GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. When people have no appetite, they know they’re ill. Alex 03:31 That was fun.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. And so there are different levels of power within our healthcare system. ” And we started in this way.

IT 102

IT Family Families Clinic 102

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. 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.

IT 104

IT Patient-Centered Family Families 104

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. 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. My voice is nothing special. Jenny 04:15 Good question. Alex 09:00 Not true.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). Eric: Initially it started with living wills back in the early-1970s development of durable-powered attorneys for healthcare. Alex: Bernie.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). And I wonder when we think about targeting particular population, it’s not just, you know, how seriously ill they are. Alex: LJ, are you going to add to that?

Community 95

Community IT Patient-Centered Primary Care 95

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. These hick pick codes are available to any chaplain in a healthcare system. It’s now available.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Naomi: Well, I have a special place of not being a doctor within this great group of people. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness.

Consulting 115

Consulting Patient-Centered IT Patients 115

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? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

DECEMBER 5, 2024

So has a special resonance for, I think, a lot of people who are Tragically H ip fans. There’s obviously a lot of flaws in the healthcare system. And so I think one thing we really like about not having it scripted word for word is the opportunity to kind of flex into that moment and just be present and kind of try that out.

IT 107

IT Community Patients Family 107

GeriPal

FEBRUARY 20, 2025

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. But I think there’s less nuance and understanding in the general population or even in healthcare providers, honestly. So we all went through a pandemic.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

AUGUST 8, 2024

Eric 00:05 And Alex, we have a special episode today — B etween T wo U rns. And I think, oh, there was something she did besides getting cancer and dying, which requires such a focus, you know, cancer and terminal illness of any kind. And I got to sing Tom Waits’ Time, one of my favorites. This is Eric Widera.

IT 124

IT Family Families Relationship 124

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he had a deadly fear of being institutionalized, based on his previous present experience. And I was.

Patients 98

Patients IT Patient-Centered Hospital 98

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 130

Illness IT Physicals Patients 130

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+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Why do this?

Family 106

Family Families Patient-Centered IT 106

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. I feel like there are similar features of how it presents for both patients and providers when they’re dealing with this issue and that they can’t even put a label on too.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. Alex (singing) Alex 02:34 All right, this was a fun one.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

MAY 1, 2025

And again, if you were to go to, you know, AIDS in terms of transmission is primarily a sexually transmitted disease of young adults, which is why it presented the way it did in the pre treatment era, really all over the world. In San Francisco, HIV care was more specialized in that. Peter 14:48 So it’s completely shifted.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

FEBRUARY 2, 2023

That happened to me when reading “Range: Why Generalists Triumph in a Specialized World.” Really talking about, Bob did a talk that I was not present at what meeting Alex? Can I ask, how did it change you, how you think about talking to folks with serious illness? Also hat tip to Matthew Growdon for recommending the book.

IT 104

IT Medical Student Medical Family 104

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115