GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. I heard that.

IT 132

IT Illness Families Family 132

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. Eric: Oh, wow.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 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. 2023 Dec 20:S1524-9042(23)00202-3.

IT 137

IT Families Family Physicals 137

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. I think for families and for other providers who are not trained in that, it’s very hard to predict. And so I thought it was appropriate.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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.

Families 106

Families Family IT Patients 106

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

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. If the patient has a spectacular response to HIV management or the cancer treatment, then the main factors are removed.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 22, 2025

My voice is nothing special. 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. We introduce it to families and patients and explain how it works and show them. Alex 09:00 Not true.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. We got some really special guests with us. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

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. A good prescriber, a good symptom control manager.

IT 104

IT Patient-Centered Families Family 104

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . There was no conversation with the patient or the family about this.

Illness 109

Illness IT Families Family 109

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 24, 2023

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. I’m very proud of the work that we do every day and we take care of patients and families no matter where they live or who they are to help them meet their end of life goals. Management, it’s hard. JAMA Health Forum.

IT 113

IT Provider Patients Families 113

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

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. We have our social workers and our psychologists and we know how to manage these symptoms. Why another study?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. A pill organizer, having family. Transcript Eric 00:00 Welcome to the GeriPal podcast. This is Eric Widera. Alex 00:04 This is Alex Smith.

Primary Care 113

Primary Care Patient-Centered IT Patients 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. .” Alex: And, it means pain management. They ordered mild to hot.

IT 126

IT Patient-Centered Illness Education 126

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. Alex: This is Alex Smith. Allan: 35 years. Eric: 35 years.

IT 97

IT Families Family Board-Certified 97

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. LaVera: I trained at UCSF in family medicine. It meets in-person, once a month, over nine sessions. link] Transcript Eric: Welcome to the GeriPal podcast.

IT 99

IT Patient-Centered Families Family 99

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. They’re like, “Everyone wants to make every moment of our day special.”

Illness 128

Illness IT Diagnose Medical 128

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 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 Families Family 60

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? No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 6, 2022

But before I became a nurse I had a long career at Procter & Gamble in brand management and I worked on the Covergirl and Max Factor business. If you can get into their attention with something that sounds like something they would want an extra layer of support, team-based care for them and their family.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

FEBRUARY 20, 2025

So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach. Much of my training has been in, in sort of the medical management and symptom management of a patient at the end of their life and thinking about how we do that.

IT 66

IT Patient-Centered Screening Individual 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

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. 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.

Families 106

Families Family Patient-Centered IT 106

GeriPal

DECEMBER 7, 2023

I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people. Eric: So as we start talking about things that we can do about it, maybe we can just start off with this thing of including it in the curriculum for healthcare professionals.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

AUGUST 1, 2024

But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. Now there’s evidence for some more specialized hormonal conditions. So I lived with a family there. Go on, Anna.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

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

FEBRUARY 2, 2023

That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” 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? moment – about yourself and the ways you interact with others.

IT 104

IT Medical Student Medical Families 104

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 130

Illness IT Physicals Patients 130

GeriPal

APRIL 20, 2023

Alex: But the longer title’s Ethno-Geriatrics and Special Populations. A huge portion of that difference in wealth you can trace back to the fact that their families were not able to get into the housing market. White folks who are homeless are often folks who have cut ties with their families for a variety of reasons.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Eric: Like since a little kid? Eric: Yeah? Redwing: Yeah.

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 Families Family 125