GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Love to talk about also in the serious illness population. Eric: Yeah. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Family member, and with some chagrin- Eric: Powerful nudge. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. This is my early father’s day gift from the family. I had it on my screen. 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.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Is that fair? Tim 11:59 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. And it was like the lights came on.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Welcome to the GeriPal podcast, Nathan.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 6, 2023

It is a screening? That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. I guess FICA is not as cool as SKY.

IT 99

IT Patient-Centered Family Families 99

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. Cognitive impairment.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Which may not be necessarily traumatizing. Mariah 23:02 Right. So you ready?

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 5, 2024

And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Maybe the alternative of the patient whose family hopes for a miracle in the face of certain death, for only that death to occur as anticipated by all. Ricky 11:23 Yeah.

IT 107

IT Community Patients Family 107

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 2, 2024

And PAIR stands for the Palliative and Advanced Illness Research Center. And, of course, this is what families of patients undergoing palliative care go through. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. Did they screen charts?

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

SEPTEMBER 8, 2022

Alex: Their own death in advance, terminally ill people. They don’t want to interact with their family. The post Prolonged Grief Disorder: Holly Prigerson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Bargaining just so you know is more end of life before the death.

IT 100

IT Relationship Complication Specialization 100

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. Redwing: So I grew up in a pretty intellectual family, but my brother and sister were six and 10 years older than me, and they were always feeding me literature and poetry. To let it go. . Or as in Mark Nepo’s poem Adrift, I am so sad and everything is beautiful. Eric: Yeah?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

Heather: I’m requesting the song Don’t You Forget About Me, which is one of the things that I think matters most to patients and families living with Alzheimer’s disease. That’s in my view as analogous as to any other illness. You need the plaques to have that illness. Eric: Wonderful. Jason: Oh, well.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

JUNE 2, 2022

Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? I’m wondering if we can start off with thinking about the prevention of COVID in older adults and those with serious illness and then potentially the management of them. Eric: I loved all that.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

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. Louise 32:50 Right.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141