Today's Hospitalist

MAY 9, 2025

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. References: 1.

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Patient-Centered Telemedicine Clinic Electronics 52

GeriPal

MAY 5, 2022

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. How to screen for hearing loss. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. Is that right?

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IT Screening Hospital Clinic 102

Permanente Medicine

MAY 20, 2025

And then, so from that point on, I began to look at technology systems, processes for all settings, inpatient, outpatient care at home, a hospital at home. They’re due for cervical cancer screening, that they get that if they are due for a lab test, they get that. Outside of work. Now you noticed I said everyone but the doctor.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

GeriPal

JANUARY 23, 2025

And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. Eric 20:51 And your deprescribing was on hospital discharge. in the U.S.

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Specialization IT Patient-Centered Medical 120

GeriPal

JULY 27, 2023

Alex: Here, I thought it was just like a relationship tension and breakup song. I think the classic example is somebody who just came out of the hospital, they’re put on these new medications because they were having problems in the hospital and now they’re home and they don’t need those anymore. Eric: Yeah.

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Illness IT Clinic Medical 85

Adventures of a Sick Doctor

JUNE 5, 2021

I glanced at the screen occasionally to watch the wonderful new President Dr Ina Kelly and her colleagues deliver their speeches. I abandoned the Weetabix-encrusted bowls and sat in front of the screen, head in hands. My wonderful GP has died, but I am building a relationship with my new one. What the actual fork.

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GP Screening Mental Health IT 100

GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

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Screening PCP PCP IT 100

Plum Health

OCTOBER 11, 2024

During these regular appointments, doctors conduct various tests and screenings to catch issues early. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Building a relationship with your primary care doctor should be a priority.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

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 ). Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Or is it that I’m just not screening?

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Mental Health Patient-Centered Illness Screening 123

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. This language grounds the hierarchical paradigm in interprofessional relationships because of the scope of practice alone, and then also talking about how this is sort of ingrained in our trainees, as you’ve mentioned.

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Screening IT Families Family 121

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. But what was really interesting is the transport to the hospital was actually going down in their system. .”

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Community Transportation IT PCP 116

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose. I mean, the simple answer is, yes, we should be screening people for substance use disorder.

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Illness Patient-Centered Screening Clinic 137

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose.

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Patient-Centered IT Illness Patients 123

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. How did you get interested in this? Eric: Yeah.

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IT Families Family Diagnosis 102

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? So our inpatient hospitals are kind of under resourced for music therapy. It’s something that has no place in a hospital in most people’s thinking. Tyler 01:43 Okay.

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IT Patient-Centered Patients Board-Certified 98

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world. Pain Manag Nurs.

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IT Families Family Physicals 137

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. I had it on my screen. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. Welcome to the GeriPal podcast, Jennifer.

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Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. and consulting for Papa Health.

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Consulting Hospital Patient-Centered IT 122

GeriPal

JANUARY 16, 2025

So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. So for example, you know, the director of the assisted living facility could be the person who knows the patient the best.

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Patient-Centered IT Patients Healthcare 110

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

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Patient-Centered IT Patients Clinic 130

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. It is a screening? Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those. These studies are important.

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IT Patient-Centered Families Family 99

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. So for those listening to the podcast, this is a clown looking very sad and what looks like a hospital administrator. Let me share my screen here.

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IT Hospital Patients Illness 145

GeriPal

FEBRUARY 13, 2025

Marie 03:08 So, living in Alabama, which is our palliative care desert in the south, there were no palliative care services in any of the small rural hospitals. We went to a hospital in Mississippi, one in Alabama, and one in South Carolina. By then they usually were out of the hospital actually. Eric 10:25 And who was included?

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Consulting Community Patient-Centered Families 64

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. Like, does that indirect? Is that also a trauma? Mariah 23:02 Right.

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IT Patient-Centered Individual Screening 67

GeriPal

JUNE 5, 2025

And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. And, you know, some, some relationship with hospice, some might not do many referrals at all to hospice. Some will have stronger relationships with hospice. So that part we know and I.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

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IT Clinic Screening Patients 95

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. So when they do meet it, how are you going to be in relationship to it? We dedicated team working with cancer and palliative medicine in our hospital. They communicated by looking at a letter screen and it would track his eye movements. James 00:32 Good afternoon.

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Illness IT Patient-Centered Patients 109

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. .” Ashwin Kotwal: Oh, wow.

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IT Community Patient-Centered Medical 100

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. Ricky, welcome back to the GeriPal Podcast. Ricky 00:38 Great to be back. Eric 04:44 Yeah.

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IT Community Patients Families 108

GeriPal

MAY 29, 2025

This is, you know, has to do with our personal relationship. From perhaps the most sensitive instrument that we can get the family members report, while at the same time trying to sort of screen out potential false positives that are due to false hope or something like that. Widera and Smith have no relationships to disclose.

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Families Family IT Patient-Centered 94

GeriPal

DECEMBER 7, 2023

And so we do see hospital admissions for heat exposure and certainly cardiovascular and respiratory problems related to air pollution with climate change and also cognitive problems. And actually, we worked with a hospital on a project like that to demonstrate we don’t need to wear gloves for every time we touch a patient.

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Healthcare IT Education Hospital 130

GeriPal

APRIL 18, 2024

It was specific to the relationship with the patient, the patient’s social context in which they might take this information. At the Mayo clinic, for example, they’ve got a very robust hospital at home program. There’s edits I would’ve done to that, but that was pretty amazing. Bob: It’s not bad.

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IT Electronics Patients Healthcare 140

GeriPal

MAY 1, 2025

And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Meredith, welcome to the GeriPal Podcast. Meredith 00:48 Thank you, Alex and Eric.

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Primary Care IT Clinic Provider 96

GeriPal

APRIL 21, 2022

This is a poem that gets into this issue of, what is the clinician relationship to all that stuff that’s going on around us? I remember Steve McPhee used to talk about the I, thou relationship with you and the patient in front of you, and also the I, thou relationship talking about a higher power; in his case, he’s very Catholic.

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Patient-Centered IT Community Illness 93

GeriPal

JANUARY 5, 2023

To examine how clinicians might act in the face of such bans, we turn to Lori Freedman, who wrote a book about clinicians (primarily Ob-Gyn’s) who work in Catholic Hospitals. Lori Freedman’s book (forthcoming) – Bishops and Bodies: Reproductive Care in American Catholic Hospitals. Lisa Harris piece mentioned on podcast.

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Provider Medical Hospital Patient-Centered 19

The Clinical Problem Solvers

MAY 2, 2023

ICE and Policing — Instances of immigration enforcement in healthcare settings are rare, and when they do happen they can look like patients being interrogated at the bedside or even being arrested as they step out of the hospital just after visiting someone. Opinion: Covid-19 Shows Us Why We Should Keep ICE Out of Hospitals.

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Healthcare Provider Clinical Practice Clinic 52

GeriPal

JUNE 2, 2022

We’ve lived through lockdowns, toilet paper shortages, mask mandates, hospital surges where ICU’s overflowed, a million COVID deaths, prolonged school closures, development and roll out of novel vaccines, an explosion of social isolation and loneliness, and the invention of the “zoom meeting.” . But hospitalizations are low.

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Vaccination IT Hospital Management 100