GeriPal

OCTOBER 13, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control. difficile infections. Lona: Absolutely.

Complication 97

Complication Patient-Centered IT Patients 97

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. And then again, individualizing it to the patient. I see you inhaling, let me finish.

IT 139

IT Patients Individual Relationship 139

Permanente Medicine

MAY 20, 2025

And then, so from that point on, I began to look at technology systems, processes for all settings, inpatient, outpatient care at home, a hospital at home. Davidoff got into becoming the executive medical director that he asked me to become the transformation lead for Southern California. Outside of work.

Patient-Centered 52

Patient-Centered Patients Medical IT 52

Annals of Family Medicine

NOVEMBER 20, 2024

Harmful prescription drug-drug interactions (DDI) arise when the effects of one drug change the effect of another drug and increase the risk for an adverse event, including therapeutic failure. 2) to measure the association between exposure to 4 high-priority DDI and the risk of an adverse event. Results: 1) 11.7% (95% CI: 11.5-12.0)

Primary Care 130

Primary Care Emergency Room ER Insurance 130

Pamela Wible MD

JUNE 20, 2025

Psychiatrists define burnout as a job-related dysphoria in an individual without major psychopathy—meaning you’re normal; your job is killing you. Moral injury is a normal human response to an abnormal traumatic event—a deep soul wound shattering one’s identity and morality. I’m a systems thinker, a scientist, a doctor.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

Today's Hospitalist

JUNE 7, 2025

Medical societies and hospitals are weighing in on periprocedural concerns in patients taking GLP-1s who need procedures or surgeries. That’s according to two internists who work closely with hospitalized patients who take GLP-1s. “I would not recommend starting a GLP-1 in the hospital.” Nor should they be.

Hospital 63

Hospital Management Diabetes Patients 63

FDA Law

FEBRUARY 27, 2024

156(c)(4) states that “in no event shall more than one patent be extended under subsection (e)(1) for the same regulatory review period for any product” (emphasis added). To that end, 35 U.S.C. § 156(c)(4) The second multiple PTE case brewing concerns FoldRx’s (a wholly owned subsidiary of Pfizer, Inc.) Patent Nos. 7,214,695 and 7,214,696.

Patients 59

Patients IT Provider Individual 59

Physician's Weekly

JUNE 22, 2025

Targeted ICD selection based on predicted therapy benefit enhances patient outcomes while cutting hospital costs by 16.7%. Registry-based prediction models were applied to estimate individual prior probabilities.

Hospital 52

Hospital Individual Clinic Patients 52

Center for Family Medicine

APRIL 7, 2025

Short-term depression following a sad event, such as a death in the family or getting fired from a job, is expected. Some individuals may have angry outbursts or irritability. Making the diagnosis If an adult or teen is suspected of having depression, the individual should be seen by a healthcare provider for assessment and treatment.

Mental Health 52

Mental Health Individual Diagnosis Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

Using linked administrative databases, we identified all instances of PIP-AP according to the STOPP-START criteria, which have previously been shown to predict adverse clinical events such as ED visits and hospitalizations. Residents were followed for 1 year or to date of death, whichever occurred first.

Patients 130

Patients Provider Individual Hospital 130

GeriPal

FEBRUARY 15, 2024

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.”

Community 114

Community Transportation IT PCP 114

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. I guess that’s an event.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

FDA Law

MARCH 17, 2022

CDC emphasizes that while some of the initiatives had positive results for some patients, guideline “recommendations are voluntary and intended to be flexible in support, not supplant, individualized, patient-centered care.” 50 MME/day, clinicians should pause and carefully reassess evidence of individual benefits and risks.

Patient-Centered 75

Patient-Centered Clinical Practice Patients Management 75

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

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. And then individuals will still have questions of really, how can I help my wishes to be known?

Community 95

Community IT Patient-Centered Primary Care 95

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

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So if you haven’t been to this event, there is a literature review where we. But in spite of that, it is a lot of work for three individuals to pull all this together.

IT 64

IT Hospital Screening Patients 64

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control. difficile infections. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

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

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. And she was rushed to the hospital. Did I get that right? Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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

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? I was trained in the hospital where it started, and we were trained to be bedside nurses. Ive got a name.

IT 104

IT Patient-Centered Family Families 104

GeriPal

JULY 11, 2024

So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. 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. So I go between. Alex 07:56 Mm hmm.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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.

Family 93

Family Families IT Patient-Centered 93

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. And Covid was just.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. .

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 91

IT Patient-Centered Healthcare Patients 91

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. When they built a new prison hospital in Stockton, the dialysis went there. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 5, 2023

I have never had a patient come into the hospital and say, Doctor, regardless of what you do, do a little CPR that’ll make me feel better. I would say most of the time we offer CRT in the hospital. This is Eric Widera. Alex: This is Alex Smith. Eric: And Alex, who do we have with us today? Do you want it?

Illness 136

Illness IT Patient-Centered Family 136

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

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? Pain Manag Nurs.

IT 137

IT Family Families Physicals 137

GeriPal

AUGUST 8, 2024

So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals. Whereas in cultures that practice cremation properly, it’s a public event full of ceremony and ritual and expectation.

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. I cracked myself in my head of these individuals.

IT 122

IT Patient-Centered Patients Relationship 122