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

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. I did it before and this guy, he was 85, but he was climbing Mount Everest.”

IT 128

IT Family Families Patient-Centered 128

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.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? Has kept me interested, the patient experience and the older adults in the community, their experience.

IT 99

IT Community Patient-Centered Medical 99

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. Today we’re going to be talking about narrative writing specifically for healthcare professionals.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

NOVEMBER 17, 2022

And she had started this practice following her mental health patients as they got older, and invariably over decades of her practice, her practice became an assisted living practice, because all of her patients ended up moving into assisted facilities. Her name’s Carole Cohen. And I would round with her in these places.

Community 97

Community IT Mental Health Medical 97

GeriPal

MARCH 10, 2022

It improves symptom management. ” And I too was just drawn to … from a clinical perspective, from a research perspective, just this revolving door through the emergency room. Because this revolving door in the emergency room was basically assault and battery, if you will. Of intensively hand feeding?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. And just going back to that patient, I’ll tell you, before I started this role, I would have probably looked at the handout box in our clinic and been like, oh, okay.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. Haider: And because it is so subjective and because we have these arbitrary rules around what the right patient with pain looks like, I think we really trap patients in a really difficult situation.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. We want to do meaningful work and so we want to know that the conversations we have impact patient care. And I kind of think our patients are on this longer journey, right?

Illness 98

Illness Patient-Centered IT Family 98

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.” Care Ecosystem.

Patient-Centered 125

Patient-Centered IT Family Families 125

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.

Hospital 115

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. Did I summarize that right, Darrell?

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136