GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. We’re going to be talking about things like creative engagement in individuals with dementia. Susan: Yeah, that was me.

Community 101

Community IT Individual Patient-Centered 101

Pamela Wible MD

JUNE 20, 2025

(Published 3/18/19, updated 6/20/25) What Is Physician “Burnout”—and Why It Matters Physician “burnout” is a state of emotional, physical, and mental exhaustion caused by prolonged stress in the medical workplace. So why are physicians experiencing physical and mental collapse from overwork?

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Communication techniques we can use when talking to individuals with hearing loss. But individuals who have hearing loss, there’s several problems.

IT 102

IT Screening Hospital Clinic 102

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? And my hypothesis is that’s because it’s no longer the individual managing their own diabetes, it’s the nursing home staff managing their diabetes. Listen in to learn more!

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s. I’m fine.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. Sometimes individuals have lung tumors that make it difficult for them to breathe. Anish, can I ask you why you went into radiation oncology? Anish 04:13 Yeah. So it’s a good question. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. It flows very well. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. Why it’s such a natural way to explain the condition of someone with an acute critical illness that’s threatening their life. Eric: Why is it?

Illness 136

Illness IT Patient-Centered Family 136

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. To note that I am an individual who goes through this world. I face a lot of different stressors and challenges similar to other individuals, but I also have my own unique experiences. Noelle Marie 01:15 I do.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. In their communities?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. Eric 05:03 Nice.

IT 132

IT Illness Family Families 132

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. The patient refuses to ever talk about the fact that this illness could take their life.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Or somebody who has other physical cognitive problems at any age. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. Alex: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. 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? Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study.

IT 137

IT Family Families Physicals 137

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. ” Very specific, rare circumstance.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024.

Education 127

Education IT Illness Healthcare 127

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. So that’s a title of a publication in qualitative health research.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. those experiencing homelessness). Really looking forward to the conversation.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 4, 2023

There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. If there’s a serious illness, all of a sudden, you’re in this place where now you’re struggling between this growing independence and also then this dependence that you may have.

IT 83

IT Family Families Illness 83

Doctor Rachel

FEBRUARY 17, 2019

This is a HUGE subject and this is a brief attempt to organize my early thoughts on right relationship, through the lens of my own life. Marriage and relationship, certainly. Doug suggested that the connection between these topics is Right Relationship. To be in Right Relationship with self, with others, and with nature.

Relationship 130

Relationship Community IT Family 130

GeriPal

MAY 12, 2022

What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. We know that this is necessary in theory, we know that health is not only absence of disease, but physical, social, and mental wellbeing. But remember that here we were focused on needs. Somehow we were not very limited by definitions.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 13, 2025

The second is an idea that Michael and Balfour Mount were really, I think, instrumental in articulating, which is this idea that healing is possible through the course of serious illness. I loved the relationship that we developed and the fun we had. If you read just one, read Palliative Medicine – Just Another Specialty ?

IT 104

IT Patient-Centered Family Families 104

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. And you can’t really predict how each individual might react to the same experience. Some of them are really deeply individual experiences.

IT 67

IT Patient-Centered Individual Patients 67

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. And so really thinking about people’s individual experiences, what might help for them.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day. It’s just not.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. As this patient has an x percent mortality in three months, there’s a little more nuance to it, and it isn’t really applied to the individual.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. Think vitamins. Think chemo. Animal studies?

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. What were those spiritual domains? Is that your grandchildren?

IT 99

IT Patient-Centered Family Families 99

GeriPal

SEPTEMBER 8, 2022

Alex: Their own death in advance, terminally ill people. And what we mean is like they’re physical numbness or they trip over that particular symptom, but it’s that sense of detachment from living people. And they are at risk for a lot of physical and mental and social impairment. Holly: In advance.

IT 100

IT Complication Relationship Specialization 100

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. ” It allows that relationship. That seemed to perform pretty well. Eric: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Eric 21:46 So this study showed that in people with chronic critical illness, having palliative care lead one and a half sessions in an ICU around prognosis and goals. Is this superior to that?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose.

Family 106

Family Families Patient-Centered Patients 106

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. And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. Alex (singing) Alex 02:34 All right, this was a fun one. Get to learn some Spanish for this one.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79