GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. But what was really interesting is the transport to the hospital was actually going down in their system. .”

Community 114

Community Transportation IT PCP 114

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.

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IT Family Families Diagnosis 102

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Lynn 37:39 I was in the hospital. But watch out! Alex 01:06 Yeah, go in person. And I think we.

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Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships.

Family 97

Family Families Patient-Centered IT 97

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. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

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Patient-Centered IT Patients Healthcare 109

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

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IT Healthcare Healthcare Professional Patient-Centered 110

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. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. There’s this therapeutic relationship.

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IT Illness Family Families 132

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

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Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 13, 2025

Summary Transcript CME Summary As far as weve come in the 50 years since Balfour Mount and Sue Britton opened the first palliative care at the Royal Victoria Hospital in Quebec, have we lost something along the way? I was trained in the hospital where it started, and we were trained to be bedside nurses. Sue 01:26 Thank you.

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IT Patient-Centered Family Families 104

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world. Pain Manag Nurs.

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IT Family Families Physicals 137

GeriPal

MAY 12, 2022

I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission. Alex: I love the story of this book, how it starts so locally and then moves on to the Kerala region and then moves to India.

Community 115

Community IT Relationship Healthcare 115

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 136

Illness Patient-Centered Screening Clinic 136

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. So that study was focused on patients admitted to the hospital. Was the clinician working frontline in those community hospitals? hospice use).

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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.

Family 112

Family Families Patient-Centered IT 112

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. ” And in my head the answer was, “Because they’re in the hospital.”

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Board-Certified IT Community Medical Student 91

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital. I’m embedded in the ICU in one of our smaller hospitals.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. Today we talk with Naheed Dosani, a palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. Sammy: Oh, okay.

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Education IT Illness Healthcare 127

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. Within the VA it’s now at 70 VA hospitals. Alex: Yeah.

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IT Patient-Centered Healthcare Illness 105

GeriPal

NOVEMBER 7, 2024

Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. He would go home, and then three weeks later he would be back in the hospital.

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Management Patient-Centered Patients IT 116

GeriPal

MAY 18, 2023

I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on. Todd: There are some studies that’ll show decreased readmission if they’re stopped in hospital.

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Medical IT Patients Clinic 97

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%).

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Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. .” I would say that. Alex: You did get big press.

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IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. Alex 10:49 And then when you say accountability without termination, that sounds like it speaks to a core principle of palliative care around non abandonment and building relationships. For those individuals, how do you think about that?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. These studies are important. Is that your grandchildren?

IT 99

IT Patient-Centered Family Families 99

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. So when they do meet it, how are you going to be in relationship to it? Im b leary eyed.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. Jasmine: Within the report, and that’s kind of tricky, we say we want more education, we want expanded roles, we want individuals to be able to do more. So I am requesting The Sifters by Andrew Bird.

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Finance Board-Certified IT Provider 95

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. The black individuals wanted to have a separate one from the white individuals.

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Consulting Community Patient-Centered Family 63

GeriPal

SEPTEMBER 22, 2022

And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. You had no relationship.

Illness 101

Illness IT Patient-Centered Patients 101

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.

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Patient-Centered IT Screening Patients 66

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. I think that’s a big mistake.

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Illness IT Medical Provider 144

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. It’s all individual. Alex: She is working in Sweden and researching in Sweden, in Lund. Did I say it right, Lund? Juliet: Lund, yeah. Alex: Lund. Juliet: You got it right. This is a blind spot for me. It’s impressive.

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Illness IT Diagnose Medical 128