GeriPal

NOVEMBER 14, 2024

And the big things that we think about as far as complications, so there, obviously the thing that comes to everybody’s mind is like fractures. Like there’s nothing we can do or do you feel like and we can talk about if so there are things that we can do to prevent falls and prevent the complications of those falls.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. What are you seeing?”

IT 137

IT Family Families Physicals 137

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? What I need to navigate with that patient and their family, is it valuable to you? I did it before and this guy, he was 85, but he was climbing Mount Everest.” Every time.

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too? There’s.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

MAY 22, 2025

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. And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. Eric 11:58 So going back to the case that you presented at the start, so you’re seeing this person use a whole lot of humor. Amanda 20:21 I think family members are a lot of how we make formulations about how people are coping.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. So it’s an example of something that can start outside of the healthcare system and move its way in.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 27, 2024

How do you think about non pharmacological approaches, or maybe even in the people who just have a shorter, maybe less complicated anxiety, but it’s still impacting their sleep? As I cycle through these things, what I find is I’m suddenly extremely present. She said much the same thing. I’m back in my physical body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. Alex: And we’re delighted to welcome John Loughnane who is a palliative care doctor and end-of-life doula and co-founder of Present for You. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond.

Patients 109

Patients IT Family Families 109

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Andrew complicates this definition , stating it raises more questions than answers. Particularly patients, families. That their loved one is in there.

Family 93

Family Families IT Patient-Centered 93

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.”

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). The songs about how saving lives is actually a pretty complicated business. So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. Transcript. Eric: Welcome to the GeriPal podcast. Alex: Yeah.

Community 97

Community IT Mental Health Medical 97

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Complicated grief? And that family was not necessarily a trusted network. Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 13, 2024

And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. Alex 24:58 I’m so glad you mentioned the family. I’m going to go tonight for dinner with the rest of the family. There’s something.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

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 ). And they had to have a family caregiver.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. When it’s itself as an intervention, I think that’s where problems arise. Karl: Okay.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. And this is really traumatic event for his street family and the street community that he knew. Naheed, welcome to the GeriPal Podcast.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 3, 2022

When patients leave the hospital, the infection may be cured, but the patient and family will need to contend with a host of major new functional and cognitive deficits. You can use that when you’re talking to families about prognostication. Alex: What happens when people survive? It’s not just about the ICU.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JANUARY 11, 2024

So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. So being well and also potentially periods of dying.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? Yeah, that’s a more complicated story. But yeah, it’s complicated. No, no, no.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

DECEMBER 19, 2024

So in those cases, can we adopt an approach to mental health care that centers primarily around quality of life of patients and their families? Dani 15:02 Speaking to the fact that we are talking about such a massive array of illnesses, of presentations of symptom severity, and trying to speak in generalizations.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So it’s not just like the patient or the family, but it’s also the healthcare system.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And I think the advanced planning debate is really a question of, how do we help this very complicated situation? It’s hard for your family to know. It’s part of our family mythology. We see them struggle, right?

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So we got a lot to cover on sexuality, sexual health, and serious illness. I learned nothing.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

Right, my answer that brings us a little bit closer to the present than my childhood. Patients families want to know whether their loved one has died. And one would be when care is continuing a case where people believe that the patients died, or oftentimes, this is also a source of controversy between families and clinicians.

IT 113

IT Family Families Patient-Centered 113

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. And they said, “This is really interesting, but all you’re really doing here is transferring the burden of care from hospital staff to family members.”

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Louise 08:10 Well, I think obviously, you don’t want to break the law and you don’t want to violate professional ethics. If you are concerned that your silence can be a form of complicity and bad behavior, too, we have a certain amount of expertise. There is a tension. Maybe the media person in front of you wants that.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141