GeriPal

JULY 19, 2024

What should we use to screen individuals? We talk about diagnosis, et cetera, but it’s almost more of a community conversation. And either of those could be given to the patient or an informant. In addition to the questions asked above, we also cover the following topics with our guests: What is dementia screening?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 8, 2023

Alex Lee: And I think there’s a dearth of information about what proportion of nursing home residents have diabetes. And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes. They need to be back on insulin.”

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 85

Individual Community IT Chronic Condition 85

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. Word of mouth spread rapidly.

Community 114

Community Transportation IT PCP 114

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. I would like to request the Friendship Train by Gladys Knight and the Pips.

Community 95

Community IT Patient-Centered Primary Care 95

Vida Family Medicine

JUNE 29, 2022

A patient must have the autonomy to choose whether in their individual situation, the potential benefits outweigh the potential harms. The healthcare system must provide care in a just way so that those who need care have access to it.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). And the way that these therapies are being investigated in clinical trials is very resource intensive and often not accessible for marginalized communities. We just don’t have that information, and people should just be careful.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

NOVEMBER 14, 2024

If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. Sarah 03:57 Yeah, it’s a pretty big problem for older adults, I’d say in community dwellers. It’s one out of two.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

JULY 21, 2022

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. That’s where it really gets to this individual risks and balances, individual situation. “Do you guys do this?” Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. In their communities? They’re mostly living at home and living their lives in the community.” ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 29, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So, I’m super proud of being able to reach out to people in rural communities. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. So it really helped form community between patients and helped build community with the palliative team that was involved. It was significant.

Illness 107

Illness IT Patient-Centered Patients 107

BMJ

FEBRUARY 8, 2021

Besides the risks to an individual, there are also population-level harms from normalizing certain harmful behaviors (e.g., It is imperative for policy makers, school administrators, healthcare professionals, and parents to become aware of these emerging dangers and take appropriate steps, like what has been done for the opioid epidemic.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera.

Family 97

Family Families Patient-Centered IT 97

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. Individuals over 65 years of age at home Yes 23 (65.7) 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MAY 4, 2023

How do we see each of you as individuals who are having your own struggles? I think it’s challenging for both sides in a lot of ways because none of us can really truly define what that period is supposed to look like. Part of how we try to figure that out is to maybe lump and split again. It’s a lot of work.

Family 83

Family Families IT Illness 83

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. But in spite of that, it is a lot of work for three individuals to pull all this together. So that this is not something that might affect the individual clinician patient decision.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 30, 2025

But we do have the information about referrals to other ancillary providers as part of that multidisciplinary team. But it really does need some individualizing. So you know, we talked about the community that we established over the last seven years with this study. So it matters. It’s a piece of the intervention.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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. And then we incorporated that information into the consultation process. Was it Sarah? Eric 04:37 Shena.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 15, 2025

Many were community hospitals. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We tested two different nudges individually and then we combined them. We didn’t make them do anything with that information, just document it.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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

APRIL 10, 2025

So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community. We adapted a small group of us, Vital Talk for emergency medicine, which is communication skills training using simulation. And so we use that.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

MAY 9, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. Alex: Hsien? Hsien: Oh, man.

Education 127

Education Illness IT Healthcare 127

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. Eric: Great. Now it’s 70%.

IT 113

IT Provider Patients Family 113

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Eric: And what do we know about the outcomes of individuals getting these procedures, especially those with cognitive issues and dementia. Eric: So what do we do with the information? It was Remember Me.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. We need that information. This information is so vital.

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. . Eric: Great.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

FEBRUARY 8, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Tell us more about what you mean,” because they give us beautiful information from that. Between those two things, usually you get all the information you need.

IT 137

IT Family Families Physicals 137

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? That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

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 ). We randomized individual patients either to the SKY framework or to usual care. Where are my colleagues?”

Patient-Centered 99

Patient-Centered IT Family Families 99

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 ). . Eric: Well, let me push you on that.

IT 95

IT Clinic Screening Patients 95