Sound Physicians

MARCH 12, 2025

With larger metropolitan hospitals struggling to manage the limited capacity of ICU beds, timely patient transfer isn’t always an available option, and even when it is an option, patients and their families in the community have an expectation that they can stay local for care.

Telemedicine 52

Telemedicine Community Hospital Patients 52

PEMBlog

SEPTEMBER 27, 2023

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion. Pediatrics.

Patients 52

Patients Illness Hospital Management 52

GeriPal

APRIL 27, 2023

We deepen ourselves into the fabric of care and we make healthcare work for people who are seriously ill. How do we reduce barriers to access for palliative care, and how do we ensure that people with serious illness and palliative care needs really get that care? Attendee 9: Early integration of palliative care in medical education.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

DECEMBER 2, 2022

He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Anne: Is there a movement? There is no cure.

Community 101

Community IT Individual Patient-Centered 101

PEMBlog

SEPTEMBER 13, 2023

Team members and families eagerly await your intervention to halt the seizure and understand its underlying cause. Selecting the appropriate medications, if necessary, is of paramount importance. ” Explaining this to families is paramount – sometimes your exam is a test. Glucose We all need it.

Patients 52

Patients Screening Illness Physicals 52

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? What is the role of the family caregiver system, how they play a role? How high is too high?

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Or, do we know anything even how common it is, serious illness, palliative care populations? How to screen for hearing loss. Eric: And how do we screen for it?

IT 102

IT Screening Hospital Clinic 102

Annals of Family Medicine

NOVEMBER 20, 2024

Addiction medicine consult services have emerged to help address the shortage in access to SUD treatment. This intervention used a primary care addiction consultation service model including education, an addiction medicine consultant, and practice facilitation to increase capacity for opioid use disorder (OUD) treatment.

Primary Care 130

Primary Care Consulting Medical Illness 130

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Edge Family Medicine , serving Upland, Montclair, and Rancho Cucamonga , offers both telemedicine and in-person visits , ensuring you get the right care when you need it. Safety – Reduces exposure to contagious illnesses.

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. Eric 01:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. Coping in the setting of a serious illness about a patient encounter you had with somebody who used an. But if we’re going to have a family meeting, that’s a different circumstance. Should I laugh at that? laughter] Eric 03:38 All right, Dani, I’ ve got a question.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Katie, before we jump into the topic of buprenorphine in serious illness, what’s the song request?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. And PAIR stands for the Palliative and Advanced Illness Research Center. Kate would miss me.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting.

Illness 101

Illness IT Patient-Centered Patients 101

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.

IT 132

IT Illness Family Families 132

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. So I first want to just say thank you to Ernesto’s family. This is Eric Widera. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today?

Illness 136

Illness IT Patient-Centered Family 136

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. David: Thank you.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 101

Illness Mental Health IT Patient-Centered 101

My Green Doctor

JULY 2, 2025

We hope you will discover resources to share with your family as well! This means: Training healthcare professionals to understand and manage the growing connections between the environment and illness. Helping healthcare professionals to educate their patients on these topics so that patients and families can protect themselves.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Should you stop at “no?” We’re excited to welcome a full slate of guests today.

Families 97

Families Family Patient-Centered IT 97

Plum Health

OCTOBER 16, 2024

In Lansing , patients appreciate the clinic’s ability to accommodate busy professionals and students, while in Royal Oak , families trust the clinic for their children’s pediatric care. What Makes This Medical Clinic Different? The clinic in Royal Oak is perfect for my whole family.

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. We had tried to actually select people who didn’t have a serious illness. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. It’s since spread to over 70 VAs. Bennett, C.R.,

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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. I was always critical care bound since medical school. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. But watch out! Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. This topic came up with Bernie published an article in New England Journal called Deciding for Patients Who Have Lost Decision-Making Capacity Finding Common Ground in Medical Ethics. What words to use? Is the POLST useful?

Family 112

Family Families Patient-Centered IT 112

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

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. I’m excited.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable. Eric: Yeah.

IT 83

IT Family Families Illness 83

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. Tell me about your illness. How did you get into this? Heather: Sure.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

OCTOBER 12, 2023

Alex: And we’re delighted to welcome Justin Clapp, who is assistant professor of anesthesia and critical care and medical ethics and health policy. He’s a linguistic and medical anthropologist at the University of Pennsylvania. You’re a linguistic and medical anthropologist. Gretchen: Thank you. Justin: Hello.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). 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. Four percent. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. 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. Cognitive impairment.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

PEMBlog

MARCH 27, 2024

Consider it a supplement to what you remember from Biochemistry and the instructions on the family’s laminated care plan sheet. Brad’s not a pediatric medical geneticist. So my special guest host on this episode is a trainee in pediatrics and medical genetics. And you’re thinking, hey! No, I’m not.

Consulting 59

Consulting Individual Family Families 59

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. But importantly, it did not change the frequency of comfort care orders. Kate: Sounds right.

Consulting 115

Consulting Patient-Centered IT Patients 115