GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. What is the role of the family caregiver system, how they play a role?

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Physical activity is a big one. There’s not that much information on smoking and cognition. One might argue they still are.

Physicals 85

Physicals IT Hypertension Education 85

StorytellERdoc

MARCH 18, 2020

Gone are the carefree smiles, the uncomplicated daily lives, and the thought that we and our families are immune to unexpected death. Friends and family have asked me my thoughts on Covid-19, maybe believing I have some special information simply from being on the front lines. We are all scared. Take a walk.

ER 100

ER Illness Physicals Provider 100

Mesa Family Physician

MARCH 6, 2025

Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

Mere Mortal MD

MAY 22, 2025

My role is to head the rehabilitation team, while treating any medical complications that may arise from their initial injury or diagnoses. Patients will participate in physical therapy (PT) for sure, which may or may not include some time on a treadmill, if they can walk. It is not a hotel. It is not a long term care facility.

Hospital 221

Hospital Patients Nurse Practitioner IT 221

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? And then be quiet and listen.

IT 132

IT Illness Families Family 132

Physician's Weekly

JUNE 23, 2025

Residents of East Palestine, Ohio, where the derailment occurred, have pressed the government to do more to answer questions about the mental and physical health effects of the disaster — from post-traumatic stress to cancer. She called the NIH news “a complicated mix of emotions,” CNN said. “We All rights reserved.

Community 52

Community Asthma Engineering Complication 52

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Community 114

Community Transportation IT PCP 114

GeriPal

FEBRUARY 8, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms.

IT 137

IT Families Family Physicals 137

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

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. Tamra: I wrote this… Eric: Thinking that the perceived role for inpatient physical therapist is a discharge consultant.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I was really passionate about helping the people and also their families. Let’s say, family-centered care for heart and lung disease wasn’t really going on a few decades ago.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous.

IT 83

IT Families Family Illness 83

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research. They are complicated.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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.

IT 128

IT Families Family Patient-Centered 128

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. I am not a board certified. I’m a doctor.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. I appreciate that information. Eric: So this is a complicated pathway, right? Lots of information in there.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Michael’s Hospital in the Department of Family and Community Medicine. 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

JUNE 13, 2024

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

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

FEBRUARY 16, 2023

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. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

Patients 109

Patients IT Families Family 109

GeriPal

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. That gets really complicated as well. Or there’s physical symptom needs. Kate: Oh yeah.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

MAY 26, 2022

Eric: But if we’re using organ donation example, there are really no physical benefits for the organ donor. To that point, in your article, you note that vaccination rates among blacks and Latinx individuals have been higher than whites according to a Kaiser Family Health news report.

Vaccination 87

Vaccination Individual IT Healthcare 87

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’s complicated because right now there’s no mechanism other than cost avoidance. I don’t want to misspeak because now I forget.

Consulting 115

Consulting Patient-Centered IT Patients 115

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 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 Hospital 96

GeriPal

JANUARY 11, 2024

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

Illness 144

Illness IT Medical Provider 144

Dr. Michael Bazel

OCTOBER 7, 2024

Early detection is crucial to prevent serious complications. While its exact cause is unknown, age, family history, and lifestyle factors play a role. Those with a family history of prostate cancer may need earlier screenings. Regular Exercise: Physical activity improves insulin sensitivity and helps regulate blood sugar levels.

Mental Health 130

Mental Health Diabetes Screening Physicals 130

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. And it’s not the same, but it does provide information.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 05:50 Yeah. Eric 13:29 I love that.

Families 106

Families Family Patient-Centered Patients 106

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 Patient-Centered 79

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. 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?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JUNE 6, 2024

And so clearly it matters how you bring up the topic, who brings up the topic, and probably the timing when this comes up for patients and families, just like we think about conversations about illness and prognostic understanding, I wish there was a good prevalent state data on how big this is of a problem in serious illness at large.

Illness 130

Illness IT Physicals Patients 130

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. There were legal issues so we had to take out some of the information. Because every time we remember a story, it’s changed physically in the brain.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102