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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. This is Eric Widera. Alex: This is Alex Smith.

Families 97

Families Family Patient-Centered IT 97

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. Eric 12:05 Any pearls on the diagnosis of HFpEF.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. Jessie: Exactly. Eric: Which brings us to an article.

Illness 136

Illness Patient-Centered Screening IT 136

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. So the first thing, explain the diagnosis. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you.

IT 132

IT Illness Family Families 132

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication. We shouldn’t be mandating individuals, this should be an optional thing for individuals.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. Can you come and be in our clinic once a week?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. 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.

Community 115

Community IT Relationship Healthcare 115

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. It sets space between us and the individuals we’re trying to take care of. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. But it’s the people in the relationships that you meet. And that’s not particularly sexy.

Education 127

Education IT Illness Healthcare 127

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. I have oncology on the brain. So their practices were really collaborative and informed.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. So they have to self-administer. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

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. How do we see each of you as individuals who are having your own struggles? So you get to what the person individually might need around them, and last, how are you seeing this experience?

IT 83

IT Family Families Illness 83

GeriPal

AUGUST 31, 2023

So she had them early in diagnosis and then a little bit later. Eric: Well, I’m going to jump around a little bit because I’m going to go, Brad, I had a chance to read some of your book and one of the chapters was on your own prostate cancer diagnosis. It’s all individual. Brad: Yeah. It’s impressive.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 27, 2025

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. For those individuals, how do you think about that? Widera and Smith have no relationships to disclose. Sach 11:01 Yeah, absolutely.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. ” It allows that relationship. That’s been reported previously. Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. Because there is a lot intense discussion, I guess we were talking about this before with the stages of grief, how individualized is there is no right way or wrong way.

IT 100

IT Relationship Complication Specialization 100

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. Those are all things that could dramatically be a major health shock for an individual. And health shocks.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. It’s about establishing a relationship and rapport. And that’s where a lot of hospice referrals happen for these individuals when they’re really declining and they get discharged with, with hospice. Widera and Smith have no relationships to disclose.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Again, as Greg said, where the individual chooses what works best for them. I knew them, I developed a relationship with them. To Susan’s point. They touch every single system.

Community 89

Community Nurse Practitioner Provider IT 89

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. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. So you’re kind of the guest host today.

Family 106

Family Families Patient-Centered IT 106

GeriPal

MAY 1, 2025

Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis. How do you think about polypharmacy for these individuals?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

MARCH 27, 2025

And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. You didn’t ask about it, but for us, it was very important to examine differences for older adults with a diagnosis of dementia. Widera and Smith have no relationships to disclose. It’s a lot. Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JANUARY 5, 2023

And the argument was framed more as a healthcare choice made by individuals in conjunction with their clinicians. Robert: Professional relationship. Alex: … professional relationship to the patient? Robert: And I’m not going to what the individual provider believes is right or wrong.

Provider 19

Provider Medical Hospital IT 19