GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. But I think people would have an embolic event if you gave them a flipping range. Pallimed post on “ Simplifying Opioid Conversions ”.

IT 139

IT Patients Individual Relationship 139

My Green Doctor

JULY 2, 2025

Here we suggest steps that healthcare managers and clinicians can take to protect their patents. The EIB developed a first-of-its-kind tool to quantify how climate hazards like heatwaves, floods, and poor air quality will drive up healthcare demand across Europe. It is time to transform healthcare systems to be climate resilient.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

GeriPal

FEBRUARY 15, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Community 114

Community Transportation IT PCP 114

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? Just encourage patients and families to bring music into their healthcare experience. So our inpatient hospitals are kind of under resourced for music therapy. Tyler 01:43 Okay.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 12, 2024

On today’s podcast, we talk with Jane Thomas , Naomi Saks , and Ishwaria Subbiah about the concepts of wellness, well-being, resilience, and burnout, as well as what can be done to truly improve the lives of healthcare providers and bring, I dare say it, joy into our work. For a team that’s tagged with professional.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 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.

IT 66

IT Patient-Centered Screening Patients 66

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. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

NOVEMBER 7, 2024

Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. He would go home, and then three weeks later he would be back in the hospital.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Michael’s Hospital in the Department of Family and Community Medicine.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 17, 2024

And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Because I also feel like we target people’s low sodium diets in the hospital. Alex 04:47 Probably was, yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. There’s obviously a lot of flaws in the healthcare system. Thanks for having me.

IT 107

IT Community Patients Families 107

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. And this complete lack of attention to the real needs of persons with dementia is really kind of a shameful part of US healthcare. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. And very frail.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 26, 2023

I think that, as Ramona will talk about and elucidate a bit further, is just a recognition that in this country we have traditionally, and to my mind continue to do so, cause serious harm to Black people, that you can see that play out within healthcare in ways that are both big and small. Eric: Absolutely. I was going to stop at that point.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? You’re talking about a paradigm shift in healthcare. Ive got a name. No, you dont need to be Canadian.

IT 104

IT Patient-Centered Families Family 104

GeriPal

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. And she was rushed to the hospital. And they agreed on that and they talked to the people at the hospital, the surgeons and the nurses. They stayed in the hospital for longer. Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 25, 2023

Health care system drives where you end up, which hospital, which state you live in. So if we said, like, did you make a decision while one of your loved ones was in the hospital, they would say, Oh, yeah, absolutely. We provide a $300 stipend for like food and marketing or whatever we provide all the materials needed for the event.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. GeriPal podcast with Tom Gill on the Precipitating Events Study, distressing symptoms, disability, and hospice.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. When they built a new prison hospital in Stockton, the dialysis went there.

Family 132

Family Families IT Community 132

GeriPal

MAY 29, 2025

I think we have ideas about are these paradoxical events, are they expected? And I think Andrew’s going to have good ideas about, like, why the term paradoxical and are these events paradoxical, truly? So what I remember is, is multiple hospitals and they did EEG during CPR during a cardiac arrest. Do you have like a.

Families 93

Families Family IT Patient-Centered 93

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Usually events open up some insight into the person themselves as they’re describing the suffering. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 137

IT Families Family Physicals 137

GeriPal

OCTOBER 12, 2023

The problem is, that’s actually not a very good narrative for nearly everything we take care of in healthcare. You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube. Problem, fix for the problem.

IT 128

IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 17, 2022

So these are really relevant outcome events. But how long does it take until you see those events? Eric: That one, we see a lot of people who come in the hospital, some they have retention. But we also looked at other outcomes, like specifically hip fractures, which are a little bit more rare, but certainly very important.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

OCTOBER 5, 2023

And I think when COVID started, I was in a number of meetings about how we were going to think about CPR from this point forward, given that it was would really expose healthcare workers to easy transmission of this virus that we didn’t fully understand yet. I would say most of the time we offer CRT in the hospital.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

JUNE 13, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. Eric 08:16 It’s interesting because if you look at it from hospital metrics, it’s a success.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. worsening prognosis.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

OCTOBER 27, 2022

ePrognosis started out as just a list of different prognostic indices, so things to predict mortality in hospitalized adults, things to predict mortality in community dwelling adults, things to predict mortality in nursing home residents. And we’ve been slowly building that out. I don’t need to get into much of the details.

IT 95

IT Clinic Screening Patients 95

GeriPal

AUGUST 8, 2024

Whereas in cultures that practice cremation properly, it’s a public event full of ceremony and ritual and expectation. And I can’t imagine anyone working in an end of life situation, in hospital palliative care situations. But the one who has died, they have been shuffled off, secreted off to the crematory where they are.

IT 124

IT Family Families Relationship 124

GeriPal

OCTOBER 3, 2024

Is that the pace of everything that we do in the hospital, the pace that our trainees kind of go through, it’s fast, and there’s something totally different about standing over someone, asking all these history questions versus just pulling up a chair and just sitting there. We never mentioned caregivers. Home caregivers.

IT 122

IT Patient-Centered Patients Relationship 122

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. So the things that Karl mentioned, but also access to healthcare during a disaster or even heat. Ruth: Yeah. Ruth: Yeah.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Additionally, in case patients didn’t step up, we did have sort of events where they were scheduled to see palliative care. Eric 26:47 How soon after from a hospitalization, all.

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