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 66

IT Patient-Centered Screening Individual 66

GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. And that can really inform what your own institutional policy is. This is Eric Widera. Alex 01:24 This is Alex Smith. But we always talk about capacity being decision specific. Eric 20:31 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

Illness 109

Illness IT Families Family 109

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. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. ABIM MOC credit will be offered to subscribers in November, 2025.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. On bias and trauma as you.

Healthcare 100

Healthcare IT Community Illness 100

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. Eric: And Mike, you were talking about not being misunderstood. What is the intention of the Beers criteria, the AGS Beers Criteria?

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Medical IT Patients Clinic 97

GeriPal

OCTOBER 17, 2024

Matthew 39:22 Quality of life, you know, for shared decision making is so important, but it presumes that the, on the clinician end that you have the right information to share and that’s, you know, feel a lot of uncertainty and I, what I’m going to be doing.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. One is they’re defining the intervention using future information, which Maria always tells me is a big no, no.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We didn’t make them do anything with that information, just document it.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? The general clinic is called the Internal Medicine Recovery Engagement Program, and our clinic is the Palliative Recovery engagement Program, or PrEP.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Absolutely. Alex: Bye everybody.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

MAY 29, 2025

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 I talk to them about this, and we wouldn’t pick up on how meaningful that is for people.

Families 93

Families Family IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

And then we incorporated that information into the consultation process. Later on, of course, we added health professionals to, you know, give us more information. You just email them or email them information on prepare for your care. And 40 or 60% of them, they had enough prognostic information. Yael 21:10 Yeah.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. ” Ruth: Yes, you could say that if somebody had all the information they needed and chose a form of treatment, then yes, that’s a difference. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. We discuss the moral distress that clinicians felt including, as one physician put it, a sense of your soul being ripped out.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 24, 2025

MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. It is the CME activity providers 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, 2025.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

AUGUST 24, 2023

And a moral compass that’s informed by understanding that the world isn’t the way you see it necessarily. So Brian wrote this article in JAMA Internal Medicine arguing that we should take the word intensive out of intensive care units. ‘I want everything.'” He’s at UCSF, he’s an intensivist.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 20, 2025

Who do you give informed consent to? MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 11, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And I think clinicians set people up to be ambivalent as well.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And I think clinicians set people up to be ambivalent as well.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Who do we have with us on this podcast? Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. It was information about our ACP facilitator. So 6% difference.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. We’re selling objectivity, information, independence and choice. Take some time to get trust, to get real information. Susan: Yeah, I don’t think the word even surfaced.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 25, 2024

MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 13:29 I love that. That is really challenging to predict.

Families 106

Families Family Patient-Centered IT 106

GeriPal

JULY 7, 2022

And I was an internal medicine resident. Every time you experience pain, it is informed by so many different things. Let’s say you get stuck in a trap and you might scream, is to inform other people that there might be a threat or to inform other people that you may not be able to do a certain task because you are hurt.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. I could walk down the hall and get information. You said this journey started for you back in what? Malaz: 1999, my friend. And I was terrified. I didn’t know how to manage it.

Patient-Centered 125

Patient-Centered IT Families Family 125

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? And so there’s chances that we could do better with this information.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. But we have very little information, almost no information. And so there are other new treatments that I hope also will inform RSV and other RNA viruses. One is in the Annals of Internal Medicine. Transcript.

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Vaccination IT Hospital Management 100