The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

AMMD

FEBRUARY 14, 2025

Thankfully, there are many ways to go about this that I will uncover in a new article soon. This article is going to focus what is cancer and the root causes. This order involves cellular creation, utilization, division, regulation, and disintegration. What Is Cancer? Cancer was previously believed to be a genetic disease.

IT 130

IT Chronic Disease Patient-Centered Utilities 130

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. In their communities? With their regular providers? And really learning from them about what kinds of things healthcare might provide, that might be of help to them. AMA PRA Category 1 credit(s) ™. How might we help this population?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

SEPTEMBER 1, 2022

In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. So in preparation for this, I read a couple articles about social work leadership in palliative care. We need to figure out how to create this community of palliative care social work scholars.

IT 102

IT Families Family Clinic 102

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). That was really the theme song of how the community came together. Alex: End-of-life doulas.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Three different articles. Eric 04:27 Yeah, I gotta ask about the community advisor. Have to see.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

AUGUST 25, 2022

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. Melissa, do you want to describe that paper? Melissa: Sure.

Families 106

Families Family IT Patients 106

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JUNE 5, 2025

We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. So the palliative care service doesn’t necessarily need to provide those potentially. Eric 13:49 Right. Alex 14:59 What do you think?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 28, 2022

So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. And so here’s a picture of four healthcare providers behind bars. Like, oh no, I said it.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 15, 2025

Many were community hospitals. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. We didn’t make them communicate it, but we focused them on it, which makes them more likely to then utilize that information.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 19, 2023

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. Fam Med Community Health. BMC Fam Pract. 2020;21(1):151.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ).

IT 99

IT Patient-Centered Families Family 99

GeriPal

JUNE 26, 2025

Tsai-Chin’s article, published in Lancet Healthy Longevity, found a tantalizing hint that countries with stronger safety nets had lower incidence of wealth shocks, and less of a deleterious impact of the wealth shock on cognitive function. And a couple of classic articles in this area. Alex 07:21 Yeah, I think that’s great.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Chris 07:41 Yeah, it’s a really interesting thing, because the 2010 article was solving the problem of, hey, send us patients, we promise we won’t kill them.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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.”

Patient-Centered 125

Patient-Centered IT Families Family 125

Physician's Weekly

JUNE 11, 2025

Rob Kennedy mingled with about a dozen other people in a community space in Clarks Summit, Pennsylvania. A 2021 study published in Frontiers in Public Health indicated that even online memory cafes during the pandemic provided social support for both patients and their family members. The other meets at the Toledo Museum of Art.

Patients 52

Patients Family Families Diagnosis 52

GeriPal

JULY 20, 2023

You wrote the SF Chronicle article on an op-ed. What was life for you as a provider pre-pandemic? We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of. And I think that it was percolating in a lot of the palliative care community. Brooke: There was so.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73