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.

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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.

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Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Eric: Lynn or Anne?

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Families Family Patient-Centered IT 98

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. You have a patient with dementia severe enough that she cannot recognize relatives.

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GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Eric: Yeah.

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Patient-Centered Community IT Medical 91

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. Abby: I think Andrea, you’re hitting on adolescence is super hard.

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IT Families Family Illness 83

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. That’s where it really gets to this individual risks and balances, individual situation. I’m going to first turn to Emmy.

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Families IT Family Diagnosis 102

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

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Illness Hospital Patient-Centered Patients 111

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? This is Eric Widera. Alex: This is Alex Smith.

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Illness IT Healthcare Patient-Centered 73

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. What is unique about the practice of palliative care for people experiencing homelessness?

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Healthcare IT Community Illness 102

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.

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Illness IT Medical Provider 144

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. What is sludge?

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Patient-Centered Hospital IT Illness 118

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 133

Patient-Centered Hospital Patients IT 133

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.

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Patient-Centered IT Patients Clinic 110

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 bringing more palliative care to the living with serious illness instead of dying from serious illness population.

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Consulting Patient-Centered Diagnosis IT 100

GeriPal

MAY 25, 2023

Complicated grief? Sarah: Yeah I similarly feel like, you know, focusing more on the process, the qualitative kind of from a research standpoint, the qualitative information that we’re getting from folks. And I wonder when we think about targeting particular population, it’s not just, you know, how seriously ill they are.

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GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. So I do think it’s useful to have that additional information. Alex: National POLST Collaborative. Good to know.

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Patient-Centered IT Patients Illness 127

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. It sets space between us and the individuals we’re trying to take care of. The last thing I’ll say is I actually saw his very last performance.

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Provider Illness IT Healthcare 119

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. Had multiple physical, psychological complications as a result of that. I mean, I was very much a clinician.

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Patient-Centered Patients IT Illness 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.

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Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Tell us more about what you mean,” because they give us beautiful information from that. Pain Manag Nurs.

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IT Families Family Physicals 137

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. And then we incorporated that information into the consultation process. So their caregivers did focus groups. And it was fairly homogenous.

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Consulting Community Patient-Centered Families 64

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.

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Hospital IT Patient-Centered Patients 126

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. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. We’ve had you on twice before.

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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. Lauren: Yeah. That’s just one hypothesis. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized. But we were pleasantly surprised.

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Families Family IT Patients 107

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

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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 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. It was information about our ACP facilitator.

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Physicians News Digest

FEBRUARY 18, 2025

Among the most vulnerable groups, the elderly, young children, and individuals with pre-existing health conditions are experiencing severe complications. ” The predominant strain circulating this season is the H3N2 virus, notorious for causing severe illness.

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PEMBlog

DECEMBER 4, 2024

Aside from coughing forever, there’s some important complications you need to be aware of. So respiratory complications include apnea, secondary bacterial pneumonia, and pulmonary hypertension. And you definitely have to watch those kids very closely for the complications such as hypoxia and secondary infections.

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IT Vaccination Diagnosis Complication 52

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. But we have very little information, almost no information.

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Vaccination IT Hospital Management 100

GeriPal

JULY 16, 2024

I think what ageism, when you get right down to it, is, is not really seeing the individual in front of you and the individual in the setting of what they’re trying to accomplish and what matters to them, that it’s always appropriate. With that said, we don’t have a lot of information. There is a tension.

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