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 114

Community Transportation IT PCP 114

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 64

IT Hospital Screening Patients 64

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? Is this our role?

IT 102

IT Family Families Diagnosis 102

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. I had it on my screen. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. Welcome to the GeriPal podcast, Jennifer.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you. Eric: Either.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

MAY 22, 2025

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? So our inpatient hospitals are kind of under resourced for music therapy. It’s something that has no place in a hospital in most people’s thinking. Tyler 01:43 Okay.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. James: Yeah. Eric: All right.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. We dedicated team working with cancer and palliative medicine in our hospital. James, welcome to the GeriPal Podcast. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. ” That’s not a spiritual screen. That makes sure all you find out is whether they like chaplains, know what one is, and how they feel about, so we teach people two or three sentences to screen for distress.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Like, does that indirect? Is that also a trauma? Mariah 23:02 Right.

IT 66

IT Patient-Centered Screening Patients 66

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. We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. It is a screening?

IT 99

IT Patient-Centered Family Families 99

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

APRIL 13, 2023

And so I was really thinking about why are some of my people that are hospitalized doing better than others? Thomas: But the person did screen and used a little bit of the and Social Network Scale and the UCLA Loneliness Scale. Like I said, the patient screened positive for it. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 24, 2023

Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. So tiny, tiny, in a hospital bed. We published a nice piece, I think it was in the Journal of Pain and Symptom Management. So incredibly muscular person.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. And actually, we worked with a hospital on a project like that to demonstrate we don’t need to wear gloves for every time we touch a patient.

Healthcare 129

Healthcare IT Education Hospital 129

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 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Meredith, welcome to the GeriPal Podcast. Meredith 00:48 Thank you, Alex and Eric.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98

Illness Patient-Centered IT Patients 98

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. We would admit them to the hospital. Who doesn’t want to leave the hospital?

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Alex: Is that publication out? Alex: May 15th.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. Malaz: … to restrain them in the hospital. And I was terrified. And guess what?

Patient-Centered 125

Patient-Centered IT Family Families 125

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 14, 2022

Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. In fact, no one in this hospital died that was not on comfort care. The screening process is obviously shifted. Pretty … Just all things, right?

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JUNE 2, 2022

We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” . But we have managed to control it.

Vaccination 100

Vaccination IT Hospital Management 100

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.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73