GeriPal

MAY 5, 2022

And one of the parts of that was actually doing physicals for the students and putting them in job placements. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. My own work focuses on hospitalization and health utilization over time. I don’t see myself in that world.”

IT 102

IT Screening Hospital Clinic 102

GeriPal

DECEMBER 2, 2022

I think … There’s so few, seriously, from the hospital system and the pathologizing systems to the more social care intervention work that Susan and I really do. There’s a whole age-friendly hospital systems that we are supposed to start our journey and keep going. Ab: As Judy said, how much time do you have?

Community 101

Community IT Individual Patient-Centered 101

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. Why would we want to? Anna 22:46 I actually think you could.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 23, 2025

I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. You’re in the hospital right now, we can write you a taper, just mention to your doctor, mention to the team that you got this brochure and here’s even a suggestion for how to do it. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

JULY 27, 2023

I think the classic example is somebody who just came out of the hospital, they’re put on these new medications because they were having problems in the hospital and now they’re home and they don’t need those anymore. I think every patient I see in the hospital’s on melatonin. Cathy: Well, yeah.

Illness 85

Illness IT Clinic Medical 85

GeriPal

JUNE 8, 2023

This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Nadine: No poking and prodding. Absolutely.

Diabetes 73

Diabetes Management Patient-Centered Family 73

Plum Health

OCTOBER 11, 2024

Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients. They also have a team of healthcare professionals such as doctors, nurses, medical assistants, and administrative staff.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. Anish 04:13 Yeah. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. 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. Carmen: Thank you.

Community 114

Community Transportation IT PCP 114

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 Individual Education Healthcare Professional 52

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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 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

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Paramedics can provide life-saving treatment on the way to the hospital. Then, they’ll perform a physical examination.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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

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.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

FDA Law

JANUARY 18, 2024

Controlled substances that have an accepted medical use are classified in schedules II-V based on their relative potential for abuse and physical and psychological dependence. or a currently accepted medical use with severe restrictions; and The drug’s relative safety or ability to produce physical dependence compared to other drugs.

Medical 69

Medical Physicals IT Healthcare Professional 69

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? A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. Like, it’s like a hospital.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is definitely a place, especially physical. Pain Manag Nurs. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. In other words, in addition to being a specialist (e.g. But how about you!

Screening 119

Screening IT Family Families 119

GeriPal

DECEMBER 15, 2022

Been in the hospital four times, vented, been told the story to her family, she won’t live. Within the VA it’s now at 70 VA hospitals. It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 3, 2025

I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. And very frail. Eric 29:17 Yeah, so. Alex 29:26 Exactly.

IT 64

IT Hospital Screening Patients 64

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And I spent the past couple years just collecting data from several hundred early palliative care patients and did a network analysis, which basically just looks at the Correlations between different constructs, whether they’re physical, emotional, social or spiritual.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

OCTOBER 17, 2024

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. Because I also feel like we target people’s low sodium diets in the hospital. Alex 04:47 Probably was, yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 28, 2022

So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. And the hospital administrator says, “No, the hospital definitely values your contributions to the interdisciplinary team. Eric: Speaking of a niche humor, I love this one. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

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

OCTOBER 20, 2022

Sonali: This seven versus 14 days for male UTI combines really well with the gram negative bacteriemia paper because sometimes we are faced with patients in the hospital which are disposition issue. So transmission of other drug resistant organisms and C difficile to other patients in the hospital reduces if you control.

Complication 52

Complication Patient-Centered IT Patients 52

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.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. Or the hospital, the intervention delivery is by who’s in practice.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. Overtreatment leads to hospitalizations, undertreatment leads to disease progression. And for some of them, the stays in hospitals are a month long. Drugs has to do with polypharmacy.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

Tiny Physician

MARCH 30, 2022

Archana Sharma committed suicide because of the harassment by the bystanders of the patient who died at her hospital. However, she found herself in trouble when one of her patients, whom she treated at her hospital, died due to postpartum hemorrhage (bleeding from the birth canal after delivery).

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

AUGUST 29, 2024

Your patients expect you to care for them, their mental well being, their physical well being. Gordon 41:13 The hospital is also on fire. I want you to be able to be in the hospital and be with your loved one. Your colleagues are not asking you for that. They’re asking you for a consultation. I gotta press the randomizer.

IT 132

IT Illness Family Families 132

GeriPal

MAY 26, 2022

Emily: And so even in the pandemic, we’ve seen circumstances like this where hospitals wrote allocation policies that were going to give preference to frontline healthcare workers in hopes, right, that they would incentivize them to stay on the job knowing that they would be taken care of and because they had been working for the public good.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. If they physically come here, it’s sort of just the natural course of things that they’ll walk into the room with the patient. Lynn 37:39 I was in the hospital.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

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