GeriPal

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. Raele: Yes, of course.

IT 125

IT Patient-Centered Hospital Individual 125

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 86

Physicals IT Hypertension Education 86

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. Biological aging or physiological aging varies from individual to individual. How do you think about this from a clinical perspective when you’re seeing individuals in your office? Everybody ages.

IT 121

IT Patient-Centered Patients Clinic 121

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. In addition to the questions asked above, we also cover the following topics with our guests: What is dementia screening? Who should get it if anyone? What happens after they test positive?

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

JUNE 8, 2023

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. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Overwhelming people with just a lot of data is big.

Diabetes 74

Diabetes Management Patient-Centered Families 74

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 82

Individual Community IT Chronic Condition 82

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 116

Community Transportation IT PCP 116

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. Or somebody who has other physical cognitive problems at any age. Emmy: Ended up starting a program, outpatient at our hospital at the time. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

MAY 8, 2025

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. Sorry, Demoralization and chronic pain. Because we don’t.

Illness 109

Illness IT Patient-Centered Patients 109

The Medical Futurist

JUNE 17, 2025

There are now nearly 300 cryogenically frozen individuals in the US, another 50 in Russia , and a few thousand prospective candidates signed up. Wake me up when cryosleep ends The trouble with cryogenics and cryosleep is pure physics: our cells are filled with water.

Community 111

Community Medical IT Healthcare Professional 111

GeriPal

JANUARY 25, 2024

In their communities? And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. They’re mostly living at home and living their lives in the community.” With their regular providers?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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 88

Vaccination Individual IT Healthcare 88

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And I believe it needs the community. And the community came in.

Community 116

Community IT Relationship Healthcare 116

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 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

FEBRUARY 29, 2024

laugher] Alex: And, so we put them together and I feel like there’s been a real coming together of the Geriatrics and Palliative care communities and sort of cross-fertilization between the two and efforts between the two. So, I’m super proud of being able to reach out to people in rural communities. Lynn: Great.

IT 127

IT Patient-Centered Illness Education 127

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 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 8, 2024

So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Families Family Physicals 137

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

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 133

Patient-Centered Hospital Patients IT 133

GeriPal

MARCH 2, 2023

I also heard that if you look at all individuals in the US, about 4% of individuals are taking one of the gabapentinoids, 10% over 65. One in five individuals with dementia and behavioral problems are on valproic acid and the evidence base for valproic acid for dementia behavioral issues is really zero. Is that right?

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

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. But it really does need some individualizing.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

MARCH 6, 2025

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. The social determinants of health and what community well being was a big part of. those experiencing homelessness).

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. Those decisions are not wrong or bad decisions.

IT 83

IT Families Family 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 65

IT Hospital Screening Patients 65

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.

Families 133

Families Family IT Community 133

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 you can’t really predict how each individual might react to the same experience. Some of them are really deeply individual experiences.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

DECEMBER 8, 2022

So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

FEBRUARY 6, 2025

We’ve had difficulty in recruiting and engaging in those communities, and that’s on our end. It’s not on the community’s end. So it matters a lot to the person, to their family, to the community. Of these interventions in those individuals. Nate 23:45 Well, so. Alex 26:33 Yeah. Nate 26:36 Right.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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? And so I think we feel like we’re a community of practice almost, not just individuals trying to rack up the viewers and things. Eric: So we got a lot to talk about. And that’s not particularly sexy.

Education 128

Education IT Illness Healthcare 128

GeriPal

DECEMBER 15, 2022

So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. You were focused on physical and psychological distress and symptoms. The focus was on physical, psychological distress and managing expectation illness course and transplant course, understanding and coping.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JUNE 29, 2023

I am there with individuals who are dying. 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.

IT 97

IT Families Family Board-Certified 97

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?”

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 28, 2024

None of the changes that we saw in end-of-life care processes relied on specialist palliative care increases or resources, which is really important because seven of the 10 hospitals that participated were rural or community-based, which is where most Americans receive their care, and also where specialist palliative care is often most limited.

Consulting 116

Consulting Patient-Centered Patients IT 116

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 ). . What, published in JAMA IM? James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

JANUARY 11, 2024

First of all, as I understand the Carter decision, two of the things you’re supposed to have in order to be a candidate for MAID are enduring intolerable physical psychological suffering that can’t be addressed under conditions you consider acceptable. So it started off for individuals with a terminal illness.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 9, 2023

They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. And so the control room is a contiguous room, but the individual rooms where the patients, the actors and the doctors are separated by a wall. Try to really understand what’s happening. They’re side to side.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112