GeriPal

APRIL 4, 2024

This topic came up with Bernie published an article in New England Journal called Deciding for Patients Who Have Lost Decision-Making Capacity Finding Common Ground in Medical Ethics. You write about this, you’ve written this New England Journal article, you’ve written past articles. Bernie: So let me flip it around.

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GeriPal

FEBRUARY 8, 2024

Though his narrow definition of suffering as injured or threatened personhood has been critiqued , the central concept was a motivating force for many of us to enter the fields of geriatrics and palliative care, Eric and I included. Today we talk about suffering in the many forms we encounter in palliative care. BJ: Mm-hmm. Naomi: Yeah.

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Chaplain Palliative care Palliate Definition 288

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. AlexSmithMD (still on Twitter at present). Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. staff training in person centered care).

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Assisted living Geriatrics Long-term care Nursing home 198

GeriPal

JULY 6, 2023

Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.

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Geriatrics Medicare Caregiver Palliative care 170

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren.

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GeriPal

AUGUST 24, 2023

And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. And decided, interesting article, but it raised as many questions as it answered. I’m fully present. I’m not distracted.

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Article Palliative care Palliate Geriatrics 229

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. I adored this article. Alexis, welcome to GeriPal. Alexis: Yeah. Two reasons.

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Article Informed consent Palliative care Palliate 249

GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Ann: Likely.

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Palliate ADLS Palliative care Article 284

GeriPal

OCTOBER 5, 2023

We’ve invited Jacqueline Kruser and Bob Arnold on this week’s podcast to talk about their recently published JAMA Viewpoint article titled “ Reconsidering the Language of Serious Illness. ” You recently published an article in the New Yorker titled, I can’t even read my own, what was the title again? Of course not.

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Informed consent Article Palliative care Resuscitation 269

The Nurse Break

MAY 31, 2022

Geriatric trauma. My two favourite topics to present on in Trauma are geriatrics and bariatrics. Both populations are increasing in the community and in hospital presentations following trauma. We need to be prepared so that all groups receive the most appropriate care, and have equity of access to trauma care.

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Nursing Grief Geriatrics Presentation 92

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” From you reading the 2022 article that was authored? Josh: Yeah.

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Information Presentation Palliative care Palliate 240

GeriPal

APRIL 13, 2023

We’re also delight to welcome Carla Perissinotto, who is a geriatrician palliative care doc at UCSF in the division of geriatrics. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics. This paper was published recently in the Journal of American Geriatric Society Lead. Welcome back to the GeriPal podcast.

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GeriPal

MARCH 24, 2022

Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor.

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Palliative care Geriatrics Palliate Document 147

GeriPal

AUGUST 4, 2022

Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. ” Ariel: Exactly.

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Nursing home Presentation Article Nursing 207

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. Mody for the mentorship and for the opportunity to bring together these articles.

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Article Definition 2021 Geriatrics 130

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). Alex: And we have Hillary Lum, who is a geriatrics and palliative care researcher at the University of Colorado. And as you know, it’s a great article. Sarah: Thank you.

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GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) So I allow family members to be present if they want them to. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin. That’s fine.

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GeriPal

MARCH 10, 2022

On today’s podcast we dive into drivers of invasive procedures and hospitalizations in advanced dementia by talking to some pretty brilliant nursing and nurse practitioner researchers focused on dementia, geriatrics, and palliative care in nursing homes: Ruth Palan Lopez, Caroline Stephens, Joan Carpenter, and Lauren Hunt. Ruth: Thank you.

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Nursing home Feeding Nursing Geriatrics 136

The Nurse Break

FEBRUARY 26, 2023

Check out other must-read articles here Shauna has a Diploma in Nursing from Kangan Batman TAFE and more than 8 years’ experience working within various healthcare fields including Geriatric, Community, Oncology, and currently as a civilian nurse contractor in the Defence environment.

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GeriPal

FEBRUARY 22, 2024

One of your articles also I thought was fascinating because in the cancer population, if you look at cancer pain, I think a lot of us think cancer pain, you treat it with neuropathic drugs, medications, opioids. Alex: And you had this fascinating article. That is not a therapeutic dose of an intervention. Eric: I love this.

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Palliative care Palliate Social worker Chaplain 232

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. I think this is actually bread and butter geriatrics. We could have talked for hours! You interviewed some geriatricians. This is a blind spot for me.

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Books Blog Palliative care Palliate 244

The Nurse Break

MAY 24, 2022

Similar articles here. You still need all the speciality skills of dealing with different illnesses that might present in one person, plus additional skills in recognising medication interactions, side effects and aspects of polypharmacy that might need attention. Geriatric complications and preventable complications.

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Nursing Geriatrics ADLS Palliative care 98

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” I’d hazard that maybe half the patients I care for at the intersection of geriatrics and palliative care fall in the gray zone. Should you stop at “no?”

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Geriatrics Palliative care Palliate Information 186

Hospice News

DECEMBER 5, 2022

This article is sponsored by CHAP. These organizations got together to bring national experts together and to say, “Why during this unprecedented time of human longevity have evidence-based geriatric health care models not taken root? How can we promote this?”

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Medical director Custodial care Social worker Hospice 130

GeriPal

APRIL 26, 2024

From you reading the 2022 article that was authored? 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. I think the lead was Bry on that. Is that right Josh? Josh: Yeah. Really helpful paper.

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Palliative care Palliate Nursing Information 169

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. So we can look at what the effect of this intervention on disparities. Good night, everybody.

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Chaplain Palliative care Palliate Social worker 192

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. And that unfortunately part of our obstacle here is that like many, many, many other jurisdictions, we are unable to supply adequate mental health or palliative or geriatric care to the populations that need it. Eric: Bill.

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GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

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Document Palliative care 2018 Palliate 160

GeriPal

FEBRUARY 2, 2023

It helped me to understand and justify my interest in (this won’t surprise you) EVERYTHING related to geriatrics or palliative care. I had heard of course heard of imposter syndrome in the past but I didn’t make the connection to myself until I read this article and saw my thoughts printed on the page.

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Books Palliative care Geriatrics Palliate 194

GeriPal

DECEMBER 21, 2023

Every member of the team, even for me, for whatever reason, that switched me from focusing on trying to be in pulmonary critical care to become actually a geriatrician, choose the geriatric fellowship. We present it to CMMI, to CMS, whoever will listen to us, people on The Hill. And it became a terror for me. Why do we need a story?”

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GeriPal

DECEMBER 2, 2022

Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. Eric: In the article, you wrote about creative engagement. Transcript. When was that, 2010?

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Nursing home Books Chaplain Caregiver 207

GeriPal

OCTOBER 19, 2023

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! And moreover, about 40% of those patients with POLST had last signed it or filled it out two years prior to that presentation. Is that right?

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Document Nursing home Healthcare proxy Ventilator 271

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. So I allow family members to be present if they want them to. Here’s one, a senior resident presented a patient morning report and the physical exam said the patient had a scar in the groin. Wonderful work. Every Veteran has a story.

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Palliative care Palliate 2011 Healthcare 256

GeriPal

JANUARY 20, 2023

But if you want to learn more, check out these links: The report by NASEM titled “ The National Imperative to Improve Nursing Home Quality ” The website for the Moving Forward We will also link to the JAGS articles co-authored by seven committee members that focus on specific recommendations of the NASEM report when they get published (stay tuned).

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Nursing home Nursing Long-term care Medical director 187

Minority Nurse

JUNE 23, 2023

Poison center nurses usually have at least two years of experience working in an ICU or an Emergency Department, but nurses in other specialties such as pediatric, geriatric, or transplant nursing can successfully make the transition into toxicology. The most important thing is that you are willing to study and learn.

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GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And pointed out some of these inconsistencies with what was actually noted and concluded in some of the articles. Get the hospice referral.

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