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. 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?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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 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 Families Family Physicals 137

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.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 9, 2023

Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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. You might see me on the TV screens next year.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

JUNE 16, 2022

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. So I actually got started in cancer screening also, thanks to some mutual colleagues. Like for me, my NF1, is it a good idea to get screened for cancer or not?

Management 122

Management IT Medical Patient-Centered 122

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. It’s in the title of this article.

Clinic 67

Clinic IT Patients Medical 67

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?

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. We’re going to be linking to two important JAGS articles that our guests wrote just recently in JAGS. To learn more about CME for other GeriPal episodes, click here. Kate 01:09 Yeah.

IT 66

IT Patient-Centered Individual Screening 66

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. And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care.

IT 145

IT Hospital Patients Illness 145

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.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

AUGUST 24, 2023

And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. And decided, interesting article, but it raised as many questions as it answered. ” And we began writing and we got our first grant.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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? What year did your New England journal article come out, Jennifer?

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. Like I said, the patient screened positive for it. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 27, 2022

And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. 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. James: Yeah.

IT 95

IT Clinic Screening Patients 95

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

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 ). Lexy: Great.

IT 99

IT Patient-Centered Families Family 99

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. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? I’m Na Ouyang. Eric 00:42 Great. You have a song request?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 8, 2022

And I got from your article, while the peaks follow this pattern, people feel a lot of different things where it just reminds me of the times I’ve grieved. If you had a magic wand, you can change one thing about what providers do around this topic of grief and prolonged grief disorder. It’s complicated, it’s messy.

IT 100

IT Relationship Specialization Complication 100

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. Eric 17:28 But what if it’s the other? Andrew 17:29 That’s what fascinates me. That was like, a terrific summary.

Family 93

Family Families IT Patient-Centered 93

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. What do we do to very concretely provide heat shelters and cool shelters?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. So the reasons for not screening are time constraint.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations. And I also remember.

Primary Care 94

Primary Care IT Clinic Provider 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 Patients Hospital 83

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. 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). AlexSmithMD .

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. Eric: Yeah. Eric: Yeah.

Illness 98

Illness Patient-Centered IT Patients 98

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.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Families Family 125

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. We’ll have all of the articles we talked about on our show notes. Than someone who is perhaps dependent on all their ADLs.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JANUARY 5, 2023

“Typically when we think about conscience in medical ethics we think about it in terms of a negative claim of conscience, where a clinician refuses (or objects) to provide care. Lisa was writing about providing abortion care, but she just as easily could have been writing about providing medical aid in dying in states where it is illegal.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JULY 14, 2022

Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care. The screening process is obviously shifted.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

You wrote the SF Chronicle article on an op-ed. What was life for you as a provider pre-pandemic? If we’re going to get really academic, that’s the umbrella, and that can include a lot of things like including phone calls between a provider and a patient or messages in someone’s electronic medical record.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73