GeriPal

FEBRUARY 15, 2024

So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. I was like, “I have all these things I’m doing in the hospital to try to make people better and then I might be sending them right back to a big hazardous environment.” Eric: Oh, no.

Community 113

Community Transportation IT PCP 113

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. And also I was in the HVMA primary care program.

Primary Care 112

Primary Care Patient-Centered IT Patients 112

GeriPal

JANUARY 25, 2024

We are also joined by Diah Martina, a palliative care doctor trying to grow palliative care in Indonesia, in part by starting a palliative care podcast in Indonesian (she was observing today). People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year. David: Yeah, yeah, I agree.

Patient-Centered 121

Patient-Centered IT Illness Patients 121

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. If your symptoms get worse before your appointment, you may need to go to urgent care.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Alex: Yeah.

IT 101

IT Families Family Diagnosis 101

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

Vaccination 87

Vaccination IT Individual Healthcare 87

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Sarah 11:14 So it’s really assessing patients for their individual risk factors for falls. All right, so in the long term care setting or the hospital setting, our first podcast was about bed alarms.

IT 123

IT Screening Patient-Centered Community 123

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 131

Patient-Centered Hospital Patients IT 131

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. Health care system drives where you end up, which hospital, which state you live in.

Community 95

Community IT Patient-Centered Primary Care 95

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control. Lona: Absolutely.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 30, 2022

Joel: The Brigham and Women’s Hospital likes me to say that too. Alex: And the Brigham and Women’s Hospital. Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. And she was rushed to the hospital. Did I get that right? Joel: Oh yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Families 111

Families Family Patient-Centered IT 111

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. I’ve talked to, I don’t know if you know Houman Javedan from Brigham and Women’s Hospital. ” And in my head the answer was, “Because they’re in the hospital.”

Board-Certified 90

Board-Certified IT Community Medical Student 90

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. That’s a pretty big palliative care study. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Eric: Okay.

Consulting 114

Consulting Patient-Centered IT Patients 114

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients.

Patient-Centered 76

Patient-Centered IT Hospital Patients 76

GeriPal

MARCH 6, 2025

Today we talk with Naheed Dosani, a palliative care physician at St. Michaels Hospital in Toronto, and health justice activist. Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. those experiencing homelessness).

Healthcare 99

Healthcare IT Community Illness 99

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Jessie: Exactly. Eric: Which brings us to an article. Katie: Yeah.

Illness 135

Illness Patient-Centered Screening IT 135

GeriPal

MAY 18, 2023

Todd: There are some studies that’ll show decreased readmission if they’re stopped in hospital. Eric: Or another good example is like for individuals with dementia. So if you look at the Beers and you look at the STOPP and you think of a Venn diagram, the circles are largely overlapping. There are some different.

Medical 97

Medical IT Patients Clinic 97

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. I do tend to focus in the hospital setting. So I’m in.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 22, 2023

So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. When they built a new prison hospital in Stockton, the dialysis went there. Everybody has a primary care doctor, a primary care nurse, a team.

Families 131

Families Family IT Community 131

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.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So every transition into the hospital, every transition out of the hospital.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. She was a prior guest with Rachelle Bernacki on our most listened to podcast of 2022, Should We Shift from Advanced Care Planning to Serious Illness Conversations? It’s all individual. Did I say it right, Lund?

Illness 127

Illness IT Diagnose Medical 127

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. Julien: He basically had an end of life care discussion with this patient. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JUNE 23, 2022

So we have done a few qualitative studies where we’ve worked with a bunch of primary care clinicians, geriatricians included and adults 76 and older to try to get language to have these kind of conversations. They were hospitalized but something comes up about mammography screening and it can be really quick.

Screening 98

Screening PCP PCP IT 98

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? Use your Medicare benefit to pay for that care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Yeah.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. Could be considered a PULET, potentially unsafe, potentially inducing harm with low evidence of benefit. Laura 07:03 That could be a PULET.

Patient-Centered 76

Patient-Centered IT Patients Illness 76

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 78

Primary Care IT Clinic Illness 78

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Eric 00:50 So we’re going to be talking about HIV and geriatrics and palliative care. Is that what you’re seeing as a palliative care provider now or. So it was more integrated.

Primary Care 93

Primary Care IT Provider Clinic 93

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. What are the structural factors and individual factors that contribute to homelessness?

Mental Health 122

Mental Health IT Community Individual 122

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Bruce: Yeah.

Hospital 114

Hospital Patient-Centered Supply Chain IT 114

GeriPal

JULY 20, 2023

Alex: And we’re delighted to welcome back to GeriPal podcast, Brooke Calton, who is a palliative care physician and faculty at the Massachusetts General Hospital, and is also newly the Medical Director of palliative care at Devoted Health. They couldn’t get a case manager to refer them in palliative care.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73