GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. ABIM MOC credit will be offered to subscribers in November, 2024. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Family member, and with some chagrin- Eric: Powerful nudge.

IT 137

IT Families Family Physicals 137

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. He died in 2024. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 29, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Eric: I do not want my family to listen to my podcasts. For any MOC questions, please email moc@ucsf.edu.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. LaVera: Yes.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. So we see a lot of problems with symptom management, a lot of family conflict. Consider this: the majority of the 1.4

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

FEBRUARY 2, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. And PAIR stands for the Palliative and Advanced Illness Research Center. And, of course, this is what families of patients undergoing palliative care go through. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

SEPTEMBER 5, 2024

Louise 05:02 Yes, well, I don’t know about 2024, but in 2023, yes, it could happen. You know, she would have had 90 really good years, and she would have just gone into a coma with no blood pressure and died, you know, with, like, a day and a half of illness. She entertained her family. Would that really happen nowadays?

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Eric 21:46 So this study showed that in people with chronic critical illness, having palliative care lead one and a half sessions in an ICU around prognosis and goals. This 2024 is the year of AI.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. ABIM MOC credit will be offered to subscribers in November, 2024. Why do this? For any MOC questions, please email moc@ucsf.edu. Kara 04:09 Sure.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Summary Transcript Summary As Betty Ferrell says on our podcast today, nurses play an essential role in care of people with serious illness. ABIM MOC credit will be offered to subscribers in November, 2024. He is a palliative care physician at the Durham VA Medical Center in Duke and blogs on Substack at Notes from a Family Meeting.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

AUGUST 22, 2024

Patients families want to know whether their loved one has died. And one would be when care is continuing a case where people believe that the patients died, or oftentimes, this is also a source of controversy between families and clinicians. Alex 28:22 That’s not in the vital talk, serious illness, communication.

IT 113

IT Families Family Patient-Centered 113

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. Annals of Int Med. We did our initial pilot study.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Can we do better?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

OCTOBER 31, 2024

Our conversation covers: The current state of COVID Evidence for COVID boosters, who should get them, and preferences between Novavax and mRNA vaccines COVID treatments like Molnupiravir and Paxlovid Differences in COVID impact on nursing home residents and those with serious illnesses We wrap up with a “magic wand” question. The impact on.

Vaccination 127

Vaccination IT Patient-Centered Patients 127