GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 128

Illness IT Diagnose Medical 128

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

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. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

NOVEMBER 17, 2022

But why I decided to look at medical and mental health care and assisted living. So, we’ve been seeing that there’s this increasing need for attending to the medical and mental health wellbeing of people in assisted living more so than before, because it’s not really just a social model of care.

Community 97

Community IT Mental Health Medical 97

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

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. Transcript.

Illness 109

Illness IT Family Families 109

GeriPal

OCTOBER 24, 2024

Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them.

Medical 99

Medical IT Patient-Centered Healthcare 99

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 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

MARCH 6, 2025

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. I’ll just throw out there people with serious illness experiencing homelessness.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. With the mental health, we pulled out the medical model. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. Alex: And are the regulations similar or different in terms of six month required prognosis or less, should the disease take its usual course, or illnesses leading to a short prognosis? We have about 450 inpatient mental health beds. Eric: Mm-hmm.

Family 132

Family Families IT Community 132

GeriPal

JULY 11, 2024

We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both. And it’s usually those people that I’m seeing.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Inviting them to brainstorm into that process can be important.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 20, 2025

And this is, I’m going to go a little wonky just for a second because like looking at the 11 things that you looked at for trauma events, some seem like pretty universal trauma events, like having a life threatening illness, a child of yours who died being physically abused when you were young. Which may not be necessarily traumatizing.

IT 67

IT Patient-Centered Individual Patients 67

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. They wanted you to be respectful of their cultural beliefs and their, you know, faith beliefs that were driving their health and illness.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

APRIL 6, 2023

And also, really like the way that you have identified different kinds of outcomes, spiritual wellbeing with the facet SP, as well as then impact on mental health outcomes or emotional distress outcomes of anxiety and depression. That’s one thing that I thought was really helpful and appreciate. But I guess a couple things.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. They had access to the cancer center resources, but they didn’t have access to sort of regular contact with palliative care mental health professionals. Is this superior to that?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

BMJ

AUGUST 20, 2021

Increased prescribing of certain groups of medications, such as insulin, immunosuppressant drugs, and medications for long-term respiratory illnesses, may hint that these patient groups experienced disproportionate anxiety over medication procurement during the pandemic.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

JULY 7, 2022

Alex: I also appreciate the multifaceted view you have on pain in the way it teaches us, in the way it teaches our children not to touch a hot stove, in the way pain has been used for good or for ill by religion as way of interpreting a spiritual experience, and the richness within which we have experienced and viewed pain over time.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Alex 08:36 Right. Eric 08:37 That’s what we really want to know.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? I’m wondering if we can start off with thinking about the prevention of COVID in older adults and those with serious illness and then potentially the management of them. Eric: I loved all that.

Vaccination 100

Vaccination IT Hospital Management 100