GeriPal

JANUARY 25, 2024

It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. We got some really special guests with us. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Transcript.

Illness 102

Illness Patient-Centered IT Nurse Practitioner 102

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. And he actually was able to get through that with a lot of help from different people. And so I thought it was appropriate. Here’s a bit of it.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 29, 2024

Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. Alex: And, it means pain management. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication. We shouldn’t be mandating individuals, this should be an optional thing for individuals.

IT 126

IT Patient-Centered Illness Education 126

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. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 8, 2025

So in our trial, because of security reasons, we are required by Health Canada to store the substance in a special secure area in my office. And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. James, I think you got the song request for Alex. So 5ht2 was. Almost all.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MARCH 13, 2025

What I think so special about palliative care is that there’s some really radical and important ideas that sort of undergird our work and that provided a foundation for our work. A good prescriber, a good symptom control manager. We doctors can really just kind of specialize, kind of focus on the biological part of the job.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MARCH 28, 2024

The idea is, if it works at MGH, that’s a special kind of a place, maybe they do palliative care differently, maybe they have better resources, would this work at other transplant centers that have different kinds of clinicians or that serve different kinds of patients; so we wanted to have diversity of sites and clinicians and patients.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. So, how can we improve palliative care for individuals in nursing homes? How to think about primary and specialized palliative care in this setting. And so I tried to get her actually to pain management, and I couldn’t.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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 my grandkid, like, I need you to see this child and, like, how wonderful and special they are. Is the sort of task to manage. I heard that.

Illness 132

Illness IT Family Families 132

GeriPal

AUGUST 25, 2022

Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. -@AlexSmithMD. Transcript.

Family 106

Family Families IT Patients 106

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. They’re like, “Everyone wants to make every moment of our day special.”

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 24, 2023

I think some individuals thought there was cherry-picking of stories that made it seem like hospice is this bad thing, that it’s taking advantage of vulnerable individuals and it didn’t talk enough about the good things that hospice does. How many patients is my hospice nurse case manager responsible for on any given day?

IT 113

IT Provider Patients Family 113

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”?

IT 137

IT Family Families Physicals 137

GeriPal

APRIL 10, 2025

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. Eric 19:30 Should we add that to special effects as our producer?

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

SEPTEMBER 22, 2022

There’s no special thing to say, but sometimes we’re tempted to treat serious illness communication in that way, conversational judo or something, that I can maneuver around an encounter and create something new. All these studies in this fringe… We want the special key. And oftentimes there is no password.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. This was something you were … You’re a grieving daughter and also trying to manage probably a lot of other things during the pandemic. So unlike academic journals and elsewhere.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. We randomized individual patients either to the SKY framework or to usual care. It meets in-person, once a month, over nine sessions. This is Eric Widera.

Patient-Centered 99

Patient-Centered IT Family Families 99

GeriPal

JUNE 29, 2023

This week we’re going on to episode two, which is for me one of the most special episodes we’ve done in GeriPal for a very, very long time. Eric: And in the end, we have a very special part where we actually get a tour of their gardens outside of the hospice unit. I am there with individuals who are dying.

Family 97

Family Families IT Board-Certified 97

GeriPal

MARCH 10, 2022

She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. It improves symptom management. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Joan: Thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people. Voting and emailing congress to advocate for systemic change (e.g.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

JULY 25, 2024

Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. Alex 00:05 To claim credit, p lease go to the C ME tab on GeriPal.org.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? Alex: But the longer title’s Ethno-Geriatrics and Special Populations. ” On that grand rounds, you differentiated structural factors from … I forget what the word was, individual- Margot: Individual risk factors.

Mental Health 123

Mental Health Community IT Individual 123

GeriPal

AUGUST 1, 2024

But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

MAY 1, 2025

But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. In San Francisco, HIV care was more specialized in that. Plus, it’s a bit of an inconvenience having to go somewhere else to get your blood pressure checked and managed, for example.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And is it at all individualized to the patient? It’s a lot. Yeah, yeah.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. He created fee for service, special fee for depression. And I was terrified. Malaz: Correct.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. And the argument was framed more as a healthcare choice made by individuals in conjunction with their clinicians.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

SEPTEMBER 14, 2023

The patients that, I think, most benefited from it were those individuals who, as I said, maybe, had a pneumonia, and needed IV antibiotics, but wanted to do that… If they could get better in the comfort of their own homes, that were not interested in passing away in the hospital. We weren’t even up to Medicare Advantage.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73