Latest Palliativecare Podcast Episodes

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal - A Geriatrics and Palliative Care Podcast - April 04, 2024 06:45 - 48 minutes ★★★★★ - 138 ratings
In 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 ...

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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 ★★★★★ - 138 ratings
One 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...

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Electronic Frailty Indexes: Kate Callahan, Ariela Orkaby, & Dae Kim

GeriPal - A Geriatrics and Palliative Care Podcast - March 21, 2024 06:30 - 44 minutes ★★★★★ - 138 ratings
What 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...

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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 ★★★★★ - 138 ratings
Almost 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...

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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 ★★★★★ - 138 ratings
In 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...

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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal - A Geriatrics and Palliative Care Podcast - February 29, 2024 07:45 - 43 minutes ★★★★★ - 138 ratings
Today 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...

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042 - ACHPN Review - The Conclusion

HPM TALK - February 23, 2024 12:00 - 51 minutes ★★★★★ - 19 ratings
042 - ACHPN Review - The Conclusion: Amanda, Carissa and Steve close out discussing the ACHPN exam. Check out supplemental materials at epionepalliative.com. 

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Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal - A Geriatrics and Palliative Care Podcast - February 22, 2024 07:45 - 45 minutes ★★★★★ - 138 ratings
In 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...

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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 ★★★★★ - 138 ratings
We'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...

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The Nature of Suffering: BJ Miller and Naomi Saks

GeriPal - A Geriatrics and Palliative Care Podcast - February 08, 2024 07:45 - 52 minutes ★★★★★ - 138 ratings
In 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 ...

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RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern

GeriPal - A Geriatrics and Palliative Care Podcast - February 02, 2024 07:45 - 47 minutes ★★★★★ - 138 ratings
Last 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...

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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 ★★★★★ - 138 ratings
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 lif...

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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 ★★★★★ - 138 ratings
The 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...

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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 ★★★★★ - 138 ratings
Four 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...

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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 ★★★★★ - 138 ratings
We’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...

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Influence of Hospital Culture on Intensity of Care: Liz Dzeng

GeriPal - A Geriatrics and Palliative Care Podcast - December 14, 2023 07:45 - 47 minutes ★★★★★ - 138 ratings
One 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...

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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 ★★★★★ - 138 ratings
To 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?...

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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 ★★★★★ - 138 ratings
There 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...

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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 ★★★★★ - 138 ratings
Coaching 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...

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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 ★★★★★ - 138 ratings
What 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 ...

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041 ACHPN Prep Part 6 Intervention and Management Part 3

HPM TALK - October 27, 2023 11:00 - 35 minutes ★★★★★ - 19 ratings
041 ACHPN Prep Part 6 Intervention and Management Part 3 - Amanda, Carissa and Steve finish the Intervention and Management section of the ACHPN exam. Check out supplemental materials at epionepalliative.com!

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Palliative Rehab?!?: Ann Henshaw, Tamra Keeney, and Sarguni Singh

GeriPal - A Geriatrics and Palliative Care Podcast - October 26, 2023 06:45 - 51 minutes ★★★★★ - 138 ratings
Often 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...

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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 ★★★★★ - 138 ratings
What 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 ...

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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 ★★★★★ - 138 ratings
For 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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The Language of Serious Illness: A Podcast with Sunita Puri, Bob Arnold, and Jacqueline Kruser

GeriPal - A Geriatrics and Palliative Care Podcast - October 05, 2023 06:45 - 46 minutes ★★★★★ - 138 ratings
Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. This week we dive into the challenges with communication when it comes to life sustaining treatments and CPR. Take for example the simple question: “If h...

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Miscommunication in Medicine: A podcast with Shunichi Nakagawa, Abby Rosenberg and Don Sullivan

GeriPal - A Geriatrics and Palliative Care Podcast - September 28, 2023 06:45 - 49 minutes ★★★★★ - 138 ratings
Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple,...

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Black/African American Caregivers of Older Adults Living with Dementia: Podcast with Fayron Epps and Karen Moss

GeriPal - A Geriatrics and Palliative Care Podcast - September 21, 2023 06:45 - 47 minutes ★★★★★ - 138 ratings
The proportion of people living with dementia who identify as Black/African Americans is on the rise, and so too are the proportion of caregivers who identify as Black/African American.  As our guests talk about today, caregiving for people living with dementia takes a tremendous toll, and when ...

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal - A Geriatrics and Palliative Care Podcast - September 14, 2023 06:45 - 50 minutes ★★★★★ - 138 ratings
Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay).  What if, for at least some older adults who need acute-level care, instead of treating...

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal - A Geriatrics and Palliative Care Podcast - September 07, 2023 06:45 - 56 minutes ★★★★★ - 138 ratings
The comprehensive geriatric assessment is one of the cornerstones of geriatrics.  But does the geriatric assessment do anything?  Does it improve outcomes that patients, caregivers, and clinicians care about? Evidence has been mounting about the importance of the geriatric assessment for older...

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Normalcy, introspection, & the experience of serious illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

GeriPal - A Geriatrics and Palliative Care Podcast - August 31, 2023 06:45 - 51 minutes ★★★★★ - 138 ratings
How do people react when they hear they have a serious illness?  Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).  After the shock?  Many people strive, struggle, crawl even back toward a “normal” life.  And some people, in addition or instead, engage in deep int...

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