GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . We got some really special guests with us. But does this drug really live up to the hype? Transcript.

Illness 103

Illness Patient-Centered IT Patients 103

Mesa Family Physician

MAY 8, 2025

These visits help catch illnesses before they become more serious, reduce healthcare costs in the long term, and improve overall quality of life. Why Preventive Health Maintenance Matters The importance of public health and individual wellness cannot be overstated. The goal is to avoid disease, not just treat it.

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Preventive Care Preventative Care Wellness Visit Physicals 100

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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Illness IT Diagnose Medical 129

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 102

Illness IT Patient-Centered Patients 102

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. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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.

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IT Illness Families Family 133

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. 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. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

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Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 29, 2024

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Anne: Well, speaking of your kids, a very special, sometimes listener, chimed in named Ren Smith. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication.

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IT Patient-Centered Illness Education 127

PEMBlog

MARCH 27, 2024

My special guest podcaster, Emily Groopman, is an actual Pediatric Geneticist in training and we hope that you will find this episode useful. So my special guest host on this episode is a trainee in pediatrics and medical genetics. In other words, which features of the disease individuals with the mutation show for these conditions.

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Consulting Individual Families Family 59

GeriPal

MAY 25, 2023

Sarah: But as you bring your inner circle into your care, you know, how does that that that feels like an important group to be assessing in terms of psychological outcomes and kind of what their experience with the process is like as they’re navigating illness and serious illness. Alex: LJ, are you going to add to that?

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Community IT Patient-Centered Primary Care 96

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. So we are going to leapfrog over the healthcare system education and we’re going to go straight to the citizens of the world and we’re going to give them the insider tips to how to improve their illness experience.”

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Education IT Illness Healthcare 128

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. Are we losing that thing that makes palliative care special, that Dame Cicely Saunders talks about those. by Kearney. I promise its short. And they did.

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IT Patient-Centered Families Family 105

GeriPal

JUNE 9, 2022

We talk with Kate about how despite how far we’ve come in palliative care research, we still don’t have answers to some fundamental questions, such as: Who should get specialized palliative care? We can’t possibly meet the needs of all people with newly diagnosed serious illness. By diagnosis? By prognosis? It’s what I know.

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Consulting Patient-Centered Diagnosis IT 100

Plum Health

OCTOBER 16, 2024

Whether you need a routine physical, vaccination, or management of a chronic illness, this clinic has you covered with a focus on holistic and individualized care. Primary Care for All Ages and Stages of Life This clinic specializes in primary care for patients of all ages. The clinic in Royal Oak is perfect for my whole family.

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Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day.

Families 107

Families Family IT Patients 107

GeriPal

MARCH 24, 2023

I think some individuals thought there was cherry-picking of stories that made it seem like hospice is this bad thing, that it’s taking advantage of vulnerable individuals and it didn’t talk enough about the good things that hospice does. On the other side, there’s another group that thinks, you know what?

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IT Provider Patients Families 115

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). They were seriously ill and had a chance to get to know. In 1990 the Supreme Court ruled…for the state of Missouri. What words to use?

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Families Family Patient-Centered IT 113

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

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Patient-Centered IT Individual Screening 67

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. So, how can we improve palliative care for individuals in nursing homes? Consider this: the majority of the 1.4 million adults residing in U.S.

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Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 11, 2024

And, you know, I just thought it was a really special song. We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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. But are we really taking full advantage of ALL social workers have to offer our field? Eric: Yeah.

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IT Families Family Clinic 102

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.

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Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? .” Pain Manag Nurs.

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IT Families Family Physicals 137

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy. Kate: Sounds right.

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Consulting Patient-Centered Patients IT 116

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. They followed them during the course of their hospital stay.

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IT Patient-Centered Families Family 99

GeriPal

SEPTEMBER 8, 2022

And also it’s a little bit of an insult to one’s identity to feel like if this special person in your life can be forgotten, then you can be forgotten. But our living memory home is a way to both maintain that connection, because that’s the fear is that you’re going to lose this connection to this very special person.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 31, 2022

Patient Poets: Illness from the Inside Out. I think it’s titled Patient Poets Illness. Marilyn: Patient Poets: Illness From Inside Out. Alex: Patient Poets: Illness From Inside Out. Steve had a very special ability in that. AlexSmithMD. Links to essays and books by Marilyn McEntyre. Is that right, Marilyn?

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IT Patients Medical Illness 70

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. It just depends on the family preference on the individuals involved.

IT 125

IT Families Family Relationship 125

Vida Family Medicine

MARCH 1, 2023

Factors such as a history of trauma (abuse, neglect, sexual assault, attachment trauma, etc), life stressors including serious physical or mental illness, and social influences that portray thinness as an ideal and promote dieting combine with an underlying genetic predisposition to contribute to development of an eating disorder.

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Mental Health Physicals Family Medicine DO 52

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?

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Families Family Patient-Centered Patients 108

GeriPal

MARCH 16, 2023

We have two authors, books, op-eds, prolific authors, and today’s podcast is a two-part special. And then I feel like when I’m in clinic I’m helping individuals, and you only have so much time to help so many people. But I was focused on his very ill wife. When I write, I learn a ton from that. Eric: Yeah.

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IT Healthcare Professional Healthcare Transportation 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. And that included scheduling a visit with a, with a facilitator who had been specially trained.

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Primary Care IT Clinic Illness 80

GeriPal

MAY 1, 2025

Or is the aging process and development of serious illness so similar to people who are not living with HIV that we can sort of move on and consider it, you know, sort of like diabetes, for example. In San Francisco, HIV care was more specialized in that. How do you think about polypharmacy for these individuals?

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Primary Care IT Clinic Provider 96

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.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

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Telemedicine Telehealth Patient-Centered Board-Certified 73