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

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

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

JANUARY 25, 2024

In their communities? If I remember correctly, I think the average was, people were screening positive for depression in this study. I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are. David: Exactly.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

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. Because we don’t.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. 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. So this is something. We did a role play.

IT 64

IT Hospital Screening Patients 64

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

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. Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers.

Clinic 67

Clinic IT Patients Medical 67

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

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. Some of them are really deeply individual experiences.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

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”? ” That’s not a spiritual screen. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3.

IT 137

IT Family Families Physicals 137

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? We randomized individual patients either to the SKY framework or to usual care.

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

IT 95

IT Clinic Screening Patients 95

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 Family 63

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? Yes, I know Lynn Flinton, who’s a frequent guest host of this podcast, was actually one of the interventionists in her studies is like, would be the palliative care doc who’s looking on a screen and being wheeled into somebody’s room on a monitor.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

I had it on my screen. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. And for the most part, it’s really hard to start building an evidence base in the community setting. Most people aren’t coming to UCSF or MGH for their healthcare.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 8, 2022

We say it’s about 4% of those who are bereaved, who are from community-based samples. Because there is a lot intense discussion, I guess we were talking about this before with the stages of grief, how individualized is there is no right way or wrong way. So it’s different. Eric: Yeah. It really depends on the person.

IT 100

IT Relationship Complication Specialization 100

GeriPal

MARCH 10, 2022

Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. I was like, how do you disseminate this knowledge out to these community nursing homes in rural Georgia so that people know about this? Eric: What does unpleasant look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. 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.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? 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. Check your Eurocentric, middle class thinking.

Mental Health 123

Mental Health Community IT Individual 123

GeriPal

MAY 1, 2025

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. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Is that what you’re seeing as a palliative care provider now or.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. Well, the irony is that this diethye resurrected from the poorest communities in the mediterranean region. They don’t all agree, but the commonalities between them are the things that are healthy.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable. Monica: Yes.

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. I mean people can walk to your office and you can have all kinds of problems recorded to your prescription just because they came to your office rather than you looked at them on a computer screen doesn’t really change. Go ahead Eric. I’m sorry.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73