GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Nate also wrote a NEJM piece last year on Alzheimers Disease, Biomarkers, and mAbs What Does Primary Care Need? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? Does a good history matter anymore? Okay, Non Sequitur.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. So this is something. It is a sold out crowd.

IT 64

IT Hospital Screening Patients 64

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). She conducted a systematic review and meta-analysis of 38 palliative care trials, finding that many excluded people with serious illness, and a lack of impact on psychological outcomes.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

IT 102

IT Families Family Diagnosis 102

GeriPal

MAY 8, 2025

Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. It’s there.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Naomi: Yes, I do. Alex: Yeah.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ?

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JANUARY 16, 2025

We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 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. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. It meets in-person, once a month, over nine sessions. The theme is death. Alex: That is wonderful context.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

DECEMBER 5, 2024

One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?” Eric 00:18 Throwing us off.

IT 107

IT Community Patients Families 107

GeriPal

MAY 29, 2025

Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no! This will give people false hope! That their loved one is in there. Andrew 00:42 Hey, everyone.

Families 93

Families Family IT Patient-Centered 93

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Which is it? Whos got the right of it? Have to see.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

MARCH 10, 2022

Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Alex: And welcoming back to the GeriPal Podcast for, like, her 10th time, we have Lauren Hunt, who is nurse researcher and assistant professor at the UCSF School of Nursing. Welcome back to the GeriPal Podcast, Lauren.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. They found a difference of 4% in documented goals of care discussions. Is 4% meaningful? I think it’s you, Bob. Alex: I love that song.

Patient-Centered 83

Patient-Centered IT Patients Hospital 83

GeriPal

MAY 1, 2025

Meredith wore a shirt that said Silence=death. Eric gave me the hook during my live cover of One, by U2, a song released in 1992 whose proceeds went entirely to AIDS research. I couldnt help it, forgive me dear listeners, I had to do a longer than usual cut at the start! But this song was actually a fundraiser for AIDS when it was released.

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

FEBRUARY 24, 2022

And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 1, 2023

Alex: We’re delighted to welcome back Jason Karlawish, who’s a Geriatrician and Professor of Medicine at Penn and Director of the Penn Memory Center. He’s been on several podcasts about this issue. Jason, welcome back to GeriPal. Jason: It’s great to be back, Alex and Eric. Eric: Wonderful. laughter] Heather: Good point.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

DECEMBER 21, 2023

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 14, 2022

Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. Welcome back to GeriPal, Darrell. Darrell: Yes.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. Ken 02:33 Bravo.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141