GeriPal

MAY 19, 2022

But I think people would have an embolic event if you gave them a flipping range. The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have. So, it’s exactly what I have in the chart. I see you inhaling, let me finish.

IT 139

IT Patients Individual Relationship 139

GeriPal

OCTOBER 13, 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.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

Management 116

Management Patient-Centered Patients IT 116

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.

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

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 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 15, 2024

And so to them, the real frustrating part is they’re supposed to be treating people like it’s a one-time event the very first time, and the system of EMS is not designed to be longitudinal complex care, and yet that’s basically what we’re seeing happening. Same thing with kind of medication management.

Community 114

Community Transportation IT PCP 114

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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. If the patient has a spectacular response to HIV management or the cancer treatment, then the main factors are removed.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 17, 2024

People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. One of our first podcasts, over 300 podcasts ago, was with Nate Goldstein, who studies heart failure management in older adults, and particularly older adults nearing the end of life. Was it sodium hf?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. I think we’re probably managing sicker patients on the floor.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. Ken 12:14 I’ll remind you, Nancy, that this is an honor for companies that manage to make lots of money despite having a product that’s worthless or doesn’t. Alex, you’ve probably penned about 50 songs, which is also amazing.

IT 64

IT Hospital Screening Patients 64

GeriPal

JULY 28, 2022

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. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 22, 2025

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. We’re sort of. Theresa 19:34 So you’ve hit on something really interesting there with the vinyl.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. Alex: Or transfer from bed to a chair. You said you worked with a hospice agency?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 6, 2025

And this is really traumatic event for his street family and the street community that he knew. How much of your training was focused on managing substance use disorder training and palliative care? So it could be a case manager at a shelter or an outreach worker who works in the encampment areas of Toronto. Naheed 15:56 2014.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 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. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A.

IT 137

IT Family Families Physicals 137

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.

Complication 52

Complication Patient-Centered IT Patients 52

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. A good prescriber, a good symptom control manager. Ive got a name. No, you dont need to be Canadian. Canadians are welcoming. Palliative Medicine – Just Another Specialty?

IT 104

IT Patient-Centered Family Families 104

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? What does it mean for functional status, symptom management, location of care? The post Dementia and high risk surgery: Joel Weissman and Samir Shah appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). I would look at their functional ability. So that’s the logic.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

OCTOBER 12, 2023

I just was going to jump in and say that I think, in surgical training, the focus is, obviously, on the technical aspects and how do you do the surgery and how do you manage somebody both pre- and post-operatively. But I think it’s artificial, as we’ve already shown in this conversation, to talk about that as a isolated event.

IT 128

IT Family Families Patient-Centered 128

GeriPal

MAY 15, 2025

The events are conditions that’ll be set into place unless some active choice to the contrary is chosen. But you know, we managed to work it through and people got used to it and throughout the duration of the trial. The granddaddy nudge is the one we talked about on our last podcast with you where you change the default option.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 2, 2024

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. In reality, that is a huge cost saving for the hospital. We did a lot of listening.

Consulting 120

Consulting Hospital Patient-Centered IT 120

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. And the dad just totally lost control, major anger management issues. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

SEPTEMBER 19, 2024

Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing? It’s not just about physical symptom management. You sort of had a month after all of those events. No, I think it was a great trial. Palliative care.

Patient-Centered 119

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. 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

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 Hospital 129

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. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away. Eric: And Susan? Having that visual is really important.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

AUGUST 1, 2024

So if you already have a condition, you might be able to prevent events. But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. And you can work at different levels of prevention.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 20, 2023

Sometime after the age of 50, we could identify an event where the folks who were first homeless before 50, there wasn’t a clear crisis that precipitated it. Folks who were first homeless after 50, there was an event, and usually those events could be described in one of four categories. But they were poor, really poor.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 25, 2024

Someone’s function in the future can depend on, like, a crisis event, like a fall and a hip fracture. I don’t know how our patients manage that. It’s not just in the next couple weeks or months. James 26:49 Exactly. And also, a lot of it is kind of challenging to predict, like, if you.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 21, 2022

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). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Alex: Is that publication out? Alex: May 15th.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 1, 2023

Because those experiments show that the actor being targeted, lipids for example, is part of the causal pathway to an undesired event. I do think that creates a little bit of disquiet where the borders between the expert physicians will decide what is a disease, freed of all conflicts, simply is a historical event. Jason: Yeah.

IT 115

IT Clinic Illness Hypertension 115