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. And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes.

Diabetes 74

Diabetes Management Patient-Centered Families 74

FDA Law

SEPTEMBER 20, 2021

Torrente, explained in a previous post , in-person meetings create important opportunities for building rapport, and lead to more robust dialogue and collegial relationships between the Agency and sponsors. Livornese and Josephine M. The endpoints must be novel (i.e.

Patient-Centered 52

Patient-Centered Manufacturing Clinic Provider 52

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. I didn’t really know, similar to what Evie was talking about, how to provide any anticipatory guidance or to know what to expect in residency. So you have the consultation.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 82

Individual Community IT Chronic Condition 82

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

The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

Permanente Medicine

JUNE 3, 2025

I think sometimes we don’t necessarily realize the importance in the role that each of us individually as physicians can have with patients both within the exam room but also globally. The patient reached out to me and asked what I thought or recommended because I had built that relationship with that patient, I had built that trust.

IT 52

IT Patient-Centered Patients Medical 52

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 116

Community Transportation IT PCP 116

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. With their regular providers? And really learning from them about what kinds of things healthcare might provide, that might be of help to them. AMA PRA Category 1 credit(s) ™. In their communities? How might we help this population?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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 for many years, I think there was a focus on physicians and then providers. Summary Transcript CME Summary Serious illness communication is hard.

IT 133

IT Illness Families Family 133

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. This is Eric Widera.

Families 98

Families Family Patient-Centered IT 98

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so we do have consultants who come in the building. And usually it’s simply for a consultation. So the palliative care service doesn’t necessarily need to provide those potentially. Eric 13:49 Right. Alex 14:59 What do you think?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. AMA PRA Category 1 credit(s) ™. Jessie: Exactly. Katie: Yeah.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support 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. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. 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.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

DECEMBER 8, 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. ” And my interview guide for the narrative analysis methods were, tell me about you.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. But then recognizing that our relationships impact our health even outside the context of stress.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. I think that as everyone is already starting to allude to, I think that there’s this in between space with adolescence and young adulthood that falls between our two areas of pediatrics and adult provider work. Eric: Yeah.

IT 83

IT Families Family Illness 83

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. So I am requesting The Sifters by Andrew Bird. Eric: Can I ask why?

Finance 95

Finance Board-Certified IT Provider 95

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

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. Eric: And Laurie for this patient, were you the outpatient provider? AMA PRA Category 1 credit(s) ™.

Families 113

Families Family Patient-Centered IT 113

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. ” And my interview guide for the narrative analysis methods were, tell me about you.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. Now they’re getting psychedelic experiences, you know, and transformation in a consulting office. It’s, it’s kind of a strange thing.

Illness 109

Illness IT Patient-Centered Patients 109

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. You had no relationship.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. 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.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

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

Eric 01:44 And we’re going to be talking about the roots of palliative care, and I think importantly, not just looking back, but what does that mean for our future as hospice and palliative care providers. I loved the relationship that we developed and the fun we had. Justin 01:59 Absolutely. It’s I Got a Name by Jim Croce.

IT 105

IT Patient-Centered Families Family 105

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) ™. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. I see this in the hospital when I’m doing addiction medicine consults. Like if a person has an issue, struggle with alcohol, I’m not their alcohol provider, but I may be their opioid provider.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

OCTOBER 5, 2023

Sunita: Honestly, I’d be happy to provide the vocals. I point this out a lot more nowadays to the resident teams that consult. If the consult is for “code status,” I always ask them, take a look at your past conversations. So I requested Alex to play Meet Me in the Woods by Lord Huron. laughter] Alex: Great.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. Oh, go ahead, Jill.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

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. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life. Is that right too?

Hospital 126

Hospital IT Patient-Centered Patients 126

FDA Law

JANUARY 8, 2023

The report must also discuss the barriers associated with conducting research with cannabis and CBD in states that have legalized their use, how barriers might be overcome and whether public-private partnerships or federal-state partnerships can or should provide researchers with additional cannabis and CBD strains. Research Protocols.

Medical 64

Medical Manufacturing Electronics Provider 64

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. If they don’t, they don’t. It’s not case finding.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

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. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. And since starting the clinic, median time for consult to death was. Alex 10:40 Wow.

Families 108

Families Family Patient-Centered Patients 108

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. And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. AMA PRA Category 1 credit(s) ™.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118