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

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Ethical issues , including colonization of psychedelics by big pharma.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. In their communities? I was really passionate about helping the people and also their families.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. Pain Manag Nurs. 2023.11.004.

IT 137

IT Families Family Physicals 137

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

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And I’ve gotten really close to that family.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It is a screening? LaVera: I trained at UCSF in family medicine. What’s involved in this?

IT 99

IT Patient-Centered Families Family 99

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. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. There’s obviously a lot of flaws in the healthcare system. A love letter kind of back to my community.

IT 107

IT Community Patients Families 107

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. I had it on my screen. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Jennifer: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

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 ). . James: Yeah. Eric: What other decisions?

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. So we see a lot of problems with symptom management, a lot of family conflict. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. So there’s a lot of different ways to think about it. So you ready?

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 8, 2022

We say it’s about 4% of those who are bereaved, who are from community-based samples. They don’t want to interact with their family. They can’t communicate and they’re in the ICU and they’re dying. So it’s different. Eric: Yeah. They don’t want to go to work. Or do we have any?

IT 100

IT Complication Relationship Specialization 100

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Ruth: That’s not prevention, that’s screening. What does that actually look like?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. My mom, who’s half chinese and half hawaiian, helped rally the asian american community in Michigan after the Vincent Chin incident. Eric 18:34 And what did you find?

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. So the other part of that thing I would say is all of those things are true about the difference in rates between a community.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. This has become a community of people all over the world who come together every week. Eric: Like since a little kid? Redwing: Since a little kid. Eric: Yeah?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

AUGUST 1, 2024

Well, the irony is that this diethye resurrected from the poorest communities in the mediterranean region. So I lived with a family there. But if they have family support or they’re able to make some foods from scratch at home, that would be preferable. The people really farm to table stuff. Anna 27:19 This is it.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 14, 2022

Lucky, Jim and many others like him were willing to come on to our podcast those first several months of the pandemic and share their experiences and lessons learned caring for COVID positive patients and their family members. . The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JUNE 2, 2022

Our department chair is always tweeting, and I think there was a fourth shot and then a mild infection in a family member. It’s not only not doing something, people are like wearing them in different ways, and the cloth, all the leakage on the sides and same with surgical, but it actually can inhibit human communication.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. She sought me out to come and tell me a story because about 10 years earlier, she and her family, their loved one was dying in a hospital in Florida and they tried to access palliative care and they couldn’t get the doctor to refer them to palliative care.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73