GeriPal

OCTOBER 10, 2024

social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. So, for instance, I do a psychosocial screen, I do a physical screen, I do screens in all the other domains. So we totally forget that all of us are symptom managers as well.

Screening 121

Screening IT Families Family 121

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is definitely a place, especially physical.

IT 137

IT Families Family Physicals 137

GeriPal

JANUARY 25, 2024

And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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 111

Illness Hospital Patient-Centered Patients 111

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.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. If the patient has a spectacular response to HIV management or the cancer treatment, then the main factors are removed.

Illness 134

Illness Patient-Centered Patients IT 134

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. Any particular thoughts on how to manage pain and liver disease from a pharmacological perspective? And so I thought it was appropriate.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. Another study looking at the benefits of physical rehabilitation in patients with HFpEF. Transcript Eric 00:00 Welcome to the GeriPal podcast.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

SEPTEMBER 7, 2023

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. Do you worry about that? We actually have the majority.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MAY 22, 2025

My voice is nothing special. A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

MARCH 28, 2024

Tom: So we did this study because patients who go through the stem cell transplant process face a lot of misery in terms of physical symptoms, psychological distress, anxiety, depression, and even a risk of PTSD afterwards, sort of like a medical trauma, you might think of it. I’m going to go to stem cell transplants. Why another study?

Consulting 116

Consulting Patient-Centered IT Patients 116

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. Alex: So many, I remember in Palliative care fellowship learning how to prescribe Tramadol and even giving a talk at the general on pain management and recommending Tramadol. Alex: Okay.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

AUGUST 29, 2024

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. Your patients expect you to care for them, their mental well being, their physical well being. I heard that. And that is not actually tangential. Who do you want to go to with this?

IT 133

IT Illness Families Family 133

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 105

IT Patient-Centered Families Family 105

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

IT 67

IT Patient-Centered Individual Screening 67

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 102

Illness IT Patient-Centered Patients 102

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. We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Joan: Thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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. Alex: This is Alex Smith. I only know what I see.

IT 97

IT Families Family Board-Certified 97

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. Some more assessment also potentially some interventional around total pain, including spiritual suffering that actually may worsen physical pain.

IT 99

IT Patient-Centered Families Family 99

GeriPal

OCTOBER 6, 2022

But before I became a nurse I had a long career at Procter & Gamble in brand management and I worked on the Covergirl and Max Factor business. The hope is having help for you and your family and support and not being physically uncomfortable. I’m going to turn to Marian first. Those are valid hopes. Tony: Yeah. Eric: Yeah.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JULY 7, 2022

Haider: Yeah, this is a special song. Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

DECEMBER 7, 2023

I actually wonder though, since we’re on a GeriPal broadcast, I think that people are under emphasizing the special risk of older people. Eric: So as we start talking about things that we can do about it, maybe we can just start off with this thing of including it in the curriculum for healthcare professionals.

Healthcare 130

Healthcare IT Education Community 130

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 131

Illness IT Physicals Patients 131

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. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 25:08 Super special. This is Eric W id era.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

APRIL 20, 2023

Alex: But the longer title’s Ethno-Geriatrics and Special Populations. These were usually very physically demanding, low paid, often usually non-union work, that they worked their whole lives and were hanging on by their fingernails. Margot: Yes. The folks who were first homeless after 50 had incredibly different life stories.

Mental Health 124

Mental Health IT Community Individual 124

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 that included scheduling a visit with a, with a facilitator who had been specially trained.

Primary Care 80

Primary Care IT Clinic Illness 80

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.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

SEPTEMBER 14, 2023

By the year 2000, everyone will be in a Medicare managed care plan.” Just think about something like a nurse visit, a nursing visit, or a physical therapy visit. We’re moving back to an earlier time, in a way, in which the locus of care wasn’t in these highly specialized hospitals. Bruce: Where was this?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73