GeriPal

JULY 27, 2023

For those with serious illness, sleep problems and insomnia are all too common. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Summary Transcript Summary Insomnia. We’ve all had it.

Illness 85

Illness IT Clinic Medical 85

PEMBlog

JUNE 14, 2023

This episode is a co-production of the Emergency Medical Services for Children Innovation and Improvement Center whose mission is to minimize morbidity and mortality of acutely ill and injured children across the emergency continuum. Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together.

Mental Health 98

Mental Health Management Patient-Centered Illness 98

StorytellERdoc

JULY 2, 2014

I had signed onto his chart hoping he would be a quick in-and-out patient among the endless sea of critically-ill patients that arrived at our doors that evening. My thoughts immediately went to my sister, Susie, who has had a long and fulfilling career as a Special Education Teacher. What can I help you with tonight?"

Specialization 100

Specialization ER Families Family 100

PEMBlog

MAY 31, 2023

Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. This podcast episode hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) is all about age-appropriate pharmacologic management strategies for agitated children.

Management 89

Management Patient-Centered Finance Transportation 89

PEMBlog

MAY 17, 2023

Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. Why then do we persist with the “is it medical/organic or psych” question? It is also episode 1 in a 5 episode series focused on agitation in children and adolescents. We have developed a series of pain focused episodes.

Patient-Centered 68

Patient-Centered Mental Health Management Finance 68

GeriPal

MAY 19, 2022

Summary Transcript Summary. A patient is on morphine and you want to convert it to another opioid like hydromorphone (dilaudid). How do you do that? Do you do what I do, pull out a handy-dandy opioid equianalgesic table to give you a guide on how much to convert to? . which advocates for an updated, wait for it… equianalgesic table! .

IT 139

IT Patients Individual Relationship 139

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s.

Illness 109

Illness IT Patient-Centered Patients 109

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 . We got some really special guests with us. But does this drug really live up to the hype? Transcript.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Summary Transcript Summary On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), He was also the one who we have to thank for suggesting this podcast!

Education 128

Education IT Illness Healthcare 128

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Is it you Lyndsay?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. AMA PRA Category 1 credit(s) ™. Eduardo, welcome to the GeriPal podcast. Thank you.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. Any one of our podcasts with Bob Arnold, including this one on the language of serious illness or this one on books, to become a better mentor. That’s a hard enough task, given that most of us have never had any communication skills training. Gordon 02:02 I do.

IT 133

IT Illness Families Family 133

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

MARCH 24, 2023

For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care. If you are interested in signing the position statement “Core Roles and Responsibilities of Physicians in Hospice Care”, click here. Is it you, Ira?

IT 115

IT Provider Patients Families 115

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C.

IT 102

IT Families Family Clinic 102

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.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie). Tyler 01:12 AHPM. We were in Denver.

IT 98

IT Patient-Centered Patients Board-Certified 98

Georgetown Pediatrics & Family Medicine

FEBRUARY 7, 2022

“A lot of times when we talk about mental illness or mental health, I think there’s a lot missing from the conversation,” Dr. Joy said. “I It doesn’t always have to be about mental illness.” He was interested in understanding racial bias and supporting educational justice.

Mental Health 40

Mental Health Patient-Centered Hospital Education 40

GeriPal

AUGUST 11, 2022

– Serious Illness Conversation Guide podcast. What I fell in love with and felt incredibly compelled by was the taking care of seriously ill patients and particularly helping them negotiate emotionally the experience of being very seriously ill. AlexSmithMD . Links: – PDIA Faculty Scholars Program. Transcript.

Illness 110

Illness IT Families Family 110

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A. Accepting This Poem by Mark Nepo [link] Saks, N.,

IT 137

IT Families Family Physicals 137

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. Graphic Novels. Graphic Medicine. Transcript.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. What words to use? Is the POLST useful?

Families 113

Families Family Patient-Centered IT 113

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. Consider this: the majority of the 1.4 Alex 02:09 Well, oops.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 28, 2024

I’m just stunned even writing that! We’ve come so far as a field. This isn’t to say we’ve “made it” – more to say that we’ve reached a new stage of maturation of the field – in which the evidence we are discussing is frequently high quality randomized trial level data. -@AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

Consulting 116

Consulting Patient-Centered IT Patients 116

PEMBlog

MAY 24, 2023

Special thanks to Manpreet Singh, MD ( @MprizzleER ) for helping to put this collaboration together. This podcast episode hosted by Brad Sobolewski ( @PEMTweets ) and co-authored by Dennis Ren ( @DennisRenMD ) is all about age-appropriate non pharmacologic management strategies for agitated children.

Management 54

Management Patient-Centered Physicals Finance 54

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. -Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. The theme is death.

IT 99

IT Patient-Centered Families Family 99

GeriPal

DECEMBER 5, 2024

So has a special resonance for, I think, a lot of people who are Tragically H ip fans. One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in.

IT 108

IT Community Patients Families 108

GeriPal

FEBRUARY 20, 2025

Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Here we go.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. Summary Transcript Summary. AlexSmithMD.

IT 70

IT Patients Medical Illness 70

GeriPal

SEPTEMBER 5, 2024

But before we go into all of that, I think, Bill, you have a song request for Alex. Bill 01:52 I do. Bill 01:53 Alex asked me for a song that was resonating in my head at the time, and it would be Guy Clark’s song, T he Cape. Eric 02:01 Why guy Clark’s the Cape? Bill 02:03 Oh, it’s a long story. I’ll make sure. Here we go.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. 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.

Illness 131

Illness IT Physicals Patients 131

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits?

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Why do this? You got it.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. We are delighted to welcome Jennifer Wolf f , who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the GeriPal Podcast. Jennifer 00:28 It’s great to be here.

Primary Care 80

Primary Care IT Clinic Illness 80