GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. And then be quiet and listen.

IT 132

IT Illness Families Family 132

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

FEBRUARY 23, 2023

And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. The supporter might offer note-taking or they might come and help with interpreting information or they might help in doing some comparative reasoning exercises. Eric: Lynn or Anne? That can all start with you.”

Families 97

Families Family Patient-Centered IT 97

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. And what we are seeing in our research is that, we’re working on GPT four, is volunteering information that we didn’t ask for. The information there and you limit it in that way.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. So we used a lot of rehab to death.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. But they don’t really have a lot of condition-specific or procedure-specific information at all.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: Sounds right.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Eric: Yeah. Young adulthood is super hard. Nick: Such a good question.

IT 83

IT Families Family Illness 83

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

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. 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 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Families 63

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. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. Where was it?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. Gretchen: Absolutely.

IT 128

IT Families Family Patient-Centered 128

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. David 12:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago. Eric: Is end-of-life doula death doula?

Provider 117

Provider Illness IT Healthcare 117

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

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Keri: It’s all normal, and it’s all data that can better inform our practice. And she couldn’t control her husband’s illness the way it was heading towards his death.

Patients 109

Patients IT Families Family 109

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

SEPTEMBER 5, 2024

You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. Alex 15:13 This is really complicated. And it’s not the same, but it does provide information. This shouldn’t have happened.

Patients 98

Patients IT Patient-Centered Hospital 98

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. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

I t’s a collection of personal stories of a small number of health professionals, including Craig Blinderman and Susan Block , who have been struck by personal illness and loss. There were legal issues so we had to take out some of the information. Eric: And how does that differ from grief? She was homeless. We had to work at it.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

AUGUST 22, 2024

So, I mean, one thing that I take from Winston’s great paper, which I consulted in writing mine and cited, although maybe not as frequently as I should have, is this idea that a lot of these terms, and I think this is a philosophical perspective that Winston and I are both sympathetic to. Sean 17:40 Yeah. This is not the way you break.

IT 113

IT Families Family Patient-Centered 113

Physician's Weekly

JUNE 17, 2025

“But we can’t really prove this,” said Kaye Pestaina, director of the Program on Patient and Consumer Protection at KFF, a health information nonprofit that includes KFF Health News. The cause of his illness remains unknown. But Schrift’s insurance company refused to pay.

Insurance 52

Insurance Patients Behavioral Health Services Diagnose 52

Physician's Weekly

JUNE 13, 2025

Patients, Health Advocates See More Risk ,” May 23), have pre-vaccine complications such as multisystem inflammatory syndrome in children been forgotten? Please remind people of these serious complications which, though infrequent, cannot be reversed. Not vaccinating is playing Russian roulette with your child!

Vaccination 52

Vaccination Families Family IT 52