GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

NOVEMBER 21, 2024

We are going to tackle this question and so many more about coping on this week’s podcast with Dani Chammas , a recurring GeriPal guest, psychiatrist, and palliative care doc at UCSF, and Amanda Moment , a Palliative Care Social Worker at Brigham and Women’s Cancer Center. Coping in the setting of serious illness.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JANUARY 25, 2024

Summary Transcript Summary 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 life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 133

Illness Patient-Centered Patients IT 133

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. And I was asking this patient about if he had filled out an advanced directive. Is the patient in your descriptor?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 29, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. ABIM MOC credit will be offered to subscribers in November, 2024. Kirsten 04:52 So we did a pilot study and of nine patients, and now we’re in the process of doing an RCT of 200. What’s the connection and why?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. They could have a prognosis of years, or decades.

Illness 144

Illness IT Medical Provider 144

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. Are we seeing people like more older adults, more nursing home patients starting dialysis, and even at a higher gfr? So I wonder if I could turn to either of our nephrologists.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. ABIM MOC credit will be offered to subscribers in November, 2024. Summary Transcript Summary On today’s podcast, we’ve invited four hospice and palliative care social media influencers (yes, that’s a thing!),

Education 127

Education IT Illness Healthcare 127

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024.

Family 112

Family Families Patient-Centered IT 112

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. ABIM MOC credit will be offered to subscribers in November, 2024. I think even the word patient, patient, I think, comes from the word suffer, the one who suffers. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

FEBRUARY 2, 2024

First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. ABIM MOC credit will be offered to subscribers in November, 2024. And PAIR stands for the Palliative and Advanced Illness Research Center. Kate: Thank you.

Consulting 121

Consulting Hospital Patient-Centered IT 121

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. It’s really not about helping the patient or physician. link] ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:09 Welcome to the GeriPal podcast. If you were just.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. These studies are important. Randomized controlled trials of chaplaincy interventions.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.

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Patients IT Patient-Centered Hospital 98

GeriPal

SEPTEMBER 19, 2024

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? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

Alabama Academy of Family Physicians

FEBRUARY 20, 2025

In 1996, a variant of H5N1 was documented overseas that resulted in a severe illness in birds and was designated as highly pathogenic avian influenza (HPAI). cases in 2024-2025, H5N1 disease in humans had a high mortality rate of up to 50%. Prior to the current U.S. However, the 68 human cases in the U.S.

Patient-Centered 130

Patient-Centered Provider Manufacturing Screening 130

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. Who spends the most time with the patient in the infusion center? ABIM MOC credit will be offered to subscribers in November, 2024. Doing home care? Hospice visits?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

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

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.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. Get to learn some Spanish for this one.

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. Doctors want to know whether the patient has died. And one of the principal driving factors behind doctors wanting to know whether the patient has died, I think we need to acknowledge, is harvesting organs for transplant. This patient died.

IT 113

IT Family Families Patient-Centered 113

Physicians News Digest

FEBRUARY 18, 2025

By Brad Broker The Centers for Disease Control and Prevention (CDC) has issued a concerning report on the current flu season, describing it as the worst in years. According to the CDC , the onset of the 2024-2025 flu season has been marked by an unusually high number of cases. .

Vaccination 52

Vaccination Emergency Room Complication Healthcare 52

Medical Xpress

JUNE 23, 2025

Wood, director of Northeastern Universitys Extreme Medicine Certificate Program, says its important for people to recognize the signs of heat illness and how quickly heat exhaustion can progress to heat stroke, when immersion in cold water is necessary to save lives. Heat stroke is the most serious heat illness, Wood says.

Illness 54

Illness Engineering Medical Nurse Practitioner 54

Physicians News Digest

MAY 12, 2025

It’s frustrating,” said Angel Foster, co-founder of the Massachusetts Medication Abortion Access Project, a clinic near Boston that mails mifepristone and misoprostol pills to patients in states with abortion bans. One patient recently drove over 17 hours from South Carolina, a state with a six-week abortion ban, Der Simonian said.

Telemedicine 52

Telemedicine Family Families Patients 52

GeriPal

SEPTEMBER 14, 2023

We talk with Bruce Leff and Tacara Soones about the hospital-at-home movement, which has been shown to reduce costs, improve outcomes and improve the patient experience. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

DECEMBER 12, 2024

Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. Or, to phrase the question for 2024, Can AI do better? After making decisions, many surrogates experience regret, PTSD, and depressive symptoms.

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. All good ones.

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Vaccination IT Patient-Centered Patients 127

PEMBlog

MAY 9, 2024

Updated 2024 Jan 19]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. 2024 Feb 11:S0196-0644(24)00017-9. Febrile seizures are due to the degree of fever, not the rate of temperature rise, even though we see them as the temperature is increasing rapidly in the early parts of the illness. Febrile Seizure.

Illness 59

Illness Vaccination Family Families 59

Physicians News Digest

APRIL 17, 2025

including in most states that backed President Donald Trump in the 2024 election. in 2022, according to the Centers for Disease Control and Prevention. 27, the cancer institute had more than 10,800 active projects, the highest share of the NIH’s roughly two dozen institutes and centers, according to the NIH’s website.

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Vaccination Government Patient-Centered Hospital 52