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. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 114

Community Transportation IT PCP 114

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. With their regular providers? AMA PRA Category 1 credit(s) ™. In their communities?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. Providers may feel a sense of nihilism, that there just isn’t anything they can do to decrease the risk of falling. What are ways we should screen for falls? Eric 04:51 Yeah.

IT 124

IT Screening Patient-Centered Community 124

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

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. So, we are not screening for substance use in cancer care, so we don’t get good estimates among people with cancer, which is really how we would prefer to ask the question. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 16, 2025

But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you. So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. It doesn’t provide enough guidance for the clinicians to make decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

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

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. Eric: And this one just came out. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

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

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

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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

JUNE 5, 2025

And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. So usually they’ll make recommendations, maybe some medication adjustments or something like that, and then the provider that’s caring for them in house will take over from there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. I guess the question for you, Naomi, is as a chaplain, what is the role do you think of the other healthcare providers, the nurses, the doctors, the pharmacists in broaching spiritual suffering, existential suffering? Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. We dedicated team working with cancer and palliative medicine in our hospital. Some of them also had psychiatric or psychosocial oncology providers as well. They communicated by looking at a letter screen and it would track his eye movements. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

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.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

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. It is a screening? These hick pick codes are available to any chaplain in a healthcare system. They followed them during the course of their hospital stay. Is it an assessment?

IT 99

IT Patient-Centered Family Families 99

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. Like I said, the patient screened positive for it. ” Dr. .” Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 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. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 27, 2022

And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. James: Yeah.

IT 95

IT Clinic Screening Patients 95

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. I guess one question for providers is, as we dive into individual sense of dignity, and I guess threats to that dignity, is potentially feeling like we’re opening this box.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 29, 2025

From perhaps the most sensitive instrument that we can get the family members report, while at the same time trying to sort of screen out potential false positives that are due to false hope or something like that. So what I remember is, is multiple hospitals and they did EEG during CPR during a cardiac arrest.

Family 93

Family Families IT Patient-Centered 93

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. What do we do to very concretely provide heat shelters and cool shelters? Ruth, you’re involved in including it in the nursing curriculum.

Healthcare 129

Healthcare IT Education Hospital 129

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

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. Have been now a care provider for people with HIV for over 40 years. Is that what you’re seeing as a palliative care provider now or. Meredith, welcome to the GeriPal Podcast.

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 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. And along the way, we really felt like we got to the heart of things. AlexSmithMD . Links to Redwing’s poetry workshops: Food for Thought Poetry for Resiliency. Wounded Healer poetry sessions .

Patient-Centered 93

Patient-Centered IT Community Illness 93

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

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JANUARY 5, 2023

“Typically when we think about conscience in medical ethics we think about it in terms of a negative claim of conscience, where a clinician refuses (or objects) to provide care. Lisa was writing about providing abortion care, but she just as easily could have been writing about providing medical aid in dying in states where it is illegal.

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 hospitalizations are low.

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. What was life for you as a provider pre-pandemic? Joe: Great to be here. Brooke: Thank you.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73