My Green Doctor

MAY 29, 2025

In the United States, extreme weather events and air pollution are already costing the healthcare system over $820 billion annually. We must transform healthcare into a frontline responder for climate resilience. At My Green Doctor, we help clinics and health professionals build climate resilience from the ground up.

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Healthcare Professional Healthcare Finance Education 52

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers.

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Illness Hospital Patient-Centered Patients 110

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.

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GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. So we used a lot of rehab to death.

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Patient-Centered Hospital Patients IT 132

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. 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.

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Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. And this is really traumatic event for his street family and the street community that he knew.

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Healthcare IT Community Illness 100

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. Lauren: Yeah.

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Patient-Centered Patients IT Hospital 96

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. What is sludge?

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Patient-Centered Hospital IT Illness 116

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? We think there are some cases, certain kinds of illnesses or conditions or operations, where people have the surgery and never get out of bed again. What does it mean for functional status, symptom management, location of care? Eric: Yeah.

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Patient-Centered Complication Patients IT 101

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.

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IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. The illness narratives suffering, healing, and the human condition. Usually events open up some insight into the person themselves as they’re describing the suffering. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004.

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GeriPal

FEBRUARY 17, 2022

And I was really excited just to learn how to manage these patients, because in the patients in geriatrics clinic that we see, fractures just can be so devastating and result in loss of independence. So these are really relevant outcome events. But how long does it take until you see those events? James: Yeah. Eric: All right.

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Clinic IT Patients Medical 67

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. When we first started, they were concerned about the fact that nurses were going to be only working with people that were very ill and people that were grieving. by Kearney.

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IT Patient-Centered Family Families 104

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Our volunteers are starting to take over ownership of this program, so we’re kind of like building a team to help kind of maintain it, manage it, and make sure that everything’s on the up and up with it. And we’re.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 20, 2022

I think what we are starting to find with antibiotics, especially in older adults, is with increasing duration as well as increasing dose, older adults are especially susceptible to adverse events associated with the drugs as well as other risk factors like C. difficile infections. Eric: That’s pretty impressive.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 12, 2023

Two or three decades now, Gretchen, about fix-it language not only in surgery but in a variety of clinical spaces, which really refers to language that portrays illness, really, through a mechanical model. ” We make sure that we talk about illness understanding and prognosis. Alexis: Yeah. Justin: Mm-hmm.

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IT Family Families Patient-Centered 128

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. But now we have older people dying of older people illnesses. He struggled with mental illness, substance use disorder. Welcome to the GeriPal podcast, Michele.

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GeriPal

FEBRUARY 2, 2024

And PAIR stands for the Palliative and Advanced Illness Research Center. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. Scott, welcome back to GeriPal. Scott: Pleasure to be here. And, of course, this is what families of patients undergoing palliative care go through.

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Consulting Hospital Patient-Centered IT 120

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Eric 21:46 So this study showed that in people with chronic critical illness, having palliative care lead one and a half sessions in an ICU around prognosis and goals. Is this superior to that?

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Patient-Centered IT Patients Hospital 119

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. Eric: We’re going to be talking about loss and grief and the role of debriefing for healthcare providers. Turns out, it’s maybe not.

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GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful.

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Patient-Centered IT Community Illness 93

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. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

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Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. That’s in my view as analogous as to any other illness. You need the plaques to have that illness.

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