance aspect to it, too.

Family 106

Family Families IT Patients 106

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? It also feels like, I also grew up in med school in a three hospital system. There’s that recognition piece. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. We got admitted to the hospital, our inpatient palliative team developed their skill set because they had a place to send patients when they got discharged. He’s now hospitalized to break up that methadone into three times a day dosing.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 9, 2024

And then for Hsien and for Sammy, this is a real social movement that you’re trying to… The movement upstream, getting people to consider what are the serious issues at the time of diagnosis with serious illness. Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. Sammy: Oh, okay.

Education 127

Education IT Illness Healthcare 127

GeriPal

FEBRUARY 17, 2022

I you use the Lee Schonberg prognostic index for community dwelling older adults you will be directed to the tool, and it will automatically place the life expectancy at the calculated prognostic estimate. . And so many older adults with diagnosis of osteoporosis have never received any therapy for it. See screenshot below.

Clinic 67

Clinic IT Patients Medical 67

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 ). . Why did you do this?

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Within eight weeks of diagnosis of advanced disease. And the entire community of palliative care said yes, not a palliative care study. Eric 26:47 How soon after from a hospitalization, all.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. We would admit them to the hospital. Who doesn’t want to leave the hospital? What was I doing?

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Is a new diagnosis of HIV. Meredith 00:48 Thank you, Alex and Eric.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . This has become a community of people all over the world who come together every week. The process of sharing that of literally of reading that poem in community has been amazing. Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. So this is about two and a half, three years out from leukemia diagnosis. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal.

Illness 130

Illness IT Physicals Patients 130

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. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Liz 00:32 Thanks.

Family 106

Family Families Patient-Centered IT 106

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. But what happened when we finally… When he did get the diagnosis, it all fell into place. Malaz: … to restrain them in the hospital. And I was terrified. I didn’t know how to manage it.

Patient-Centered 125

Patient-Centered IT Family Families 125

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. Wait, how is that actually defined?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

In fact, no one in this hospital died that was not on comfort care. And we now continue to manage all the comfort care patients, which in the setting of a packed hospital, that’s really done some great offloading. The part that I loved of this campus was this was the community arm of the university. Just really powerful.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136