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

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. So I really opted to specialize in lung cancer because I thought that was the appropriate population to build a supportive and palliative care research agenda.

Illness 110

Illness Hospital Patient-Centered Patients 110

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.

IT 104

IT Patient-Centered Family Families 104

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. Tammie 03:04 Depends on how long they were pre-hospital.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 25, 2023

Health care system drives where you end up, which hospital, which state you live in. So if we said, like, did you make a decision while one of your loved ones was in the hospital, they would say, Oh, yeah, absolutely. Terry Freed had a wonderful commentary in Jags where she argued that we need to move away from these.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). I saw one that reminded me of her.”

Family 112

Family Families Patient-Centered IT 112

GeriPal

MARCH 28, 2024

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. 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. Also the same hospital system? That’s when they got enrolled.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. And my grandkid, like, I need you to see this child and, like, how wonderful and special they are. Gordon 41:13 The hospital is also on fire.

IT 132

IT Illness Family Families 132

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. 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? I do tend to focus in the hospital setting. By diagnosis?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. 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. You still want to go to the hospital if you get sick? And so I thought it was appropriate.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 25, 2022

Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. -@AlexSmithMD. Transcript.

Family 106

Family Families IT Patients 106

GeriPal

MARCH 24, 2023

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. We don’t want people dying in the hospital if their goal is to be at home.

IT 113

IT Provider Patients Family 113

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. So in our trial, because of security reasons, we are required by Health Canada to store the substance in a special secure area in my office. We dedicated team working with cancer and palliative medicine in our hospital. James, welcome to the GeriPal Podcast. Im b leary eyed.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MAY 9, 2024

Alex: Generally in the hospital-based hospice. Matt: I’m more of a hospital guy. So I think that people like us feel more comfortable just talking to the public because that’s what we do every day of our careers, but not in the confines of a clinic or a hospital room. And that’s not particularly sexy.

Education 127

Education IT Illness Healthcare 127

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. 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.” Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

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

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? Thank you very, very much.

IT 102

IT Family Families Clinic 102

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. She’s not in hospice, and you’re talking about admitting her to the hospital. She really should go to the hospital. So unlike academic journals and elsewhere.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

APRIL 14, 2022

We got some really special guests with us. And so that lends it properties of being a pretty strong analgesic and it lends its special properties for safety, from a safety profile. I got one more lightning question, Janet, you’re at UCSF you’re caring for a patient in the hospital. Transcript. This is Eric Widera.

Illness 102

Illness Patient-Centered IT Patients 102

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. These hick pick codes are available to any chaplain in a healthcare system. They followed them during the course of their hospital stay. These studies are important. Lexy: Yeah.

IT 99

IT Patient-Centered Family Families 99

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. The obstacles hindering referrals to palliative care services. Go ahead, Alex.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

SEPTEMBER 22, 2022

There’s no special thing to say, but sometimes we’re tempted to treat serious illness communication in that way, conversational judo or something, that I can maneuver around an encounter and create something new. All these studies in this fringe… We want the special key. And oftentimes there is no password.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. 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”? Pain Manag Nurs.

IT 137

IT Family Families Physicals 137

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: Thank you.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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.

IT 97

IT Family Families Board-Certified 97

GeriPal

AUGUST 8, 2024

Eric 00:05 And Alex, we have a special episode today — B etween T wo U rns. So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals. Transcript Eric 00:01 Welcome to the GeriPal podcast.

IT 124

IT Family Families Relationship 124

GeriPal

MARCH 31, 2022

But then when you think about each one and their individual selves and how some are bruised, some are broken and what we do with them and how we can take the time to cherish each one and for what it is. Steve had a very special ability in that. Another was sent to me when I was very sick in the hospital by a patient of mine.

IT 70

IT Patients Medical Illness 70

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. What does that actually look like?

Healthcare 129

Healthcare IT Education Hospital 129

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. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Alex 00:12 This is Alex Smith.

Family 106

Family Families Patient-Centered IT 106

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? Margot: Yes.

Mental Health 123

Mental Health IT Community Individual 123

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. In San Francisco, HIV care was more specialized in that. Eric 26:39 But I’m also hearing that 1 out of 10 newly diagnosed cases are not those individuals. So it was more integrated.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

MARCH 27, 2025

And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. And that included scheduling a visit with a, with a facilitator who had been specially trained. It’s a lot. Eric 12:01 Does it talk about like outcomes, like the outcomes of cpr? And Jennifer, if you go ahead.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. He created fee for service, special fee for depression. So what that means is I take care of you just in my clinic, just in my hospital. And I was terrified.

Patient-Centered 125

Patient-Centered IT Family Families 125

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. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JANUARY 5, 2023

To examine how clinicians might act in the face of such bans, we turn to Lori Freedman, who wrote a book about clinicians (primarily Ob-Gyn’s) who work in Catholic Hospitals. Lori Freedman’s book (forthcoming) – Bishops and Bodies: Reproductive Care in American Catholic Hospitals. Lisa Harris piece mentioned on podcast.

Provider 19

Provider Medical Hospital IT 19

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. Joe: Great to be here. Welcome back to GeriPal, Brooke. Brooke: Thank you. How would you do that?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73