GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Noelle Marie, welcome to the GeriPal Podcast. Noelle Marie 00:57 Hi, everyone.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JULY 21, 2022

Because how that is approached can have lasting effects on relationships, unfortunately. Then I would say any clear deficits in thinking, vision, physical mobility, big new diagnoses, those; certainly cognitive changes, because that’s a really big one in terms of risk. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. ” So there’s this combination of it’s hard to build that insight or it’s maybe not as common as we as providers think it is. AMA PRA Category 1 credit(s) ™.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

OCTOBER 17, 2024

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Is your impression that HFpEFde is under diagnosed in older adults?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. And so the family is there in much more of an advisory role rather than providing say, cognitive scaffolding that they might provide in supported decision making.

Families 98

Families Family Patient-Centered IT 98

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 99

IT Community Patient-Centered Medical 99

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 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Eric: And Laurie for this patient, were you the outpatient provider?

Families 112

Families Family Patient-Centered IT 112

GeriPal

AUGUST 17, 2023

And we’ve been diagnosing it at Penn. I think the other issue as geriatricians and we need to educate our patients about is now you’re not on one, but six months later on this drug, you go on one. There’s a lot of stops along the way for education. Speaking to what Jason was talking about, education.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. 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. Julia 11:02 Yeah.

Patients 73

Patients Clinic Patient-Centered Illness 73

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

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. Alex: Okay.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. Ashwin Kotwal reports receiving a research grant from Humana Inc. and consulting for Papa Health. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™. .”

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

JANUARY 26, 2023

It can influence education systems. So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. It can influence a whole bunch of things and have deleterious effects. I probably should have said GFR.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

JUNE 23, 2022

If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So I’m actually interested in also trying to help women who’ve been diagnosed figure out what to do too. Meanwhile, there is risk to the procedure.

Screening 99

Screening PCP PCP IT 99

GeriPal

OCTOBER 3, 2024

I wonder if you could say a little bit more about the meta Institute in particular and what it is that clinicians today can do to learn, to be more present and learn about the need to be thoughtful and compassionate in the care that they provide people with serious illness. Much more about relationships has been my experience.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. So at our cancer center, we have physicians, advanced practice providers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 26, 2025

And there is this bidirectional relationship between wealth and health shocks. And then I was inspired by this paper and then really interested in looking at the bidirectional relationship between the two of them. May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed.

Illness 73

Illness Hospital IT Patient-Centered 73

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. And along the way, we really felt like we got to the heart of things.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. Have been now a care provider for people with HIV for over 40 years. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. There’s also education that goes with it, educating, like, what does that mean?

Primary Care 79

Primary Care IT Clinic Illness 79

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’ll provide you with like a percentage estimate of probability of nursing home level of care at two, five and ten years, and also the median predicted time to nursing home care.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. And then I subsequently entail, yeah, it was interesting.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

Healthcare provide. They’re often the ones who are most directly in touch with a grieving family or may have their own concerns about the care that’s being provided and the worth or value of what they’re showing up and doing every day. Eric 10:35 Are there others, the people who need the organs? Insurance companies.

IT 113

IT Families Family Patient-Centered 113

Mesa Family Physician

MARCH 6, 2025

These measures are taken after a disease has been diagnosed. Key examples include: Well-child visits at regular intervals Childhood immunization series Developmental screenings Vision and hearing tests Dental health promotion Nutrition and physical activity counseling Safety education (car seats, bicycle helmets, etc.)

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100