Latest Advancecareplanning Podcast Episodes
Cachexia and Anorexia in Serious Illness: A Podcast with Eduardo Bruera
GeriPal - A Geriatrics and Palliative Care Podcast - June 13, 2024 06:45 - 48 minutes ★★★★★ - 256 ratingsI always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. In today's podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about ...
Sexual Function in Serious Illness: Areej El-Jawahri, Sharon Bober, and Don Dizon
GeriPal - A Geriatrics and Palliative Care Podcast - June 06, 2024 06:45 - 51 minutes ★★★★★ - 256 ratingsAs Eric notes at the end of today’s podcast, we talk about many difficult issues with our patients. How long they might have to live. Their declining cognitive abilities. What makes their lives meaningful, brings them joy, a sense of purpose. But one issue we’re not as good at discussing with ...
Palliative Care for Kidney Failure: Sam Gelfand, Kate Sciacca, and Josh Lakin
GeriPal - A Geriatrics and Palliative Care Podcast - May 30, 2024 06:45 - 45 minutes ★★★★★ - 256 ratingsThe landscape of options for treating people with kidney failure is shifting. It used to be that the “only” robust option in the US was dialysis. You can listen to our prior podcast with Keren Ladin talking about patients who viewed dialysis as their only option, and structural issues that le...
How Pharma Invents Diseases: A Podcast with Adriane Fugh-Berman
GeriPal - A Geriatrics and Palliative Care Podcast - May 16, 2024 06:45 - 47 minutes ★★★★★ - 256 ratingsWho gets to decide on what it means to have a disease? I posed this question a while back in reference to Alzheimer's disease. I’ll save you from reading the article, but the main headline is that corporations are very much the “who” in who gets to define the nature of disease. They do this eit...
Public Facing Education via Social Media: A Podcast with Julie McFadden, Matt Tyler, Sammy Winemaker and Hsien Seow
GeriPal - A Geriatrics and Palliative Care Podcast - May 09, 2024 06:45 - 47 minutes ★★★★★ - 256 ratingsOn today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!), all of whom focus their efforts on educating the general public about living and dying with a serious illness. Their work is pretty impressive in both reach (some of their posts ar...
Palliative Care Nursing: Podcast with Betty Ferrell about ELNEC
GeriPal - A Geriatrics and Palliative Care Podcast - April 26, 2024 06:45 - 47 minutes ★★★★★ - 256 ratingsAs Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. Who spends the most time with the patient in the infusion center? Doing home care? Hospice visits? In the ICU at the bedside? Nurses. ELNEC (End-of-Life Nursing Education Consort...
The Promise and Pitfalls of AI in Medicine: Bob Wachter
GeriPal - A Geriatrics and Palliative Care Podcast - April 18, 2024 06:45 - 44 minutes ★★★★★ - 256 ratingsEric asks the question that is on many of our minds - is the future of AI more Skynet from Terminator, in which AI takes over the world and drives humanity to the brink of extinction, or Wall-E, in which a benevolent and empathetic AI restores our humanity? Our guest today is Bob Wachter, Chai...
Ambivalence in Decision-Making: A Podcast with Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer
GeriPal - A Geriatrics and Palliative Care Podcast - April 11, 2024 06:45 - 51 minutes ★★★★★ - 256 ratingsAmbivalence is a tough concept when it comes to decision-making. On the one hand, when people have ambivalence but haven't explored why they are ambivalent, they are prone to bad, value-incongruent decisions. On the other hand, acknowledging and exploring ambivalence may lead to better, more eth...
Surrogate Decision Making: Bernie Lo and Laurie Dornbrand
GeriPal - A Geriatrics and Palliative Care Podcast - April 04, 2024 06:45 - 48 minutes ★★★★★ - 256 ratingsIn 1983, a 25 year old Nancy Cruzan was thrown from her car while driving home in Missouri, landing in a water filled ditch. She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In 1988, Cruzan’s parents ...
PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen
GeriPal - A Geriatrics and Palliative Care Podcast - March 28, 2024 06:45 - 39 minutes ★★★★★ - 256 ratingsOne marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample size...
Electronic Frailty Indexes: Kate Callahan, Ariela Orkaby, & Dae Kim
GeriPal - A Geriatrics and Palliative Care Podcast - March 21, 2024 06:30 - 44 minutes ★★★★★ - 256 ratingsWhat is frailty? Kate Callahan relates a clear metaphor on today’s podcast. A frail person is like an origami boat: fine in still water, but can’t withstand a breeze, or waves. Fundamentally, frailty is about vulnerability to stress. In 2021 we talked with Linda Fried about phenotypic frailt...
Dysphagia Revisited: A Podcast with Raele Donetha Robison and Nicole Rogus-Pulia
GeriPal - A Geriatrics and Palliative Care Podcast - March 14, 2024 06:45 - 46 minutes ★★★★★ - 256 ratingsAlmost a decade ago, our hospice and palliative care team decided to do a “Thickened Liquid Challenge.” This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. The rules of the challenge were simple: fluids must b...
End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane
GeriPal - A Geriatrics and Palliative Care Podcast - March 07, 2024 07:45 - 43 minutes ★★★★★ - 256 ratingsIn the last several years, I’ve seen more and more articles about end-of-life doulas (like this NY Times article from 2021). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild. I’m unsure what they do, how often they’re used, and who pa...
GeriPal 300th Episode: Ask Me Anything Hot Ones Style
GeriPal - A Geriatrics and Palliative Care Podcast - February 29, 2024 07:45 - 43 minutes ★★★★★ - 256 ratingsToday we celebrate eight years, around 2 million listens, and 300 podcasts! Eric and I take questions from you, our listeners, about: why we podcast, our most controversial podcast, which podcast changed our practice, favorite song request, should all nursing home residents complete the P...
Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin
GeriPal - A Geriatrics and Palliative Care Podcast - February 22, 2024 07:45 - 45 minutes ★★★★★ - 256 ratingsIn our podcast with palliative care pioneer Susan Block, she identified the psychological/psychiatric aspects of palliative care as the biggest are of need for improvement. As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psyc...
EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates
GeriPal - A Geriatrics and Palliative Care Podcast - February 15, 2024 07:45 - 45 minutes ★★★★★ - 256 ratingsWe've talked about Falls a couple of times on this podcast, most recently with Tom Gill about the STRIDE study and before that with Sarah Szanton about the CAPABLE study. A takeaway from those podcasts is that fresh innovative thinking in the falls prevention space is welcome. Today we talk w...
The Nature of Suffering: BJ Miller and Naomi Saks
GeriPal - A Geriatrics and Palliative Care Podcast - February 08, 2024 07:45 - 52 minutes ★★★★★ - 256 ratingsIn 1982 Eric Cassell published his landmark essay: On the Nature of Suffering and the Goals of Medicine. 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 ...
RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern
GeriPal - A Geriatrics and Palliative Care Podcast - February 02, 2024 07:45 - 47 minutes ★★★★★ - 256 ratingsLast week we talked about a trial of a nurse and social worker outpatient palliative care intervention published in JAMA. 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, pub...
RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot
GeriPal - A Geriatrics and Palliative Care Podcast - January 25, 2024 07:45 - 51 minutes ★★★★★ - 256 ratingsIn 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 lif...
Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check
GeriPal - A Geriatrics and Palliative Care Podcast - January 18, 2024 07:45 - 52 minutes ★★★★★ - 256 ratingsThe CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. In doing so, it seems to give the impression that pain seen in cancer is inherently different than pain seen in other conditions and that those with can...
What is going on with MAID in Canada? Bill Gardner, Leonie Herx, & Sonu Gaind
GeriPal - A Geriatrics and Palliative Care Podcast - January 11, 2024 07:45 - 52 minutes ★★★★★ - 256 ratingsFour percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. California, whic...
Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty
GeriPal - A Geriatrics and Palliative Care Podcast - December 21, 2023 07:45 - 53 minutes ★★★★★ - 256 ratingsWe’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn't been a strong financial case for it. Don’t get me wrong, the evidence points to cost savings, but as Chri...
Influence of Hospital Culture on Intensity of Care: Liz Dzeng
GeriPal - A Geriatrics and Palliative Care Podcast - December 14, 2023 07:45 - 47 minutes ★★★★★ - 256 ratingsOne of the things I love about Liz Dzeng’s work is the way in which it draws upon, echoes, and advances our understanding of the influence of culture on the end of life experience. This field is not new. In his book The Hour of our Death Philip Aries described a long evolution in western civil...
Aging and Climate Change: Karl Pillemer, Leslie Wharton, & Ruth McDermott-Levy
GeriPal - A Geriatrics and Palliative Care Podcast - December 07, 2023 07:45 - 47 minutes ★★★★★ - 256 ratingsTo my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask - why don’t adults care about this issue the same way that they and their friends care about it?...
Redefining Alzheimer's Disease: A Podcast with Heather Whitson, Jason Karlawish, Lon Schneider
GeriPal - A Geriatrics and Palliative Care Podcast - December 01, 2023 07:45 - 51 minutes ★★★★★ - 256 ratingsThere is a growing push to change how we define Alzheimer's disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. This proposed new definition, championed by the Alzheimer's Association (AA) and the...
Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang
GeriPal - A Geriatrics and Palliative Care Podcast - November 09, 2023 07:45 - 43 minutes ★★★★★ - 256 ratingsCoaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. Sure, Atul Gawande wrote about...
The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper
GeriPal - A Geriatrics and Palliative Care Podcast - November 02, 2023 06:45 - 51 minutes ★★★★★ - 256 ratingsWhat does the future hold for geriatrics? I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Historically, answers generally lamented the ever increasing need for geriatrics without a corresponding growth in the number of specialists in the field. But, it's ...
Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh
GeriPal - A Geriatrics and Palliative Care Podcast - October 26, 2023 06:45 - 51 minutes ★★★★★ - 256 ratingsOften podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely does the podcast and clinical reality meet in the same day. Within hours of recording this podcast, I joined a family meeting of an olde...
POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern
GeriPal - A Geriatrics and Palliative Care Podcast - October 19, 2023 06:45 - 52 minutes ★★★★★ - 256 ratingsWhat level of evidence do we need for POLST to use it ourselves, to advocate for wider usage, and for establishing POLST completion as a quality metric? The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. Firmly. AND we ...
Surgical Communication: A Podcast with Gretchen Schwarze, Justin Clapp and Alexis Colley
GeriPal - A Geriatrics and Palliative Care Podcast - October 12, 2023 06:45 - 51 minutes ★★★★★ - 256 ratingsFor surgeons and patients, deciding if and when to operate can be challenging. Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. And, surgeons often spend the majority of their conversations with patients describing anatomi...
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