Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar

Author: Alex Smith, Eric Widera September 19, 2024 Duration: 50:17

If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give.  Give too little - it may not work.  Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.)

So, what is the effective dose of palliative care? On today's podcast, we talk about finding an evidence-based answer to this dosing question with three leaders in palliative care: Jennifer Temel, Chris Jones, and Pallavi Kumar.  All three of our guests were co-authors of a randomized control trial on "Stepped Palliative Care" published in JAMA this year.

We talk about what stepped palliative care is, how it is different from usual care or intensive palliative care, why these palliative care dosing questions are important, and dive deep into the results of their trial.  We also discuss some of the other important trials in palliative care, including Jennifer Temel's landmark NEJM study on outpatient palliative care and another study that gave an intervention we dubbed "fast-food palliative care" in an older GeriPal blog post.

 

** NOTE: To claim CME credit for this episode, click here **

 


Hosted by UCSF physicians Alex Smith and Eric Widera, GeriPal-A Geriatrics and Palliative Medicine Podcast creates a vital space for conversation at the intersection of aging and serious illness care. This isn't a dry lecture series; it's a dynamic dialogue where Eric and Alex bring on leading experts to unpack the complexities of geriatric and palliative medicine. They delve into the latest research that should change practice, tackle the ethical dilemmas that provoke debate, and explore the nuanced clinical challenges that professionals face daily. The tone is engaging and often surprisingly lighthearted, with moments of humor and even the occasional song, making profound topics more accessible. Whether you're a clinician, nurse, social worker, or any professional dedicated to this field, this podcast offers a blend of evidence-based insights and practical wisdom you can use. It’s a resource that acknowledges the weight of the work while fostering connection and continued learning. For those seeking formal education credits, AMA PRA Category 1 CME and MOC credit are also available through the show. Tune in to join a community committed to improving care for older adults and those with serious illness.
Author: Language: English Episodes: 100

GeriPal - A Geriatrics and Palliative Medicine Podcast
Podcast Episodes
Embedding Care in the ED: Liz Goldberg and Lauren Southerland [not-audio_url] [/not-audio_url]

Duration: 47:15
The idea of embedding various forms of non-emergency care in the emergency department makes a WORLD of sense. If an older adult comes into the ED with a fall, the minimum the ED has to do is address the fall injury and s…
AI and Healthcare: Bob Wachter [not-audio_url] [/not-audio_url]

Duration: 52:28
Today we interviewed Bob Wachter about his book, "A Giant Leap: How AI Is Transforming Healthcare and What That Means for Our Future." You may recall we interviewed Bob in April 2024 about AI, and at that time he was on…
Uncertainty In Medicine: Jonathan Ilgen and Gurpreet Dhaliwal [not-audio_url] [/not-audio_url]

Duration: 51:12
The only certainty in medicine is uncertainty. It touches every aspect of clinical practice, from diagnosis to treatment to prognosis. Despite this, many clinicians view uncertainty as something to tolerate at best or el…
Inflammaging: Brian Andonian, Sara LaHue, Joe Hippensteel [not-audio_url] [/not-audio_url]

Duration: 50:51
Six years ago we had John Newman on GeriPal to talk about Geroscience (Song choice Who Wants to Live Forever by Queen, perfect selection). John explained the basics of geroscience, what is it, what are the key theories i…