GeriPal

DECEMBER 8, 2022

So those questions we ask when we’re doing a palliative care consult. You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. And so it was from that time on that then I continued going and that’s how Thor came into my life.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? I see this in the hospital when I’m doing addiction medicine consults. For those individuals, how do you think about that?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

DECEMBER 15, 2022

So those questions we ask when we’re doing a palliative care consult. You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. And so it was from that time on that then I continued going and that’s how Thor came into my life.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. What is sludge? Eric 26:36 Yeah.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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. Now, some of the other secondary things, you know, you may have have seen if it was trigger of specialty palliative care consultations.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. It’s not explainable that each individual physician has independently arrived at this very aggressive practice pattern. Is that right too?

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. 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.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Rehabbed to Death. Ruth: Aw, thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. We started a clinic here in 2008 at the VA, and what we found was that, you know, our median time from consult to death before we started clinic was like 18 days, somewhere around there, like somewhere around two weeks. Eric 10:44 No, all consults.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Who do we have with us on this podcast? Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Using data from wearable devices, internet searches, and purchasing history?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108