Stepped Palliative Care: A Podcast with Jennifer Temel, Chris Jones, and Pallavi Kumar
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
50 min
3 speakers
4 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the purpose of the episode and who are the featured experts?
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On to the show. Welcome to the Jerry PAL podcast. This is Eric Wadera. This is Alex Smith. And Alex, who do we have with us today?
We are delighted to welcome back Jennifer Temmel, who's a thoracic oncologist at Massachusetts General Hospital in Boston. Jennifer, welcome back to the Jerry Pell Podcast.
Thanks.
And we're delighted to welcome Chris Jones, who's a palliative care doc at Duke in North Carolina. Chris, welcome to the JerryPal podcast. Thank you. And we're delighted to welcome Pollavy Kumar, who is a palliative care doc and oncologist at the University of Pennsylvania. Pollavy, welcome to JerryPal.
Thank you. So we're gonna be talking about uh a model of outpatient palliative care, a stepped model for palliative care. Um, but before we jump into that topic. Jennifer, do you have a song request for Alex?
I do have a song request for Alex. I have requested Galileo by the Indigo Girls. And the reason I requested it is because it is one of the two most famous Indigo Girls song, with the other being Closer Define. And most people think Closer to Fine is better, but they are wrong. Galileo.
Alex, did you do closer to fine already? I feel like we've done that one. Uh probably.
Probably. I think I did. I was in an indigo girls cover band in college at the University of Michigan. Saw them play a couple times. Actually got a pick from one of them. I think it was Emily at some point. I carried around my wallet for years until it fell out. And then we got in our band strangely got in. We played like a talent show, and then we got invited to play at the the Elks, or was I think it was the Masons Lodge. And boy did they not know what to make of us. So this is a fun song. Thank you for requesting it. It's taken me back quite a few years. Here we go.
Galileo's head was on the block. Crime was looking up the truth. And as the bombshells of my daily fears explode, I try to trace them to my youth. Then you had to bring up reincarnation over a couple of beers the other night. Now I'm serving time for mistakes made by another in another lifetime. How long till my soul gets it right? Can any human being ever reach that kind of light? Call on the resting soul. Of Galileo King of night vision, King of Insight. Yeah.
I have a trial that's going on that's showing that there's association between the length that Alex plays a song on a podcast intro and his enjoyment of that song.
That was a lot of fun. Thank you for taking me back.
That could have gone the whole forty minutes. I think you could have just repeated that. We could have just listened.
So I'm really excited because uh I am I'm very eager to to talk about this study. So there's a p study published in JAMA just a couple months ago um this year on stepped palliative care um and a stepped model. And I I wonder If we can before we talk about like why is a step model important Can someone describe for me what a stepped model is?
I can take that on. Um So basically with a stepped care model, the goal is to sort of tailor care delivery to the patient's needs while at the same time utilizing less clinician resources. So sort of how it works is that all patients will have access or encounters with the specialty trained clinician, a psychologist, a social worker, a palliative care clinician. But they'll sort of have infrequent contact. And they'll be closely monitored for the condition that the specialist is treating them for. And if that sort of low frequency contact sort of solves the problem, i.e., their depression gets better or their depression doesn't get worse, they stay with that low frequency contact. But if their depression, for example, worsens, then they step up to more frequent contact with, for example, the psychiatrist.
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Chapters
4 chapters
1
What is the purpose of the episode and who are the featured experts?
0:00–18:32
2
How do the hosts introduce the concept of a stepped palliative‑care model?
18:32–26:55
3
What were the eligibility criteria and patient population for the JAMA stepped‑care trial?
26:55–45:48
4
Why is a usual‑care arm controversial in modern palliative‑care trials?
45:48–50:15
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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