GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. And either of those could be given to the patient or an informant.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Part of my proposal is, again, that we can actually use very similar information. Eric: But is that just something special about methadone and buprenorphine?

IT 139

IT Patients Individual Relationship 139

Plum Health

OCTOBER 11, 2024

Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. Frequently Asked Questions What is the definition of a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.

IT 66

IT Patient-Centered Screening Patients 66

The Motivated MD

SEPTEMBER 19, 2024

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals.

Finance 52

Finance Education Individual Healthcare Professional 52

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. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

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 one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? And then be quiet and listen.

IT 132

IT Illness Families Family 132

GeriPal

SEPTEMBER 7, 2023

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. We have the chemo talks tool posted, so people can go there and click and immediately get the information about this. What do they do with this information? Do you worry about that?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? My voice is nothing special. That’s.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. Whether they have a social worker, a nurse, a physician, an NP on the team, they know what to do with that information. In other words, in addition to being a specialist (e.g. So that’s one idea.

Screening 119

Screening IT Families Family 119

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? Eric: Okay. Kate: 3,500.

Consulting 115

Consulting Patient-Centered IT Patients 115

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 IT 99

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. And in fact, as Alex mentioned in the intro, probably more than 20 years ago, Muriel Gillig asked me to help out with the geriatric modules at the Brigham women’s hospital primary care medicine sort of sessions. Transcript Eric 00:00 Welcome to the GeriPal podcast.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Kind of flabbergasting.

Illness 109

Illness IT Family Families 109

GeriPal

MAY 9, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was about me talking about what happens about six months, when you have six months or less to live, the general information of what people usually look like. Alex: Not frequently, no.

Education 127

Education IT Illness Healthcare 127

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. All these studies in this fringe… We want the special key. And oftentimes the existential landscape of serious illness, there’s no special thing.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JULY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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. Here’s a bit of it.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Tell us more about what you mean,” because they give us beautiful information from that.

IT 137

IT Families Family Physicals 137

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.

Families 106

Families Family IT Patients 106

GeriPal

MAY 25, 2023

Sarah: Yeah I similarly feel like, you know, focusing more on the process, the qualitative kind of from a research standpoint, the qualitative information that we’re getting from folks. Health care system drives where you end up, which hospital, which state you live in. Hillary or Sarah. Thoughts on that.

Community 95

Community IT Patient-Centered Primary Care 95

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

MARCH 24, 2023

It’s going to be published as a special report in JPM I hope in May with as of today, 279, I think HPM physician colleagues, signatures including 21 of the living past presidents of the academy. We don’t want people dying in the hospital if their goal is to be at home. And this is on average. Most of the time it works out.

IT 113

IT Provider Patients Families 113

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 they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. These hick pick codes are available to any chaplain in a healthcare system.

IT 99

IT Patient-Centered Families Family 99

GeriPal

OCTOBER 6, 2022

Then there was that New England Journal catalyst study that showed that the healthcare executives thought that 60% of the people in their hospitals who could benefit from palliative care weren’t getting it. We have a problem in the field that we’re considered the acute death team at the hospital. Eric: Yeah.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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 Families Family 60

GeriPal

JUNE 13, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Midnight special shine a light on me or let the midnight special shine a light on me let the midnight special shine another loving light on me.” Alex 03:31 That was fun.

Illness 133

Illness Patient-Centered IT Patients 133

GeriPal

SEPTEMBER 5, 2024

He had a 14 month recovery in hospital and rehab and continually asked to have life sustaining treatment suspended so that he could be allowed to die. So she bled a lot and finally called for help and was transferred to the hospital, where she started crashing in the trauma room. She didn’t die in the hospital. And I was.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

AUGUST 8, 2024

Eric 00:05 And Alex, we have a special episode today — B etween T wo U rns. These kind of tropes inform the mindset that keeps people. And I can’t imagine anyone working in an end of life situation, in hospital palliative care situations. This is both informative and I also felt like a therapeutic session for me.

IT 124

IT Families Family Relationship 124

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. Jeff: G1 is a hospital wing. I only know what I see.

IT 97

IT Families Family Board-Certified 97

GeriPal

DECEMBER 7, 2023

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. I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

APRIL 26, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Mary Dwyer, who is a lawyer, and bioethicist and assistant professor at Case Western Reserve and University Hospitals. ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

JULY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Alex 00:12 This is Alex Smith. And we have some great guests.

Family 106

Family Families Patient-Centered IT 106