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.

Illness 136

Illness Patient-Centered Screening Clinic 136

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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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? Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

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).

Illness 128

Illness IT Diagnose Medical 128

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.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. We know what’s going to happen. Kirsten 14:33 That’s one of the things that draws you to it, right?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. David 20:00 Yeah, I think so.

Medical 98

Medical IT Patient-Centered Healthcare 98

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? We have about 450 inpatient mental health beds. Eric: Mm-hmm.

Family 132

Family Families IT Community 132

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?

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

SEPTEMBER 19, 2024

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. So in chronically critically ill patients, the idea that one visit is going to do anything is just. Is this superior to that? Palliative care.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 7, 2022

Alex: I also appreciate the multifaceted view you have on pain in the way it teaches us, in the way it teaches our children not to touch a hot stove, in the way pain has been used for good or for ill by religion as way of interpreting a spiritual experience, and the richness within which we have experienced and viewed pain over time.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105