GeriPal

FEBRUARY 22, 2024

So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?” A lot of times I see private sector hospitals saying, “We have mental health covered. We have a social worker.”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? ” and the answer is no, that probably was more just about do you need anybody to support you kind of emotionally or during this hospital stay, just give information to.

Family 97

Family Families Patient-Centered IT 97

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. Lynn 37:39 I was in the hospital. Abstract presenters as well.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Laurie: Yeah, she was an On Lok patient, and I went in to see her in the hospital.

Family 112

Family Families Patient-Centered IT 112

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 9, 2023

It also feels like, I also grew up in med school in a three hospital system. There’s the variation between the hospitals, feels like there’s cultural issues that play a role. So then you drill down further, just like you said, Eric, when you were going back between different hospitals. Eric: Yeah.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

SEPTEMBER 1, 2022

I am constantly talking to clinical social workers about what are the ways that you can be contributing to research, to publications, to scholarship, to presentations, even if it’s a reflection paper? And then my mom was diagnosed with lung cancer and she was treated there. Look, I’m in a line talking about grownups here.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. Eric: Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? Ramona: Glomerular Filtration Raterate. I probably should have said GFR. Eric: Yes. I just choose GFR.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 109

Patients IT Family Families 109

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. The rules are really quite simple: Find another person. Frank 08:43 Well, briefly.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. And so I was really thinking about why are some of my people that are hospitalized doing better than others? In fact from the time he was diagnosed, he passed away within two and a half weeks. You just knew it?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JUNE 13, 2024

Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. That patient past cache.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 21, 2023

I’m concerned about how can I get my dad diagnosed or get this proper care.” Fayron: One of the key statistics I say is, “By 2030, nearly 40% of individuals that would be diagnosed with dementia would be Black or Latino.” This is what they’re projecting.” ” Alex: Projecting in terms of what?

Community 128

Community Family Families IT 128

GeriPal

AUGUST 8, 2024

And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. And I can’t imagine anyone working in an end of life situation, in hospital palliative care situations. Thomas 25:44 It is exactly the case.

IT 124

IT Family Families Relationship 124

GeriPal

AUGUST 24, 2023

So tiny, tiny, in a hospital bed. I’m fully present. We examine, we diagnose, we fix. To diagnose, to come up with a formulation, to be able to really get hold of the cause of this individual suffering. And really the only thing in the room was a picture of him as a bodybuilder. So incredibly muscular person.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults. People are living with HIV into advanced ages.

Primary Care 94

Primary Care IT Provider Clinic 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. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? Alex 00:18 Prognosis, super special today. And we have some great guests.

Family 106

Family Families Patient-Centered IT 106

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

AUGUST 22, 2024

Knowing I was interested in neurology and had opportunities to observe brain death determination in the hospital. Right, my answer that brings us a little bit closer to the present than my childhood. So in the case of Jahi McMath, you were talking about, you know, her family was kicked out of the hospital.

IT 113

IT Family Families Patient-Centered 113

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017). Sorry, Ken.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141