The Clinical Problem Solvers

MAY 2, 2022

In addition to a need for culturally competent interpersonal communication, health systems and structures must actively work to build trust with historically marginalized communities. Carine talked about her expertise in empathically communicating with patients as a palliative care physician. Calac, Victor A. Orlando, FL.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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. So we’re going to be today talking about serious illness palliative care in the homelessness population.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? Oh, my goodness.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. So that’s a title of a publication in qualitative health research.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Many were community hospitals.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Times , The BMJ , and Annals of Internal Medicine. . His work has been published in places like the L.A. We go through a lot of his work, including some of the comics below.

IT 145

IT Hospital Patients Illness 145

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

DECEMBER 5, 2024

But at the end of the day, I actually view medicine more as an applied science. So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. And it was born when I was a medical resident at UCSF Internal Medicine. Emily 06:27 Yes.

IT 107

IT Community Patients Families 107

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And then the process of having a guardian and then trying to have that guardian ultimately removed is a difficult one for a patient who’s seriously ill.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. And so we use that. We use Vital Talk.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. It was this slow build, I would say. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so I specifically chose hospitals that were at different intensities of care based on the Dartmouth Atlas around serious illness and end-of-life care.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 22, 2025

Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Look for Jenny to potentially appear on the show Americas Got Talent (no lie). You’re coming back.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 20, 2025

Certainly a lot of communities we’re thinking about LA right now and the collective trauma that they’re experiencing from the fires. Eric 30:52 And this also reminds me of Dani Chammas article she just published in Annals of Internal Medicine. Annals of Internal Medicine. We’ll have a link to it.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Then it really wasn’t until I got into medicine, medical school and residency, that I discovered poetry per se, and a mentor commented, I think to a number of us on this podcast, Steve McKee introduced me to poetry. To let it go. .

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Alex (singing) Alex 02:34 All right, this was a fun one.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

FEBRUARY 2, 2023

Bob: Well, it changed how I helped talk to people who are seriously ill and it acknowledged some of the feelings that I have and helped me be more aware of those feelings when I’m taking care of patients. Can I ask, how did it change you, how you think about talking to folks with serious illness? Eric: Yeah. Eric: Yeah.

IT 104

IT Medical Student Medical Families 104

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Jenny, welcome back to GeriPal. Jenny 01:27 Thanks. Good to be here.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? One is in the Annals of Internal Medicine. Evusheld and how it works against BA4 and BA5.

Vaccination 100

Vaccination IT Hospital Management 100