GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. We’re going to be covering it in both cancer and in aging.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. How should we screen for cognitive impairment? He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. Alex: We are delighted to welcome David Bekelman who’s a palliative care physician and researcher at the University of Colorado School of Medicine Anschutz Medical Campus. These were general medical nurses or social workers. David: Thank you.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 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 137

IT Family Families Physicals 137

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

MAY 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. So medication adjustments. Gordon Alwasa. Am I saying that right? I always get. Like all of.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. I had it on my screen. Would you also just mind mentioning kind of the JPSM article too? What drove you to write that article on this important trip to Seattle? And so I went into medical school wanting to cure cancer.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. To learn more about CME for other GeriPal episodes, click here.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

APRIL 13, 2023

Julianne: It’s interesting because I think I read somewhere that a finding in science often takes about, on average, 17 years to make it into medical practice. We’ll talk about is it in medical practice yet? She tried to extend conversations beyond what was medically, I think, necessary for the encounter.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. Let me share my screen here.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Medical Assistance in Dying and Palliative Care: Shared Trajectories Transcript Eric: Welcome to the GeriPal Podcast. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It is a screening? I guess FICA is not as cool as SKY. Is it an assessment?

IT 99

IT Patient-Centered Family Families 99

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 assisted living doesn’t offer the same level of medical supportive services as nursing homes. It is intended to be a continuum of care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 2, 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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. Alex 00:40 We’re delighted to welcome Alexis Drutchas, who is a palliative care doc at the Massachusetts General Hospital and Harvard Medical School and co founder, also of the Palliative Story Exchange.

IT 107

IT Community Patients Family 107

GeriPal

SEPTEMBER 8, 2022

Alex: We are so fortunate to be joined by one of my former mentors who I’ve known for 20 years, Holly Prigerson, who is now Irving Sherwood Wright Professor of Geriatrics at Weill Cornell Medical School and Professor of Sociology and Medicine and Director of the Center for Research on End Of Life Care. Eric: So I got two today.

IT 100

IT Relationship Complication Specialization 100

GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. And they had requested in their cultural tailing that the physician wore a white coat when he was going to be seen on the screen. I’m Na Ouyang. Eric 00:42 Great.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 29, 2025

From perhaps the most sensitive instrument that we can get the family members report, while at the same time trying to sort of screen out potential false positives that are due to false hope or something like that. Did you have a different medication? Eric 17:28 But what if it’s the other? I think is a fascinating question.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 10, 2022

And to keep it short work for an article. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Eric: Yeah.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

And on that, I found a link to this article by Rick Moody called Elders in Climate Change, No Excuses, in which he argues that elders are the group that benefited most from the massive consumption of fossil fuels in the post World War II eras. I mean, many people in their mid to older years are on certain medications. Ruth: Right.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

APRIL 18, 2024

Because I remember there was an article maybe six months ago in JAGS, maybe it was longer than that, everybody was talking about ChatGPT-3.5, Then, it was like, well, it does as well as, and now, better than humans passing the medical boards, passing the law boards, doing great on the SAT, all that stuff. Let me ask you a question.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. question used to screen for domestic violence.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

MAY 1, 2025

And I graduated from medical school in the early 80s. And I was working at the time at Yale in New Haven, and I became medical director of a facility which was initially created in New Haven as a hospice like facility for people with HIV, which is in late 1995 and in 1996 when the Protease inhibitors came along. Meredith 09:33 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Institute for Poetic Medicine.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” And pointed out some of these inconsistencies with what was actually noted and concluded in some of the articles. And that skill is hard.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. What medical intervention saves health dollars, costs less than not doing it? Than someone who is perhaps dependent on all their ADLs.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. Lon: No, that’s a straight out screen. Specifically their position is beta-amyloidosis.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. But for other- Diane: And it’s on the medical side. Malaz: … they have to do medication management.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JANUARY 5, 2023

No matter what your position on medical aid in dying (I’m ambivalent) or abortion (I’m pro-choice), this is a bioethics podcast, and I hope that we can all agree that the ethical issues at stake deserve a critical re-think. Today, medical aid in dying is legal in some 10 states, and illegal in others. . Summary Transcript Summary.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. Summary Transcript Summary.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136