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 Family Families 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: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 22, 2025

My voice is nothing special. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. And we got all into his family stuff and how he’d been suffering with cancer and his goal. I think that’s more palliative than me. I had no idea.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

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

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. And I think it’s something to consider that at some point, we talked to caregivers families about perhaps not focusing on the encephalopathy.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 13, 2024

Alex 02:20 (singing) “ Well, you wake up in the morning you hear the church bell ring and they march you to the table to see the same old thing ain’t no food upon the table ain’t no pork up in the pan but you better not complain boy, you get in trouble with a man let the midnight special shine a light on me.

Illness 133

Illness Patient-Centered Patients IT 133

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. How you actually physically started doing this and built up so many followers over time and why are you doing it? Hsien: Hey, great to be here.

Education 127

Education IT Illness Healthcare 127

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

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

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 Family Families 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. Alex: Right.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

APRIL 28, 2022

I think that there are times when we use humor to cope, and that’s a special and very tender space for of people to share in, but is not something that you want to expose to the light of the world. I was just thinking back to yesterday, we were in a family meeting. That’s scare tactics. Eric: Yeah. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

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. Alex: Thank you.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

APRIL 6, 2023

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. LaVera: I trained at UCSF in family medicine.

IT 99

IT Patient-Centered Family Families 99

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

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

OCTOBER 17, 2024

Because I think we have someone special, a guest host. A pill organizer, having family. Another study looking at the benefits of physical rehabilitation in patients with HFpEF. Transcript Eric 00:00 Welcome to the GeriPal podcast. This is Eric Widera. Alex 00:04 This is Alex Smith. He’s in Boston. So I think more to come.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. It makes patients and families feel better and outcomes better and quality of care better, and we can implement it. Why another study?

Consulting 115

Consulting Patient-Centered IT Patients 115

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. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

IT 66

IT Patient-Centered Screening Patients 66

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

OCTOBER 6, 2022

.” The assumption for most of these focus group members was that medicine is a business, that there are incentives that physicians and other clinicians are responding to that are not transparent, and that decisions are being made that are in the interests of the health system, not in the interest of the patient and family.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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. And that poetry has helped in the process of both psychological and even sometimes physical healing. Since a kid? And I loved that.

IT 70

IT Patients Medical Illness 70

GeriPal

SEPTEMBER 5, 2024

She entertained her family. Thanksgiving’s coming up, you’re having your family, Christmas coming up. You’re going to go traveling to Hawaii with your family, and, you know, you want to die in January. They have a special skill, and when they see someone who needs it, they need to use it. And I was.

Patients 98

Patients IT Patient-Centered Hospital 98

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. 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. Eric 00:09 Welcome to the GeriPal podcast. Eric 05:50 Yeah.

Family 106

Family Families 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 Hospital 129

GeriPal

AUGUST 15, 2024

And in our reporting center, we tracked physical assaults, verbal harassment. And also, you know, do they know of anyone, friends, family, coworkers who’s been attacked, were assaulted as a part of these incidents? When you think about anti-asian hate, how should I think about defining the hate component? Alex 15:37 Yeah.

Mental Health 116

Mental Health Community Screening IT 116

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

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

APRIL 20, 2023

Alex: But the longer title’s Ethno-Geriatrics and Special Populations. These were usually very physically demanding, low paid, often usually non-union work, that they worked their whole lives and were hanging on by their fingernails. It’s just that their families are fighting the same upstream forces. Margot: Yes.

Mental Health 123

Mental Health IT Community Individual 123

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

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

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73