GeriPal

FEBRUARY 8, 2024

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”? Family member, and with some chagrin- Eric: Powerful nudge. What are you seeing?”

IT 137

IT Family Families Physicals 137

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. And that family was not necessarily a trusted network.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day.

Family 106

Family Families IT Patients 106

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. I think for families and for other providers who are not trained in that, it’s very hard to predict. As this patient has an x percent mortality in three months, there’s a little more nuance to it, and it isn’t really applied to the individual.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. Because I think we have someone special, a guest host.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 13, 2025

Yes, it means to cloak, but theres more Whole-person-care Total pain Healing as a process distinct from the deterioration of the body Sympomatologists The patient and family as the unit of care Our guests referenced many articles on this podcast, linked above and below. Well, I guess just over 20 years ago. I would put people on hold.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 9, 2024

Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. It’s just normal kind of talking to people because you are scuppered if you can’t connect with the patients and families in their home.

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 24, 2023

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. I think some individuals thought there was cherry-picking of stories that made it seem like hospice is this bad thing, that it’s taking advantage of vulnerable individuals and it didn’t talk enough about the good things that hospice does.

IT 113

IT Provider Patients Family 113

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. They ordered mild to hot. laughter] Alex: Yeah. This is the chicken wing sauce.

IT 126

IT Patient-Centered Illness Education 126

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. This is my early father’s day gift from the family. Welcome to the GeriPal podcast, Jennifer. Jennifer: Thanks. Welcome to the GeriPal Podcast, Areej. Eric: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 29, 2023

This week we’re going on to episode two, which is for me one of the most special episodes we’ve done in GeriPal for a very, very long time. Eric: And in the end, we have a very special part where we actually get a tour of their gardens outside of the hospice unit. I am there with individuals who are dying.

Family 97

Family Families IT Board-Certified 97

GeriPal

JUNE 16, 2022

We’ve invited some very special guests to talk about the lower urinary tract – Christine Kistler and Scott Bauer. . Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

AUGUST 8, 2024

We cover a wide range on this topic, weaving in our own stories of loss with Thomas’s experiences, stories, and poems from years of caring for families after their loved one’s have died. Eric 00:05 And Alex, we have a special episode today — B etween T wo U rns. And I got to sing Tom Waits’ Time, one of my favorites.

IT 124

IT Family Families Relationship 124

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. So, how can we improve palliative care for individuals in nursing homes? How to think about primary and specialized palliative care in this setting. So we see a lot of problems with symptom management, a lot of family conflict.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. ” I think that’s what I’m talking about with action, or it might be family leave policies. So unlike academic journals and elsewhere. Liz: That’s right.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. Eric: I think about it as the first one to address individuals’ curative therapy. Why another study? Tom: That’s probably true.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. The family meeting.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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. Well, being a pretty comprehensive definition.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

APRIL 14, 2022

We got some really special guests with us. But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. Transcript.

Illness 102

Illness Patient-Centered IT Nurse Practitioner 102

GeriPal

AUGUST 31, 2023

I was asking about what was going to be special about the trip or if they were going to do things with their family. They’re like, “Everyone wants to make every moment of our day special.” It’s all individual. Juliet: I feel like I stumbled upon this number of years ago actually. Alex: Mm-hmm.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. Whereas the home with the low rate of feeding tube use involved families in decision making.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 8, 2022

And also it’s a little bit of an insult to one’s identity to feel like if this special person in your life can be forgotten, then you can be forgotten. But our living memory home is a way to both maintain that connection, because that’s the fear is that you’re going to lose this connection to this very special person.

IT 100

IT Relationship Complication Specialization 100

GeriPal

APRIL 10, 2025

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. And it’s very traumatic obviously for the family and all of that and the team really. Eric 19:30 Should we add that to special effects as our producer? That is safe.

Patient-Centered 77

Patient-Centered Hospital IT 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. Steve had a very special ability in that. Have you always been interested in poetry? Since a kid? And I loved that. Guy: Rarely.

IT 70

IT Patients Medical Illness 70

GeriPal

MARCH 16, 2023

We have two authors, books, op-eds, prolific authors, and today’s podcast is a two-part special. So this week we’re going to be talking about writing for the lay public, and next week we’ll be publishing a podcast on writing for healthcare providers. There’s a little paranoia in the family for good reason.

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. Alex 00:05 To claim credit, p lease go to the C ME tab on GeriPal.org.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people. Voting and emailing congress to advocate for systemic change (e.g.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? Alex: But the longer title’s Ethno-Geriatrics and Special Populations. ” On that grand rounds, you differentiated structural factors from … I forget what the word was, individual- Margot: Individual risk factors.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. Now there’s evidence for some more specialized hormonal conditions. So I lived with a family there. They don’t all agree, but the commonalities between them are the things that are healthy.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

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 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

JANUARY 5, 2023

And the argument was framed more as a healthcare choice made by individuals in conjunction with their clinicians. I think when professionals act in the interests of their patients, they are acting under their professional duty to patients, period. There’s nothing special about it. So religion, much less.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

SEPTEMBER 14, 2023

But as we talked to patients and providers, there was, really, this need for patients who wanted services, like IV antibiotics and IV fluids, but wanted to be able to spend that time at home, with their family, even if it meant it was their last days or weeks. And that’s a totally, totally appropriate question. Eric: Yeah.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

She sought me out to come and tell me a story because about 10 years earlier, she and her family, their loved one was dying in a hospital in Florida and they tried to access palliative care and they couldn’t get the doctor to refer them to palliative care. I think you’re a loving family doing the best you can.”

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73