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. The post Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Diabetes 73

Diabetes Management Patient-Centered Family 73

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 120

Consulting Hospital Patient-Centered IT 120

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

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. And really learning from them about what kinds of things healthcare might provide, that might be of help to them. However, its main predictors are age, comorbidity, and healthcare utilization. AMA PRA Category 1 credit(s) ™.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

OCTOBER 10, 2024

It’s all what we signed up for when we signed up on the dotted line to be in healthcare and palliative care. So this is applicable to anybody in healthcare and actually any kind of team. We’re supposed to be the leaders and what we found and from our own experience. Is constant, and we co create a plan together.

Screening 119

Screening IT Family Families 119

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 like as an example, in New York State, if someone has no healthcare proxy that they’ve designated, there is a legal structure by which we can assign a surrogate, whereas other states don’t have that same structure. But they also did not do the DPOA for healthcare form. So there’s no healthcare surrogate.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JUNE 15, 2023

Rethinking Automation and Inequity in Healthcare [link] [link] [link] MD Calc approach to inclusion of race [link] —— Transcript Eric: Welcome to the GeriPal podcast. 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. Charlotta: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

AUGUST 29, 2024

Elise 07:02 So healthcare workers for sure. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? There’s this therapeutic relationship.

Illness 132

Illness IT Family Families 132

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. AMA PRA Category 1 credit(s) ™.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 19, 2025

And I feel like a lot of this is really, you know, moving away from another podcast we did is industrialization of healthcare and really focusing on the individual that’s in front of you. This is still part of the gap that we need to do collectively as a, as a healthcare organization. AMA PRA Category 1 credit(s) ™.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

MAY 12, 2022

Alex: We are honored to welcome Dr. Rajagopal, who goes by Raj, who is the author of Walk with the Weary: Lessons in Humanity in Healthcare. The reasons are tied to the basically poor healthcare in low and middle income countries. We know that a department of healthcare cannot give it. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. So it’s a very scary culture for people who are not in healthcare.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Have you thought about that?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 5, 2025

So it’s, you know, nursing homes are part of the healthcare sector, but they’re also part of the social care sector in the same building. And so we do have consultants who come in the building. And usually it’s simply for a consultation. Some will have stronger relationships with hospice.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Even if the cancer gets cured, they’re not going to become their buprenorphine prescriber, the palliative care consultant. But nonetheless, the methadone clinic system is entirely separate from the rest of the healthcare system.

Illness 136

Illness Patient-Centered Screening Clinic 136

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. I think probably you’ve been hospitalists at some point in your life, you do palliative care consultations.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. We have on our steering committee, we have Lori Porter from NAHA, which is the National Association of Healthcare Assistance, and she’s been very active. So I am requesting The Sifters by Andrew Bird.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

SEPTEMBER 22, 2022

And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. I understand there’s a place for we have to justify our existence in a healthcare system that counts cost. You had no relationship. Josh: Mm-hmm. Yeah, totally. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

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 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. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 13, 2025

You’re talking about a paradigm shift in healthcare. I loved the relationship that we developed and the fun we had. And I think that the richness of our relationships, like I have kept involved in a lot of the people that I was working with, mostly at home, where people were dying at home. And she said, I run like hell.

IT 104

IT Patient-Centered Family Families 104

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. And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care. Not that one.

IT 145

IT Hospital Patients Illness 145

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. Absolutely.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

NOVEMBER 21, 2024

Potentially harmful elements of that coping mechanism for your relationship with your four year old. And if you look what they did early on, the very first things were relationship rapport building and how was somebody coping with their illness? What are you seeing in terms of the relationship between this patient and their family?

Illness 125

Illness IT Patient-Centered Patients 125

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

DECEMBER 14, 2023

And what my goal was was to try to get a 360 degree view of the healthcare system by interviewing as many different types of people that will influence care for people who are at the end-of-life or people with serious illness in the hospital. Is that right too? Alex: I found your quotes particularly hard hitting here.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. Eric: I realize we’re almost out of time.

IT 99

IT Community Patient-Centered Medical 99

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

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. And that was the last time that he’d been seen by our healthcare system. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 5, 2024

So I think just as much as we focus on the science and the evidence, it’s important to think about the art of how we apply that to people and the relationships and all of the great fun stuff, the stories that unfold in the exam room alongside the science itself. There’s obviously a lot of flaws in the healthcare system.

IT 107

IT Community Patients Family 107

GeriPal

OCTOBER 5, 2023

And I think when COVID started, I was in a number of meetings about how we were going to think about CPR from this point forward, given that it was would really expose healthcare workers to easy transmission of this virus that we didn’t fully understand yet. I point this out a lot more nowadays to the resident teams that consult.

Illness 136

Illness IT Patient-Centered Family 136

Tiny Physician

MARCH 30, 2022

She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days. A doctor-patient relationship is mandatory in the case and this can be proven by cross-checking the duty list or from the patient’s case sheet.

Hospital 52

Hospital Government Patient-Centered Medical 52

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.

Family 83

Family Families IT Illness 83

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. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. Widera and Smith have no relationships to disclose. All the rest is irrelevant, in my opinion.

Patients 98

Patients IT Patient-Centered Hospital 98