GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. Eric 12:21 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. What is your relationship? Brianna 00:41 Thanks. Great to be here.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. David: People with these illnesses suffer from persistent symptoms, poor quality of life, depression, anxiety, despite all the great things we do and all our colleagues in those specialties and in primary care and geriatrics.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 21, 2022

Because how that is approached can have lasting effects on relationships, unfortunately. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Eric: Yeah. Does someone else drive you and so forth?”

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. Same thing with kind of medication management. They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

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Community Transportation IT PCP 114

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 19, 2025

Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take.

Individual 81

Individual Community IT Chronic Condition 81

BMJ

MAY 10, 2022

Hence, we conducted this study to determine the risk perceptions of primary care workers for COVID-19 vaccines and the predictive factors in their willingness to have the COVID-19 vaccine before vaccination, which started on January 14, 2021, in Turkey. 29% (n=86) of the participants were undecided about getting vaccinated. 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Families Family 119

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

MARCH 6, 2025

He had this disseminated head and neck cancer and he had tried to get care before and due to his mental illness, he couldn’t follow up for cancer care. We have world class primary care, cancer care, palliative care. Naheed 17:53 Yeah, they want connection, they want relationship, they want, meaning.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Is there a true relationship with that? Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MAY 18, 2023

I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on. But it doesn’t mean avoid it in all situations. In many situations it might be a great choice.

Medical 97

Medical IT Patients Clinic 97

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. I thought we were on the same team, like matters most, serious illness conversation.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So we did have a clinical decision support pop up that said, hey, this patient has serious illness, why don’t you go have a goals of care discussion? No difference in their primary outcome. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I don’t even remember pain management teaching. AlexSmithMD .

Illness 109

Illness IT Families Family 109

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). I would look at their functional ability. Eric: Sharon.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 24, 2025

And we were able to engage in a conversation about providing him the best care possible while he continues to engage in this therapy. That could include a robust home care plan to manage his symptoms. Widera and Smith have no relationships to disclose. And that’s how it segued into this hospice conversation.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 20, 2025

So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach. Much of my training has been in, in sort of the medical management and symptom management of a patient at the end of their life and thinking about how we do that.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MAY 1, 2025

I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. 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.

Primary Care 94

Primary Care IT Clinic Provider 94

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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. . So Eric Cassell, for folks who don’t know, was a primary care physician. Haider: That was a great story.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

JUNE 6, 2024

There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. So most of us in primary care, it’s probably even worse. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship.

Illness 130

Illness IT Physicals Patients 130