GeriPal

DECEMBER 2, 2022

I think … There’s so few, seriously, from the hospital system and the pathologizing systems to the more social care intervention work that Susan and I really do. We need to learn from them that they have moved on, so how do we not dwell in the past negative events? How do we move on? She had been included. But we have to.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JANUARY 23, 2025

I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. You’re in the hospital right now, we can write you a taper, just mention to your doctor, mention to the team that you got this brochure and here’s even a suggestion for how to do it. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

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. So it’s not that great when someone’s acutely hospitalized.

Complication 97

Complication Patient-Centered IT Patients 97

Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

JULY 27, 2023

Cathy: Actually, many years ago, I did some research on delirium and then I was doing some research on nursing home residents and we were doing work looking at, I was interested in how sleep problems and nighttime events might lead to delirium, and then I just became very, very interested in sleep. And all the time in the hospital.

Illness 85

Illness IT Clinic Medical 85

Physician's Weekly

JUNE 12, 2025

Globally, flooding is the most common type of extreme weather event (EWE) and >500 million children reside in flood zones worldwide. How can events linked to climate change affect children’s mental health? Families also need physical resources such as places to go for shade or to cool down during extreme heat days.

Asthma 52

Asthma Mental Health Illness Chronic Disease 52

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. 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. Carmen: Thank you.

Community 114

Community Transportation IT PCP 114

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

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.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

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

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? A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Like, it’s like a hospital.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. 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 definitely a place, especially physical. Pain Manag Nurs. 2023.11.004.

IT 137

IT Family Families Physicals 137

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.

IT 64

IT Hospital Screening Patients 64

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

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. So it’s not that great when someone’s acutely hospitalized.

Complication 52

Complication Patient-Centered IT Patients 52

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

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

FDA Law

JULY 11, 2021

MNTPs cannot act as controlled substance collectors, function as hospitals, long-term care facilities, or emergency medical service vehicles. Patients must wait in an area physically separate from the storage and dispensing area. NTPs must also establish procedures in the event an MNTP becomes disabled.

Transportation 52

Transportation Patient-Centered Medical Patients 52

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

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. You know, we found that 64% of the people we cared for never went to the hospital or ER.

Healthcare 100

Healthcare IT Community Illness 100

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. 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.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JUNE 13, 2024

Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. 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.

Illness 133

Illness Patient-Centered Patients IT 133

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

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital.

Patients 98

Patients IT Patient-Centered Hospital 98

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. It’s such a physical act, showing just how strong doctor’s moral resolve is to save a life. This is Eric Widera.

Illness 136

Illness IT Patient-Centered Family 136

Mere Mortal MD

MARCH 22, 2025

Nine months later, after lots of rest, sleeping in a recliner, physical therapy, and medications, his back miraculously healed without needing surgery. You’re not going to work in a hospital.” Hopefully the ED physician at the hospital there could at least stitch up a gash in my husband’s arm, if it ever came to that.

Hospital 130

Hospital Patients Utilities Physicals 130

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

SEPTEMBER 12, 2024

We were often the only ones left in the hospital. But there physically wasn’t the time, and there wasn’t that energy to be able to do everything for. Somebody had a hyperglycemic event, so we’re going to check daily, three times a day, blood sugar sugars on everybody. We went into the rooms.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

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. 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. Jennifer, welcome back to the GeriPal podcast.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. As we age, our body’s capacity to adapt to things becomes a little more challenge. They can save a lot of money.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

NOVEMBER 3, 2022

So people are less able to have the language when the loss event actually happens. And we’ve been really private of doing the research of really doing the deeper thinking about what the loss event happens during the loss event and how we can impact how grief is experienced later. And we don’t talk about it as much.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. We would admit them to the hospital. Who doesn’t want to leave the hospital? They got sick.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 25, 2024

First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. 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. And we have some great guests.

Family 106

Family Families Patient-Centered Patients 106

Pamela Wible MD

JUNE 19, 2025

Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. A physician actually ended up in status epilepticus, like in the ICU with event like almost dead from seizures as a result of sleep deprivation and overwork. you’re probably sleep deprived. Add residency up there too.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

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 Diagnose IT Physicals 141