GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. The hospital refused without a court order, and the case eventually made its way to the Supreme Court.

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Families Family Patient-Centered IT 112

GeriPal

OCTOBER 12, 2023

Summary Transcript Summary For surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. We hope you enjoy this episode. Justin, welcome to GeriPal. Justin: Hello. It’s great to be here.

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IT Families Family Patient-Centered 128

GeriPal

MARCH 28, 2024

Alex: Today we’re delighted to have Corita Grudzen, who is an emergency medicine physician and she’s at Memorial Sloan Kettering. And we have Kate Courtright, who’s at University of Pennsylvania, the PAIR Center. I’m just stunned even writing that! We’ve come so far as a field. This is Eric Widera. Eric: Nudge it.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 10, 2025

Summary Transcript CME Summary Early in my research career, I was fascinated by the (then) frontier area of palliative care in the emergency department. 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?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But, should we as clinicians care about the social lives of our patients? Alex: Great.

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IT Community Patient-Centered Medical 99

GeriPal

NOVEMBER 17, 2022

staff training in person centered care). The experts settled on a range of key services, from more palliative care focused (e.g. end of life care and advance care planning) to more geriatrics focused (e.g. toenail trimming) to things in between (e.g. And which journal again? Ken Covinsky: JAMA Network Open. Eric: JAMA Network Open.

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Community IT Mental Health Medical 97

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery. Eric: Lucky Strike.

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IT Patient-Centered Patients Healthcare 95

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. GeriPal podcast with Linda Fried on frailty. Alex: (Singing).

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Patient-Centered Patients IT Hospital 96

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.

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Patients IT Patient-Centered Hospital 98

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it?

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Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

Since then there has been a lot of back and forth, with even a couple of podcasts from us, several JAMA viewpoints, and most recently a series of published replies from leaders in the field on why ACP is still valuable (see below for references). . Despite all of these publications, I’m still left at a loss of what to think about it all.

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Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism.

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Mental Health Community Screening IT 116

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.”

Patient-Centered 125

Patient-Centered IT Families Family 125

Physician's Weekly

JULY 1, 2025

So, in mid-March, he took his family to a primary care clinic at the University of Texas Medical Branch in Galveston. Nguyen, who is a UTMB postdoctoral fellow in public health and infectious disease, said he asked clinic staff whether his family’s insurance would cover the checkups and immunizations. Then the bills came.

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Vaccination Checkup Insurance Families 52

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

Two-thirds of the patients in the home now have COVID-19. Seventeen of your patients are dead. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on gowns and facemasks. Welcome back to GeriPal, Darrell.

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Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

DECEMBER 12, 2024

Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. Summary Transcript CME Summary Surrogate decision making has some issues. After making decisions, many surrogates experience regret, PTSD, and depressive symptoms.

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Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 17, 2025

They rushed to the emergency room, fearing a dangerous bowel impaction. Until recently, the only treatment was growth hormone therapy to help patients stay leaner and grow taller, but it didn’t address appetite. Researchers are learning that obesity’s drivers can be environmental, familial, or genetic.

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Patient-Centered Emergency Room Insurance Patients 52

Physician's Weekly

JUNE 13, 2025

Sheps Center for Health Services Research following a request from Senate Democrats, who released the findings publicly Thursday. ” Hospitals that do stay afloat likely will do so by cutting services that are particularly dependent on Medicaid reimbursements, such as labor and delivery units, mental health care, and emergency rooms.

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Finance Hospital Community Emergency Room 52

Doctors for America

APRIL 22, 2025

Since Columbine, there have been over 420 school shootings in the United States, resulting in countless deaths and lifelong trauma for students, educators, families, and communities. Doctors see the human toll of gun violence every single day—in emergency rooms, in trauma centers, and in the quiet moments of grief that follow.

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Medical Student Emergency Room Community Patient-Centered 52

Physician's Weekly

JUNE 13, 2025

In our city of Victoria, for instance, many people do not have a family doctor because so many doctors have retired; those who are left are unable to take new patients because their lists are full. This would present a valuable opportunity for doctors and their families to learn French. The US is better off without them.

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Vaccination Families Family IT 52