PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. Collaborative Care in the Identification and Management of Psychosis in Adolescents and Young Adults. We have developed a series of pain focused episodes.

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PEMBlog

AUGUST 30, 2023

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Michele Nypaver, MD University of Michigan Ann Arbor, MI, USA michelen@med.umich.edu Jennifer Thull-Freedman, MD Alberta Children’s Hospital Calgary, Alberta, Canada Jennifer.Thull-Freedman@albertahealthservices.ca

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GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. Eric: And why is it more common in hospitalized adults? This is Eric Widera.

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GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Eric: And you can probably tell already, the topic at hand is diabetes management in late life. Happy to be here.

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Diabetes Management Patient-Centered Families 73

GeriPal

OCTOBER 13, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

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Complication Patient-Centered IT Patients 97

Tiny Physician

FEBRUARY 15, 2022

Without even forming an enquiry committee, he was suspended for a few days by the hospital administration in order to satisfy the public. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Jishnu Janardhanan (Resident Doctor) In a study done by Patricia et al. [3],

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GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Management of chronic pain in the elderly: focus on transdermal buprenorphine. Transcript. Right, Katie?

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Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex: This is Alex Smith.

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Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. These services go beyond treating illnesses; they aim to keep you healthy in the first place. Non-life-threatening illnesses often demand quick relief options. It's not quite an emergency, but you need relief fast.

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GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? For more details, please click here. (AP AP Recruit Job No.

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Illness Mental Health IT Patient-Centered 101

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Yeah.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

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Illness Hospital Patient-Centered Patients 110

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Eric 01:42 So we’ ve got an exciting topic today.

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GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

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GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Eric: Well, Terri and Emmy, thank you for joining on this podcast.

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GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? So our inpatient hospitals are kind of under resourced for music therapy. That’s.

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GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. And well skilled.

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Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

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Illness IT Medical Provider 144

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. Fifty percent have a diagnosis in their record of decedents have dementia.

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Patient-Centered Complication Patients IT 101

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. So I go between.

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Patient-Centered IT Patients Clinic 109

PEMBlog

MARCH 27, 2024

This episode will help you better prepare for and manage children with inborn errors of metabolism in the Emergency Department. Inborn errors of metabolism in infancy: a guide to diagnosis. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. Pediatrics. 1998 Dec;102(6):E69.

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GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

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GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

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IT Families Family Illness 83

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. I think some of that depends on the kind of health system or hospital that you are involved with.

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Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

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Families Family IT Patients 106

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. It’s easier to concentrate on cure, diagnosis, cure. People who are suffering are not very visible.

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GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? It can help prevent disability, or it can make a diagnosis and that’s it. There’s been concern, dating back at least, what?

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IT Families Family Patient-Centered 128

GeriPal

FEBRUARY 17, 2022

And I was really excited just to learn how to manage these patients, because in the patients in geriatrics clinic that we see, fractures just can be so devastating and result in loss of independence. And so many older adults with diagnosis of osteoporosis have never received any therapy for it. James: Yeah. That has a good ending.

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Clinic IT Patients Medical 67

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. Alex: And are the regulations similar or different in terms of six month required prognosis or less, should the disease take its usual course, or illnesses leading to a short prognosis? When they built a new prison hospital in Stockton, the dialysis went there.

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GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. Summary Transcript Summary Think about the last time a patient yelled at you in anger.

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Patients IT Families Family 109

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

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Illness Patient-Centered IT Patients 98

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Within eight weeks of diagnosis of advanced disease.

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Patient-Centered IT Patients Hospital 119

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. Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness.

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GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. 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.

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Primary Care IT Provider Clinic 94

GeriPal

JULY 7, 2022

Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. And that over time, if you look at people who have this transformation of acute into chronic pain, the transformation is not linked to the severity of your initial illness or your severe initial injury. Welcome back to the GeriPal podcast, Haider.

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Patient-Centered Physicals IT Patients 105

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Alex: Is that publication out? Alex: May 15th.

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