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

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. But once we realize that almost everybody makes decisions in the context of relationships. That can all start with you.”

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. And that can really inform what your own institutional policy is. Eric 20:31 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. They may not think to ask or provide that information. Sometimes it’s unskilled things.

Community 114

Community Transportation IT PCP 114

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

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So, the docs actually wrote orders for tests, medications, consults. Lyndsay: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 10, 2024

This language grounds the hierarchical paradigm in interprofessional relationships because of the scope of practice alone, and then also talking about how this is sort of ingrained in our trainees, as you’ve mentioned. Whether they have a social worker, a nurse, a physician, an NP on the team, they know what to do with that information.

Screening 119

Screening IT Families Family 119

GeriPal

JUNE 5, 2025

And so we do have consultants who come in the building. And usually it’s simply for a consultation. And, you know, some, some relationship with hospice, some might not do many referrals at all to hospice. Some will have stronger relationships with hospice. Reasons why people thought about consulting palliative care.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. Josh: Mm-hmm.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But the cancer specific databases just don’t have this information. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

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 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. 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. On bias and trauma as you.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 19, 2025

Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships. Widera and Smith have no relationships to disclose. Guests Noelle Marie Javier and Jace Flatt have no relationships to disclose.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

NOVEMBER 21, 2024

Potentially harmful elements of that coping mechanism for your relationship with your four year old. As much information and control I can give, I’m going to give because I think that this coping is helping them stay rooted. What are you seeing in terms of the relationship between this patient and their family?

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

OCTOBER 5, 2023

And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informed consent. I point this out a lot more nowadays to the resident teams that consult. But we gave it as an option. Sunita: I know.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

APRIL 10, 2025

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. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? So that’s great.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. Because as we started off talking about why is this so hard, a lot of it was hard for us and the palliative care team, probably hard for the primary providers as well who are consulting us.

IT 83

IT Family Families Illness 83

GeriPal

MAY 8, 2025

And I think unfortunately, when anything kind of is moved into the clinical arena, similar to mindfulness in that way, where all of a sudden people became passive recipients, like they went and they got mindfulness in a consulting office. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. So there’s some concern, yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. And we’ve been consulted multiple times. Julia 11:02 Yeah.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. Eric: When I try to think about what a doula does, should I call it a consult? John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 24, 2025

Years and years ago, the first few years as an attending physician, I was consulted to take care of a gentleman with metastatic esophageal cancer. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. Widera and Smith have no relationships to disclose. I knew two things.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 14, 2023

When Eric and I were doing those… Well, many people were doing these telepalliative care consults in New York at Columbia Presbyterian Hospital remotely during COVID. And this paper means so much to me because of what it meant about my relationship with Randy. Is that right too? So to me, it’s really amazing.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

SEPTEMBER 5, 2024

And it’s not the same, but it does provide information. We consult all the time on patients who have advanced directors who say one thing and we’re in a situation where it’s clear they want to do something else. Widera and Smith have no relationships to disclose. Eric 33:05 Well, let me ask you this.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. It’s about establishing a relationship and rapport.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 11, 2024

Widera and Smith have no relationships to disclose. Guests Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So this, I think we had three or four consults.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

APRIL 18, 2024

It was specific to the relationship with the patient, the patient’s social context in which they might take this information. 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. Bob: Be well.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 10:44 No, all consults.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

AUGUST 1, 2024

Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Anna 07:06 Thank you.

IT 116

IT Diabetes Patient-Centered Chronic Disease 116

GeriPal

AUGUST 22, 2024

So, I mean, one thing that I take from Winston’s great paper, which I consulted in writing mine and cited, although maybe not as frequently as I should have, is this idea that a lot of these terms, and I think this is a philosophical perspective that Winston and I are both sympathetic to. Sean 17:40 Yeah. And definitely insensitivity.

IT 113

IT Families Family Patient-Centered 113

GeriPal

DECEMBER 12, 2024

And then once we have the surrogate, let’s really try to give them the information they need to make decisions. We do consults all the time on these where different people will say, no, it makes sense to try. And so there’s chances that we could do better with this information. The chances are too low.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108