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Episode 232: Anti-Racism in Medicine Series – Episode 15 – Housing is Health: Racism and Homelessness – Clinician + Community Perspectives

The Clinical Problem Solvers

Push back against individual narratives that blame individuals for systemic injustice. Push back against discussions that homelessness is caused by substance use or mental health problems. Watts remind healthcare providers to speak out about the structural causes of homelessness. Push back against dehumanizing language.

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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. Really, only thing that I think was really in the biomedical health services literature at that time was probably Carla’s paper on loneliness. Or was that just the lingering conversations?

IT 99
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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both. Can you come and be in our clinic once a week?

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Storytelling in Medicine: A Podcast with Liz Salmi, Anne Kelly, and Preeti Malani

GeriPal

Because, for example, we get a lot of pieces on wellness and mental health. They’re limited because, on the individual level, when you get down to it, the complexities of these stories and the caring involved may lead to these complex relationships, understanding what the goals are, as you had done with your mom.

IT 96
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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. To Susan’s point.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

So if you think about dementia, it’s on the intersection of aging stigma and mental health stigma. Eric: … you’re getting paid for individual encounters, not going to people’s homes, not being paid for all of the additional support that’s needed for comprehensive cancer care. You get double whammy.

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AI for surrogate decision making?!? Dave Wendler, Jenny Blumenthal-Barby, Teva Brender

GeriPal

And really they’re trying to understand what reasonable quality of life can this person expect to achieve and just agonizing over those decisions, over every individual decision. But more and more patients end up in emergency rooms and ICUs and they’re unrepresented. Do we do antibiotics or no antibiotics?