GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 82

Individual Community IT Chronic Condition 82

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

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. A patient must have the autonomy to choose whether in their individual situation, the potential benefits outweigh the potential harms.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates 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. They may not think to ask or provide that information. Sometimes it’s unskilled things.

Community 115

Community Transportation IT PCP 115

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. Because how that is approached can have lasting effects on relationships, unfortunately. Certainly my bias is that healthcare professionals really do have a role in this discussion. Alex: Yeah. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. This is Eric Widera.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? And then be quiet and listen.

IT 132

IT Illness Family Families 132

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

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina 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. ABIM MOC credit will be offered to subscribers in November, 2024. Eric: How about you, David?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. What we hear is that it is more trauma informed in many contexts to have people first language.

Healthcare 100

Healthcare IT Community Illness 100

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. What would you do with the money, Eric? Alex: Yeah.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MAY 9, 2024

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. But it’s the people in the relationships that you meet. And that’s not particularly sexy.

Education 127

Education IT Illness Healthcare 127

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Those are evidence-based or evidence-informed tools that have been in practice.

Finance 95

Finance Board-Certified IT Provider 95

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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

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

SEPTEMBER 22, 2022

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. And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. You had no relationship.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Mike: Thank you.

Medical 97

Medical IT Patients Clinic 97

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

OCTOBER 5, 2023

And I have gone through my not-so-long career, but it’s coming up on nine years now, seeing the way that we have talked about CPR in such problematic ways, in ways that really do not enable true informed consent. And I think a lot of that leads to extreme moral distress. Sunita: Oh, yeah.

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

MAY 29, 2025

This is, you know, has to do with our personal relationship. And then I think the flip side of that is we don’t deal with it as clinicians and help them understand how to interpret that information. And like, she retained that information for so long, but she does not really Speak. And Andrea, you can help me out here.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 7, 2024

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. It sets space between us and the individuals we’re trying to take care of. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

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. Did it have any impact?

IT 99

IT Patient-Centered Family Families 99

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. How do we see each of you as individuals who are having your own struggles? It’s very fraught. Part of how we try to figure that out is to maybe lump and split again.

IT 83

IT Family Families Illness 83

GeriPal

APRIL 10, 2025

But we felt like we want to give like the primary thing about clinical decision support is to give the provider information they don’t already have. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? The emergency physician knows it’s not new information.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. So when they do meet it, how are you going to be in relationship to it? Eric 24:59 Have to release any embargoed information with us. I love that.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JUNE 23, 2022

And that’s another huge source of data and that’s the data that generally informs the USPSTF and other guidelines. And that’s why I want women to have an informed decision. And we found that clinicians really liked getting the life expectancy information. Eric: So how do you actually convey the risk then?

Screening 99

Screening PCP PCP IT 99

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. I think that’s a big mistake.

Illness 144

Illness IT Medical Provider 144

GeriPal

NOVEMBER 7, 2024

So we created these heat maps where you could see for each individual what actually happened in the days and you. One is they’re defining the intervention using future information, which Maria always tells me is a big no, no. Widera and Smith have no relationships to disclose. And we have these. I’m a visual person.

Management 116

Management Patient-Centered Patients IT 116

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. The black individuals wanted to have a separate one from the white individuals.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

JULY 28, 2022

But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. So their practices were really collaborative and informed. And so how do you actually facilitate coping with that information? And those two are closely aligned.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients.

IT 95

IT Clinic Screening Patients 95