GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. And so I really gain that and I love the chorus words that she uses in this song.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. ” And they’re like, “Well, it would be unethical not to talk to the family.” ” Whereas in the UK, you ask the same question.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. That’s scare tactics. Eric: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 5, 2024

And it was born when I was a medical resident at UCSF Internal Medicine. Emily 10:22 We are, we were very happy to receive a grant from the ABIM American Board of Internal Medicine to develop a podcast series on the topic of uncertainty in medicine. Emily 04:57 Yeah, it’s been about eight years.

IT 107

IT Community Patients Families 107

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? Their family members want them to get out of the hospital sooner. Prior-auth forms?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Alex: What happens when people survive?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. How does integrative medicine fit in with this? Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. My question is, why this study, and why now?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

FEBRUARY 13, 2025

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. Later on, of course, we added health professionals to, you know, give us more information. And my community and about my family and those kinds of things. Our consultation. Marie 11:03 Yes.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 17, 2024

A pill organizer, having family. The post Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. We’ve got to think through how to accommodate some of these limitations.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. As the caregiver or as a family member of the patient? And so are the patients. Are you okay? Eric 41:53 Great. I love that.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. And I think up until the time when my aunt was passing, I had been very afraid of the idea of death in my family. That was it.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 6, 2025

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. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

Healthcare 100

Healthcare IT Community Illness 100

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. But once I got into medicine, I found myself attracted to the field of psychiatry.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 20, 2025

Eric 30:52 And this also reminds me of Dani Chammas article she just published in Annals of Internal Medicine. Annals of Internal Medicine. Trauma informed care approach. So you ready? Mariah 27:49 Let’s do it. So just coming at that situation with a lot of empathy and awareness that it’s often not personal.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. And the family says, dad would never want to live like this.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. For any MOC questions, please email moc@ucsf.edu.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 31, 2022

Marilyn: Well, I lived in a three generation family and my grandmother was an English teacher, and my mother was a teacher and everybody read. And so poetry was just part of the family discourse. Oh, is emeritus professor at UCSF, internal medicine. Have you always been interested in poetry? Since a kid? And I loved that.

IT 70

IT Patients Medical Illness 70

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” Anyone who hasn’t read Notes from a Family Reunion, you should.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

JULY 25, 2024

And so we know that the decision to enter a nursing home is incredibly challenging for families, especially because it often comes with thoughts that they’re, like, abandoning their loved one, really. So it’s not just like the patient or the family, but it’s also the healthcare system.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 26, 2024

He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting. It’s all stemmed from a post that Josh wrote, I’ll caught from his Substack Notes from a Family Meeting. Eric: So not from the patient perspective or family, but from the provider perspective?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. So I lived with a family there. Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. I’m hearing family and caregivers. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. And also, you know, do they know of anyone, friends, family, coworkers who’s been attacked, were assaulted as a part of these incidents? How have they been hearing about these issues? Eric 18:34 And what did you find?

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

FEBRUARY 2, 2023

For example, is reluctance to take on more responsibility at work or relocate because you feel inadequate or is it because of genuine concern about the impact on your family? I think we’re really good at that as palliative care doctors when we’re dealing with families. You need to be different. Eric: Yeah.

IT 104

IT Medical Student Medical Families 104

GeriPal

APRIL 21, 2022

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. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? You basically don’t even ask the family, you just stop the bleeding.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. Our department chair is always tweeting, and I think there was a fourth shot and then a mild infection in a family member. We don’t want them to get COVID, but we want them to live in the world and see their friends and families.

Vaccination 100

Vaccination IT Hospital Management 100