GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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Complication Patient-Centered IT Patients 97

GeriPal

AUGUST 4, 2022

Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. Welcome, Ariel. Ariel: Thanks.

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Specialization Medical Patient-Centered Provider 104

The Motivated MD

NOVEMBER 19, 2024

Last, but not least, I genuinely felt as if I was running out of ways to provide useful and entertaining financial content. Further, finding the correct balance between pursuing my writing passion while still managing the business side of a blog was challenging as well. This has further eaten into my time. Why reinvent the wheel?

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Finance Education Families Family 52

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Attendee 13: I am most hopeful that we will continue to really promote culture change for our healthcare system that desperately needs it.

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Specialization Illness Healthcare Patient-Centered 93

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. But it seems very apropos to the topic. Soo 01:37 It’s a little obvious.

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Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast.

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Diabetes Management Patient-Centered Families 74

GeriPal

JANUARY 23, 2025

Eric 16:36 Okay, Connie, I got one last question about your article. Within the VA , there’s a program called Whole Health, which is really about trying to engage patients in many different modalities for pain management and just self care. Could have been people weren’t seeing their providers. Why is that?

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Specialization IT Patient-Centered Medical 119

GeriPal

JANUARY 12, 2023

If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. So that’s one, this patient-centered geriatric assessment and management approach. So ACE stands for if I’m correct because I’m terrible acronyms, acute care for elders unit, right?

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Hospital Patient-Centered IT Nurse Practitioner 100

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. What are the Management and Treatment Options in a case of fever? Managing and treating an illness involves several steps.

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Diagnosis Management Illness Diagnose 130

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

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Management Patient-Centered Patients IT 116

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. Summary Transcript Summary. They may send a culture.

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Management IT Medical Patient-Centered 122

GeriPal

APRIL 3, 2025

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And then I got to choose the first article.

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IT Hospital Screening Patients 64

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. 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) ™. In their communities? How might we help this population?

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Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 22, 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.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? But I gave this talk, and one of the questions I asked a group of maybe 150 residents was, do you talk to your healthcare provider about your medical cannabis use?

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Medical IT Patient-Centered Healthcare 99

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. I think we have a whole host of different models. Eric 10:25 Great.

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Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. We got a couple of articles to discuss and a lot of different components of this.

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Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

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Complication Patient-Centered IT Patients 52

GeriPal

MARCH 24, 2023

What is our role as hospice and palliative care providers in advocating for high-quality hospice care? Eric: We have an exciting podcast episode that stemmed initially from…we were thinking about this from a New Yorker article that came out around the hospice hustle and thinking about, where are we with hospice? Thank you, Anne.

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IT Provider Patients Families 114

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Transcript.

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Illness Patient-Centered IT Patients 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.

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Patient-Centered Hospital Patients IT 132

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

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Medical IT Patients Clinic 97

GeriPal

JANUARY 16, 2025

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you.

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Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004.

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IT Families Family Physicals 137

GeriPal

MAY 22, 2025

And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. Eric 11:13 And, Tyler, that’s why I loved your article at J Gym on bringing music and benefits to patients at the bedside. Eric 04:42 There was even less on GeriPal. Can you tell us?

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IT Patient-Centered Patients Board-Certified 97

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Would you also just mind mentioning kind of the JPSM article too? Eric: 2010.

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Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. I adored this article. Alexis, welcome to GeriPal. Alexis: Thanks for having me.

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IT Families Family Patient-Centered 128

GeriPal

MARCH 2, 2023

I could go on and on, but listen to the podcast instead and for a deeper dive, take a look at the following articles and studies: Gabapentin in the Perioperative setting: Prolonged use of newly prescribed gabapentin after surgery. 2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM.

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Patient-Centered IT Healthcare Medical 96

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? But that was my take home from Danny’s article.

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Patients Clinic Patient-Centered Illness 73

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. And so I tried to get her actually to pain management, and I couldn’t. So basic pain management goals of care conversations.

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GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life. Liz: Right.

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Hospital IT Patient-Centered Patients 125

GeriPal

JANUARY 20, 2023

But if you want to learn more, check out these links: The report by NASEM titled “ The National Imperative to Improve Nursing Home Quality ” The website for the Moving Forward We will also link to the JAGS articles co-authored by seven committee members that focus on specific recommendations of the NASEM report when they get published (stay tuned).

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Finance Board-Certified IT Provider 95

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. ” There’s a great article, I have to say, it’s one of my favorites in JCO.

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Patient-Centered IT Patients Clinic 129

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 ). Providers are not providers that people want answers and determinations and decisions.

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Provider Illness IT Healthcare 117

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. As a nurse case manager in hospice, half of my patients had dementia.

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Families Family IT Patients 106

GeriPal

MAY 8, 2025

And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. Some of them also had psychiatric or psychosocial oncology providers as well. Gordon Alwasa.

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Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. And then the family tells me they can’t keep an appointment, they can’t manage their finances. And a primary care provider has 18 minutes.

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