The Clinical Problem Solvers

MAY 30, 2022

Be present in the birthing moment and see the full humanity of the birthing person and the life-changing nature of birth. Pearls Black and Indigenous birthing people are 3-13 times more likely to die in childbirth, with the rate varying by location and level of investment in communities.

Community 52

Community Patient-Centered Families Family 52

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. Eric: Yeah, I love just creating the community of people who are passionate about that.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships.

Families 98

Families Family Patient-Centered IT 98

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? So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. Like, it’s like a hospital.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression.

Illness 109

Illness IT Patient-Centered Patients 109

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 102

Healthcare IT Community Illness 102

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 116

Patient-Centered Illness Healthcare IT 116

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? Absolutely.

Families 102

Families IT Family Diagnosis 102

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board? Eric 00:42 Great.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JANUARY 16, 2025

So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. So for example, you know, the director of the assisted living facility could be the person who knows the patient the best.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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. But then recognizing that our relationships impact our health even outside the context of stress.

IT 100

IT Community Patient-Centered Medical 100

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. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world. Pain Manag Nurs.

IT 137

IT Families Family Physicals 137

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. Within the VA it’s now at 70 VA hospitals. Alex: Yeah.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. I think it started off from a need, a hunger in the community. Thanks for having me.

IT 108

IT Community Patients Families 108

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. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. These studies are important. Is that your grandchildren?

IT 99

IT Patient-Centered Families Family 99

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? You go into this community, perform this study, you leave. Eric: Six months ago. Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. It’s a community of people you’re joining to whom you’re going to be in bonds of love and that this is the key to coping with suffering, I guess if I had to put it in five words or whatever, how many words that was.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. Much more about relationships has been my experience. Frank 08:43 Well, briefly.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

SEPTEMBER 12, 2024

And so in that way, it’s not the letterhead or the four walls and the roof that are perpetuating the present, it’s the people. We were often the only ones left in the hospital. But the present is not because I, as an individual healthcare professional, am not enough. We went into the rooms. And that was really great.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Eric: Bill. Bill: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Thank you for that gift to our community and to the patients.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

AUGUST 8, 2024

You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. Now, you can’t fix a broken relationship by putting it in this box or that box. And I can’t imagine anyone working in an end of life situation, in hospital palliative care situations.

IT 125

IT Families Family Relationship 125

Family Medicine Initiative

APRIL 10, 2024

GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations. Over time, communication improves. Over time, more trust develops.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

FEBRUARY 20, 2025

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. Certainly a lot of communities we’re thinking about LA right now and the collective trauma that they’re experiencing from the fires. Like, does that indirect?

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

NOVEMBER 3, 2022

And then to see her, it sort of set up this sense of there’s an expectation that we have for the future that what we’re doing in the present moment is somehow going to continue and that we’re going to have an opportunity to maybe deepen a relationship, to provide some healing, to learn more about each other, to form bonds.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. 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. Meredith, welcome to the GeriPal Podcast. Eric 27:31 What are you seeing?

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. And we have some great guests.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. Alex 00:03 This is Alex Smith.

Illness 131

Illness IT Physicals Patients 131

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. Widera and Smith have no relationships to disclose.

Primary Care 80

Primary Care IT Clinic Illness 80

The Clinical Problem Solvers

MAY 2, 2023

ICE and Policing — Instances of immigration enforcement in healthcare settings are rare, and when they do happen they can look like patients being interrogated at the bedside or even being arrested as they step out of the hospital just after visiting someone. Opinion: Covid-19 Shows Us Why We Should Keep ICE Out of Hospitals.

Healthcare 52

Healthcare Provider Clinical Practice Clinic 52

GeriPal

DECEMBER 12, 2024

Butstay with us heremight AI help to address some of the major issues present in surrogate decision making? That makes us lots of money for our hospital, but none of them want to be in the ICU and a respirator because we’re not making as much money off of that. Widera and Smith have no relationships to disclose.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110