The Clinical Problem Solvers

DECEMBER 20, 2021

Content Warning: This episode contains themes of violence, trauma-induced mental health concerns, and brief mentions of suicide. Nguyen encourages us to recognize how such barriers represent assumptions about people’s capabilities, how they can worsen people’s healthcare, and how they communicate exclusion to our Asian patients.

Community 52

Community Patient-Centered Relationship Healthcare 52

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . So I have thought about this for months, maybe years since your 2016, cycle blog, but we have picked Under Pressure by David Bowie and Queen. Learn about using the low dose buprenorphine patch: . Eric: And why Under Pressure.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

JANUARY 11, 2024

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. And importantly the patient has to have capacity and they have to be able to take the drug themselves. Four percent. But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

BMJ

FEBRUARY 8, 2021

We also need to expand barrier-free access to mental health services, including behavioral interventions. Increased quality of patient-provider communication, including offering behavioral counseling when needed, may avert unnecessary prescriptions. PMID: 20924877; PMCID: PMC2951617. Pediatrics. 2019 Dec;144(6):e20191372.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery. I could learn this.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.

Mental Health 124

Mental Health IT Community Individual 124

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” 2015, 2016.

Patient-Centered 126

Patient-Centered IT Families Family 126