GeriPal

JANUARY 25, 2024

David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics. It sounds like this was a primary palliative care intervention. Eric: Oh, wow. Not the patients?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

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

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Family Families 119

GeriPal

FEBRUARY 15, 2024

But that was a small pot of money and we went to first call a handy person, it was going to be $500 for a consultation, let alone the installation, and we were like, “This is absolutely cost-prohibitive. Same thing with kind of medication management. We’ll get four people done.” And many of them, they have a rapport.

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Maybe we’ll get to talking about that today. Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. Lynn: Oh, that’s cool.

Patient-Centered 132

Patient-Centered Hospital Patients IT 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 19, 2025

So even partnering with that, making sure that you have resources that are available to partner with folks who are experts, let’s say in hormone therapy, some of our endocrinologists, some of our primary care physicians, they might come to you, let’s say, for a geriatric consultation and memory loss.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

MARCH 6, 2025

We have world class primary care, cancer care, palliative care. How much of your training was focused on managing substance use disorder training and palliative care? So it could be a case manager at a shelter or an outreach worker who works in the encampment areas of Toronto. Naheed 15:53 Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

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. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. And number two, maybe we should allow gentle occasional use of NSAIDs for chronic pain management if it means keeping somebody off of opioids. Devika: Thank You.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? What does it mean for functional status, symptom management, location of care? And that these serious illness conversations ought to involve more palliative care consultations, I think. We’re available, palliative care.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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

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. That could include a robust home care plan to manage his symptoms.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. We have one doula who is really well-trained and well experienced in advanced care planning, and that’s kind of her thing that she does.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 10, 2022

It improves symptom management. That’s what nursing and nursing homes should be really, really good at: is providing nursing care that creates comfort. That’s a problem in our healthcare financing system. Caroline: We have an intervention called Improving Palliative Care Access through Technology.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73