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. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

Medical 97

Medical IT Patients Clinic 97

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. But you’re right, there has been a shift in policy to incentivize patients and providers to choose home therapies.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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? But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. Julia 11:02 Yeah.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. 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.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. And so here’s a picture of four healthcare providers behind bars. Like, oh no, I said it.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? Tell me about your illness.

IT 105

IT Patient-Centered Healthcare Illness 105

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 Family Families 109

GeriPal

OCTOBER 17, 2024

If we can be a little bit more holistic and think through what are the medicines that are going to provide the greatest bang for your buck and get rid of the stuff that probably isn’t going to do anything. They may have a long relationship with that cardiologist, so it requires some collaboration.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 24, 2025

I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. It’s just that he was foregoing things that we think would have provided him more benefit.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 125

Hospital IT Patient-Centered Patients 125

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? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And then I’d also imagine from a quality of life perspective, like a one time visit by a palliative care provider, I can’t imagine it really significantly improving quality of life unless there was robust like the symptom.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. Much more about relationships has been my experience. And so we have to teach clinicians the art of relationship.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MAY 29, 2025

This is, you know, has to do with our personal relationship. And there’s like the emphasis on the relational component and what that means in terms of the relationship between the caregiver and the patient and the person. Widera and Smith have no relationships to disclose. Like, you’re really feeling yourself today.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? I mean, you know, we’re trying to both honor what, what the surrogate believes is the, the patient’s preference, which we do all the time with all kinds of other medical interventions and provide comfort in a humane way.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 11, 2024

What about ambivalence on the part of the provider? Widera and Smith have no relationships to disclose. Guests Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer have no relationships to disclose. Eric: So not from the patient perspective or family, but from the provider perspective?

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. Eric: So not from the patient perspective or family, but from the provider perspective?

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. Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at. AlexSmithMD . Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . And I was an internal medicine resident. Very, very few centers are providing those services.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

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. Widera and Smith have no relationships to disclose.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. It’ll provide you with like a percentage estimate of probability of nursing home level of care at two, five and ten years, and also the median predicted time to nursing home care.

Family 106

Family Families Patient-Centered IT 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? Widera and Smith have no relationships to disclose. Jenny 01:27 Thanks.

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. And then maybe KN95s, FFP2s and KF94s, if you wear them, at least in physical science studies, if you’re inside in a crowded where Warrior stadium or something, that should provide you some self protection. Our World in Data COVID graphs.

Vaccination 100

Vaccination IT Hospital Management 100