GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. We talk about diagnosis, et cetera, but it’s almost more of a community conversation.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 23, 2025

And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

JUNE 8, 2023

This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Nadine: No poking and prodding. Absolutely.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. So Carmen and Katie developed an EMS Community Partnership program. Word of mouth spread rapidly. And the number of calls for falls dropped.

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. In their communities? With their regular providers? Why this particular population? Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Is this our role?

IT 102

IT Family Families Diagnosis 102

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And I spent the past couple years just collecting data from several hundred early palliative care patients and did a network analysis, which basically just looks at the Correlations between different constructs, whether they’re physical, emotional, social or spiritual.

Illness 107

Illness IT Patient-Centered Patients 107

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. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. If they don’t, they know how to get to community resources.

Screening 119

Screening IT Family Families 119

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

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Like, it’s like a hospital.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

APRIL 3, 2025

I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. And very frail. Eric 29:17 Yeah, so. Alex 29:26 Exactly.

IT 64

IT Hospital Screening Patients 64

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. I like it, John. William: Yeah.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is definitely a place, especially physical. Pain Manag Nurs. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. 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. And this is really traumatic event for his street family and the street community that he knew.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF.

IT 105

IT Patient-Centered Healthcare Illness 105

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 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. If they physically come here, it’s sort of just the natural course of things that they’ll walk into the room with the patient. Lynn 37:39 I was in the hospital.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Eric: Speaking of a niche humor, I love this one. Nathan: Yeah. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

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

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 2, 2023

Eric: And we have Tasce Bongiovanni, who is an acute care trauma surgeon at UCSF and the San Francisco General Hospital. Eric: And going back to that JAMA IM study, so there was also, if I remember it correctly, so this is looking at gabapentin use in the post-op setting for those who were hospitalized, they had higher delirium rates, right?

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

MAY 26, 2022

There were community-minded motivations, there were motivations that were not having to do with health but having to do with, “So my kids won’t keep calling me and telling me I have to get vaccinated,” type motivations so. I think in other cases, if you look at surveys, the motivations can be more complex. Alex: Yeah.

Vaccination 87

Vaccination IT Individual Healthcare 87

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

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

OCTOBER 6, 2022

Even with this whole discussion about diversity, even in our regular community, we are not actually making progress when you look at nationally weighted surveys. We have a problem in the field that we’re considered the acute death team at the hospital. So that’s the other part. So, it’s kind of on top of that.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. Eric: Yeah. Amber: Right, exactly.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. Eric: So we got a lot to talk about. So I don’t know, Alex and Eric, if you work in people’s homes, but do you?

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. To this day, Ken’s post is still one of the most searched and viewed posts on GeriPal. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. These hick pick codes are available to any chaplain in a healthcare system. They followed them during the course of their hospital stay. These studies are important. Lexy: Yeah.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 29, 2023

Jerry: Well, for me it’s about, I may have not chose this to be my community, but I chose the actions that led this to be my community. Jeff: Well, a lot of people think that… Or people ask me in the community here about you’re working with people that are dying. Eric: What do you think got you involved?

IT 97

IT Family Families Board-Certified 97