GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And one person even called the system 75 times and that was just a light-bulb event for me. laughter] Carmen, welcome to the GeriPal podcast!

Community 115

Community Transportation IT PCP 115

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. So there’s an event or a series of events. So there’s an event or a series of events. I guess that’s an event.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

FEBRUARY 8, 2024

I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is a difference, too, between physical suffering, and we have to also give that its dignity. I think there is definitely a place, especially physical.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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 22, 2025

A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones. I am not a board certified.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JUNE 13, 2024

Eduardo 25:39 I think that’s wonderful, Alex, because all our social and even religious events have metaphors of food. But what I tell them is, keep yourself physically active. Keep yourself physically as active as possible. Or not just address, but reassure, but also recommend things like smaller meals, etcetera.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JULY 11, 2024

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. When the lymphedema therapy, it’s a type of physical therapy where they do wraps and they go. Brittany 15:07 Right.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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: Really?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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. Another study looking at the benefits of physical rehabilitation in patients with HFpEF. From my standpoint, you want to think practically, okay? A pill organizer, having family. Alex 45:43 Okay.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. ” Right?

Illness 110

Illness Hospital Patient-Centered Patients 110

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. That’s a typical person I send cystatin C’s on.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. Alex, you’ve probably penned about 50 songs, which is also amazing. And very frail.

IT 64

IT Hospital Screening Patients 64

GeriPal

OCTOBER 12, 2023

Well, there’s this descriptive phase where there’s a verbal and physical examination and the conditions discussed, and then, procedures are discussed. 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

OCTOBER 5, 2023

It’s such a physical act, showing just how strong doctor’s moral resolve is to save a life. But I think what I didn’t know was that when somebody makes a decision to get to a certain event that the work isn’t done then. And yet, it’s so hard to be able to draw a boundary.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

MARCH 6, 2025

And this is really traumatic event for his street family and the street community that he knew. They want you to recognize their pain, not just their physical pain, but their trauma that they’ve experienced as a, as a, as a result of being on the streets. How do you actually physically find them if that’s the case?

Healthcare 100

Healthcare IT Community Illness 100

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

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. The post The Roots of Palliative Care: Michael Kearney, Sue Britton, and Justin Sanders appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 104

IT Patient-Centered Family Families 104

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. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Eric: And you’re also the medical director of the hospice unit here. Michele: Yep.

Family 132

Family Families IT Community 132

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. Eric 46:49 Yeah.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management. 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.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

NOVEMBER 3, 2022

That was the lesson I learned from reading a new book edited by Matt Loscalzo along with Marshall Forstein called “ Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals ”. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work.

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 Community 129

GeriPal

APRIL 20, 2023

These were usually very physically demanding, low paid, often usually non-union work, that they worked their whole lives and were hanging on by their fingernails. 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.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 25, 2024

So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Someone’s function in the future can depend on, like, a crisis event, like a fall and a hip fracture. Alex 05:48 I guess we didn’t do hospice specifically. Eric 05:50 Yeah.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. Ken 21:39 Well, yes.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141