GeriPal

JUNE 9, 2022

I was always critical care bound since medical school. But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. 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. We need more consults.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. That can’t go out for specialty care all the time, like pain management. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 28, 2024

And the same nudge, the withdrawal of life support nudge, also decreased the time to comfort care orders. But importantly, it did not change the frequency of comfort care orders. It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. 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.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you. Eric: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 30, 2022

And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? There’s not been literature that I’m aware of that demonstrates how much of this is sort of goal concordant care or not. She has advance dementia. They would be horrified.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. Do elements of care that are often administered to seriously ill patients count? Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. And then John, I’d love to hear from you starting off, you’re a palliative care doc, right? That dawned on me. It just depends.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 6, 2025

He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. 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.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 18, 2024

Have you had a family history of substance use disorder? Most palliative care clinicians would refer back to their primary care provider and not change their hydrochlorothiazide dose or add another agent. And they ask questions like, have you used substances? Most of our population has trauma. Should they?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

DECEMBER 5, 2024

And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Maybe the alternative of the patient whose family hopes for a miracle in the face of certain death, for only that death to occur as anticipated by all. Ricky 11:23 Yeah.

IT 107

IT Community Patients Family 107

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block. A Podcast with Caroline Stephens about her publication in JAGS where she studied palliative care-eligibility and POLST completion.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 10, 2025

But so if someone got admitted, palliative care could see them the next day. I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. No difference in their primary outcome. Absolutely.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. She entertained her family.

Patients 98

Patients IT Patient-Centered Hospital 98

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

APRIL 18, 2024

And the actors were blinded to whether this was a primary care doctor or a chat bot answering them. Alex: Yeah, we talk a lot about de-skilling in geriatrics and palliative care, because so much of what we do is a consultant role. And then, this little mini consultant. They had no idea. ” Alex: Wow.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

JULY 20, 2023

But in California where I practice medical aid and dying is legal and similar to other issues that are controversial in some places, many physicians do not prescribe or do visits for medical aid and dying consultations. They couldn’t get a case manager to refer them in palliative care. Eric: Well, can I ask about that, Joe?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73