GeriPal

MAY 5, 2022

So, it’s a critical component if you really want to have conversations about goals of care, you want to have conversations about the types of treatments that the person wishes to have, or doesn’t wish to have, and to really engage the person and the family in these conversation.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JULY 27, 2023

Cathy: Actually, many years ago, I did some research on delirium and then I was doing some research on nursing home residents and we were doing work looking at, I was interested in how sleep problems and nighttime events might lead to delirium, and then I just became very, very interested in sleep.

Illness 85

Illness IT Medical Clinic 85

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. I think we have ideas about are these paradoxical events, are they expected? That their loved one is in there. Eric 01:34 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. And one person even called the system 75 times and that was just a light-bulb event for me. Welcome, Katie, to the GeriPal podcast. Katie: Thanks for the opportunity. Katie: Awesome.

Community 115

Community Transportation IT PCP 115

GeriPal

FEBRUARY 8, 2024

They’re starting to decompose even in the toes and fingers, and we’ll sit there and tell their family, we think they’re suffering, because we are suffering watching them, and we want them to make a decision that’ll make us feel better and take the suffering away as quickly as possible. What are you seeing?”

IT 137

IT Family Families Physicals 137

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. So there’s an event or a series of events.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And it was like the lights came on. This guy came alive.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 9, 2023

Psilocybin, the most commonly used psychedelic, increases heart rate and blood pressure, which may potentially lead to cardiovascular events. One of the headlines there was about a family medicine doc, not to pick on family medicine, a doc, who was prescribing mail order psychedelics at really high volumes around the country.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JULY 11, 2024

I think for families and for other providers who are not trained in that, it’s very hard to predict. That we can’t predict when they’re gonna get sick or when they might go to the ED, when that big event may occur, but it’s also the uncertainty of who might be able to get transplanted. Brittany 15:07 Right.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. In many cases, the families were the victims of the crime. And we’ve really tried to serve that hospice mission of serving the patient and the family.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 12, 2023

” Somehow, there’s this signal that the patients and families had to pick up that maybe the surgeon wasn’t so enthusiastic, or if I just dump risk on them, maybe they’ll say, “I don’t want this.” What I need to navigate with that patient and their family, is it valuable to you? Every time.

IT 128

IT Family Families Patient-Centered 128

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. And that family was not necessarily a trusted network. Like I could do that in my sleep.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

DECEMBER 5, 2024

It was like kind of a co op with this common space that different groups could rent for events and meetings and things like that. And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. There was a living room that you could rent.

IT 107

IT Community Patients Families 107

GeriPal

OCTOBER 5, 2023

So I first want to just say thank you to Ernesto’s family. And I met with his family over Zoom, which was how many of us had to meet with families during that time. We were doing a lot of this without a whole lot of guidance, as is common, I think, from family, because all they knew was who he was. Sunita: Yes.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

JUNE 13, 2024

And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. Alex 24:58 I’m so glad you mentioned the family. I’m going to go tonight for dinner with the rest of the family. There’s something.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical conversations with colleagues and families to coordinate transition planning.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 30, 2022

And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? So, you really have to leave this up to the patients and their families to understand what the context is and what is meaningful to them. She has advance dementia. They would be horrified.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. That was the patient and the family were of equal importance.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 15, 2025

The events are conditions that’ll be set into place unless some active choice to the contrary is chosen. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Their family members want them to get out of the hospital sooner. If not, why not?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

AUGUST 8, 2024

We cover a wide range on this topic, weaving in our own stories of loss with Thomas’s experiences, stories, and poems from years of caring for families after their loved one’s have died. Whereas in cultures that practice cremation properly, it’s a public event full of ceremony and ritual and expectation. I can tell you this.

IT 124

IT Family Families Relationship 124

GeriPal

NOVEMBER 7, 2024

Take a stab, Alex, in one sentence, I think more total time bias is when the start time for one group doesn’t begin until some event happens and therefore they have to survive until that event. And that biases them because they’re immortal in a sense, until that event happens. Maria 36:03 Yes. Yes, that’s fair.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. How do you make decisions about work and family? Alex: I’ve got to show you the back of the Jersey.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 17, 2024

If they’re frail, if they’re falling, if they have cognitive impairment, they’re at higher risk of adverse drug events. A pill organizer, having family. We’ve got to think through how to accommodate some of these limitations.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 17, 2023

And I think that’s what’s important for families to know because everyone wants to stop this disease and roll back the clock to make their loved one better. But all of this has to be understood by the patient and the families and so that they’re comfortable of that. Remember, family member. It’s coherent.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

OCTOBER 3, 2024

And I think up until the time when my aunt was passing, I had been very afraid of the idea of death in my family. And what’s important about this for your listeners is that we begin to see that dying is not just a medical event, and we need to stop treating it as if it were just that. It was something we didn’t talk about.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 2, 2024

And, of course, this is what families of patients undergoing palliative care go through. So if you have say two similar patients who go to the ICU with COPD, both are an event, one lives for 27 days and dies in the ICU, the other one gets a palliative care consult and dies four days from hospital admission.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

OCTOBER 27, 2022

So the two examples that I would talk about are treatment for osteoporosis that hinges on the 10 year risk of fracture, and then treatment for hyperlipidemia that hinges on predicted 10 year cardiovascular events. So the idea here is that generally the risks of bad things, like side effects, are pretty constant throughout the population.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 5, 2024

So in some ways, it was an iatrogenic event. There was also a second event in that the pressures chosen weren’t the ideal ones. I mean, obviously nobody fed her the pill with the intention of choking her, but it wasn’t like suddenly she had another event out of the blue because she had a bad heart.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 16, 2023

I came from a family where you didn’t write things down, somebody could find them and hold you to them or all of that kind of stuff. There’s a little paranoia in the family for good reason. I am not a writer naturally. And I was even the kid who didn’t write her parents from camp. With that, goodnight everybody.

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

SEPTEMBER 19, 2024

Additionally, in case patients didn’t step up, we did have sort of events where they were scheduled to see palliative care. You sort of had a month after all of those events. Eric 27:07 Month of that event, did they also see inpatient palliative care? Eric 26:47 How soon after from a hospitalization, all.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

And so any additional stressor such as heat or an extreme weather event or having to move from your home because of a climate related disaster can really tax an older adult whose window of resilience is more limited. We are already seeing effects and they’re pretty much every body system. What does that actually look like?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 25, 2024

And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So it’s not just like the patient or the family, but it’s also the healthcare system.

Family 106

Family Families Patient-Centered Patients 106