Family Physicians of Greeley

MAY 17, 2023

If you struggle with sleep difficulties, consider implementing relaxation techniques or consulting with a healthcare professional. Cultivate Supportive Relationships: Building and maintaining healthy relationships is essential for our mental well-being. By doing so, you can lead a happier, more fulfilling life.

Mental Health 40

Mental Health Physicals Healthcare Professional Relationship 40

Vida Family Medicine

JUNE 28, 2024

If there are specific conditions you are worried about based on your family history or Googling or social media, write these down too. One of the reasons I love practicing in the direct primary care membership model so much is that it allows me to spend more time with patients and build a relationship with them over time.

Patients 52

Patients Primary Care Appointment Diagnose 52

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? I love them.

Community 102

Community IT Individual Patient-Centered 102

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 is the role of the family caregiver system, how they play a role? We don’t need to check sugars all the time,” that also is a shock for patients and families.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

MAY 5, 2022

So, it’s a critical component if you really want to have conversations about goals of care, you want to have conversations about the types of treatments that the person wishes to have, or doesn’t wish to have, and to really engage the person and the family in these conversation. So they’re left out. Anecdote away.

IT 102

IT Screening Hospital Clinic 102

Doctor Rachel

NOVEMBER 21, 2022

Sharing: Talking about what is happening with a trusted friend or family member or therapist can make a world of difference. leave the destructive relationship, don’t see unhelpful friends, find a new job, stop the addiction, get out of the house, get off of social media (it increases depression).

Consulting 130

Consulting Relationship IT Medical 130

StorytellERdoc

FEBRUARY 8, 2019

I dedicate this to each of you who have cared for or are currently caring for an ill parent or family member. I had just rounded the corner of one of our busier hallways near our noisy triage area to find a favorite aide leading a family from our waiting room down the hallway toward their assigned room. You get the picture, right?

ER 100

ER Family Families Transportation 100

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. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. and consulting for Papa Health.

Consulting 122

Consulting Hospital Patient-Centered IT 122

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

DO 40

DO Family Medicine Families Family 40

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 106

Telehealth Patient-Centered IT Patients 106

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. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And you’re in the ICU family meeting, and it gets heated. So it’s a lot, but it’s good.

IT 133

IT Illness Families Family 133

Permanente Medicine

JUNE 3, 2025

I practice family and sports medicine as part of the Southern California Permanente Medical Group here in Fontana, California. WM: Like you, I’m a family physician. So it’s not uncommon that many patients start to ask certain questions and I’m like, did you happen to consult with Dr. Google before coming to see me?

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

OCTOBER 10, 2024

For instance, a family meeting or an update or communication with families. I’ve worked in palliative care for years, and there’s some times where I’m in the family meeting, I’m facilitating the family meeting, and then I’m reporting out to the referring doctors, and I say, what happened?

Screening 121

Screening IT Families Family 121

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

APRIL 4, 2024

Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. And that changed in 1969 I think the first advanced directive was created by Luis Kutner.

Families 113

Families Family Patient-Centered IT 113

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. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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. So we see a lot of problems with symptom management, a lot of family conflict. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . 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.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

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 82

Individual Community IT Chronic Condition 82

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. Eric: Yeah. I wonder from a provider perspective, if you’re open to talking about your team. It’s very fraught.

IT 83

IT Families Family Illness 83

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 102

Illness IT Patient-Centered Patients 102

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is. So help serves and hinders in everybody.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Katie: Awesome.

Community 116

Community Transportation IT PCP 116

GeriPal

JUNE 15, 2023

So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Alex: Go ahead Matt.

IT 100

IT Patient-Centered Patients Healthcare 100

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. So those questions we ask when we’re doing a palliative care consult.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

MAY 12, 2022

When we think about palliative care delivered here, like individuals with chronic pain, non-serious illness chronic pain, non-life threatening illness, oftentimes if we get consulted on them, we don’t even see them, may just be discontinued in most palliative care places. What do you think about that?

Community 116

Community IT Relationship Healthcare 116

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. I loved the relationship that we developed and the fun we had.

IT 105

IT Patient-Centered Families Family 105

GeriPal

OCTOBER 5, 2023

So I first want to just say thank you to Ernesto’s family. And I met with his family over Zoom, which was how many of us had to meet with families during that time. We were doing a lot of this without a whole lot of guidance, as is common, I think, from family, because all they knew was who he was. Sunita: Yes.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

DECEMBER 14, 2023

It’s the clinicians on the rounding team, yes, but also the multidisciplinary team is really important, how they support the patient, the family, the doctors, the nurses, but also how the broader institutional structures such as ethics committees, et cetera, how they support. Is that right too?

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. And yet nursing home residents and their families and the rest of us somehow are supposed to buy into this idea that we can’t get enough staff, so it’s okay to give them poor care. Eric: Can I ask why?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But then recognizing that our relationships impact our health even outside the context of stress.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

APRIL 28, 2022

Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” Eric: Yeah.

IT 145

IT Hospital Patients Illness 145

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. Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this. Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

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. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. John: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. Naheed, welcome to the GeriPal Podcast.

Healthcare 102

Healthcare IT Community Illness 102