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. Do you prefer a full-service medical center or a walk-in clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

NOVEMBER 21, 2024

Coping in the setting of serious illness. Coping in the setting of a serious illness about a patient encounter you had with somebody who used an. And then I knew, and then I knew that he is using this humor to deal with the truth of his illness, not to avoid it. Should I laugh at that? So you just published not too long ago.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JANUARY 18, 2024

Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 12, 2025

But now that at least at the University of Pennsylvania, the radiation oncology department is sort of well integrated into the cancer center here, and we have a really strong relationship with the palliative care team and even the internal medicine residents whom we give talks to. Widera and Smith have no relationships to disclose.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. 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. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. Why it’s such a natural way to explain the condition of someone with an acute critical illness that’s threatening their life. Eric: Why is it?

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. And then be quiet and listen.

IT 132

IT Illness Family Families 132

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. Widera and Smith have no relationships to disclose. Yeah, yeah, exactly.

Illness 133

Illness Patient-Centered Patients IT 133

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 67

IT Patient-Centered Individual Patients 67

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. In their communities?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. Anne Kelly: And I might add to what Anne just described in saying, I think part of the way we got to talking, getting to be able to engage the family is because we took some time to really improve our patient’s illness understanding. Eric: Lynn or Anne?

Family 98

Family Families Patient-Centered IT 98

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. The patient refuses to ever talk about the fact that this illness could take their life.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. This is Eric Widera.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. I can get you guys that information. I’m going to first turn to Emmy.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. And what we are seeing in our research is that, we’re working on GPT four, is volunteering information that we didn’t ask for. The information there and you limit it in that way.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024.

Education 127

Education IT Illness Healthcare 127

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. ” Very specific, rare circumstance.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. Panelists BJ Miller and Naomi Saks have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It’s the relationships to the world.

IT 137

IT Family Families Physicals 137

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

AUGUST 11, 2022

– Serious Illness Conversation Guide podcast. What I fell in love with and felt incredibly compelled by was the taking care of seriously ill patients and particularly helping them negotiate emotionally the experience of being very seriously ill. Psychiatric training is about major mental illness. AlexSmithMD .

Illness 109

Illness IT Family Families 109

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. If there’s a serious illness, all of a sudden, you’re in this place where now you’re struggling between this growing independence and also then this dependence that you may have.

IT 83

IT Family Families Illness 83

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. Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Relationships are usually more complicated. There are lots of people involved.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose.

Family 112

Family Families Patient-Centered IT 112

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 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

MARCH 7, 2024

He looked very ill. An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. The last thing I’ll say is I actually saw his very last performance.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? If its low evidence but not unsafe, not generally an issue. Think vitamins. Think chemo. What counts as potentially unsafe? Adam shared.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. And then we incorporated that information into the consultation process. Eric 10:55 So one serious illness. So their caregivers did focus groups.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. We can’t possibly provide enough care to all people with serious illness.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78