GeriPal

MAY 19, 2022

It depends on the clinical situation. I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way. The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have.

IT 139

IT Patients Individual Relationship 139

GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 8, 2023

-@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. This is Eric Widera. Alex Smith: This is Alex Smith. Tamryn: Yes, 100%.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JANUARY 25, 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 11, 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. I’d been a nurse at the time, and I went back to do my clinicals in an oncology clinic locally. They just kept at it.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

JUNE 27, 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.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 20, 2022

And they should be forced by doing research, followed by translating research into practice and continued education of a wide variety of individuals to then care for our aging population. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 15, 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.

Community 115

Community Transportation IT PCP 115

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Alex: It’s complicated. So, creating a- Alex: Control condition. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Love to talk about also in the serious illness population. Emmy: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Ann Henshaw is an occupational therapist who works clinically at Georgetown and teaches at GW. Alex: Today we are delighted to welcome Ann Henshaw who brought this podcast idea to us.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

NOVEMBER 7, 2024

About half of patients who are over the age of 65 start dialysis with a GFR of over 9, which is sort of the level below which we have clinical trial evidence for suggesting that there may not be a benefit to starting at that level of GFR. Clinical experience. Maria 29:14 We’ll be more statistical than clinical, I think.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 26, 2022

It wasn’t just to get healthcare workers to stay on the job, it was to thank them or recognize their service. Another area where this came up that I think has to just be clearly reciprocity is that people who were volunteers or clinical trial participants were often prioritized to some extent for COVID 19 vaccines.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

JANUARY 26, 2023

It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare. It can influence education systems. So I think you can see how there’s a lot of work to do among multiple sectors within healthcare, including education and training. Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. These were clinically significant and statistically significant improvements. I’m just stunned even writing that! Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

NOVEMBER 21, 2024

The clinical trials and the this and that. And so I let him educate me. And she says, no, I heard that there’s a clinical trial at the Mayo Clinic, and I’m wondering about this. And that’s why there’s a ton of laughter in my clinic, really. This is so complicated. This is complicated.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis?

IT 128

IT Families Family Patient-Centered 128

GeriPal

SEPTEMBER 28, 2023

And I think, in a medical sense, for me, taking it home is it’s whenever a patient leaves a clinical encounter and they still have a lot of questions, or they’re confused and they’re unclear about the next steps. And any examples from your own clinical experiences of miscommunication? Eric: Yeah.

Families 144

Families Family Patient-Centered IT 144

GeriPal

MAY 22, 2025

Relationships are usually more complicated. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? You’ve done research on caregivers, too, and the engagement of music and caregivers. There are lots of people involved. That was beautiful. Oh, my gosh.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

Families 98

Families Family Patient-Centered IT 98

GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So it’s an example of something that can start outside of the healthcare system and move its way in. Rebecca: I think I’ll also add too.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. And when I was getting my PhD, I wanted to find something that spoke to me, and I had been doing clinical work in nursing homes. And that’s the complication here is there’s so many things that the staff can be trained on. Alex: Yeah.

Community 97

Community IT Mental Health Medical 97

GeriPal

AUGUST 11, 2022

Brian: I guess I’m thinking about hearing all this as a more recent product of medical education here. And you’re talking about developing a field, developing clinical experts in the field, research literature base, and a methodologic approach for a field that was also, as you said, marginalized. Eric: Okay.

Illness 109

Illness IT Families Family 109

GeriPal

AUGUST 29, 2024

Alex 01:24 And Elise Carey, who’s a palliative care doc and geriatrician and associate professor of medicine at the Mayo Clinic in Rochester, Minnesota. We’ve done work with medical improvised, we’ve done work in museum based education. This is a complicated case. Holly, welcome to GeriPal. Eric 25:51 Yeah.

IT 132

IT Illness Families Family 132

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

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. Eric 07:03 Yeah, it’s hard because you can also think about it, let’s say, because we see palliative heart failure clinics. I sound smart. Alex 40:57 Yeah.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JUNE 13, 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.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 11, 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 15, 2025

And especially that requires a lot of education. Because it’s complicated and we don’t want to over complicate prayer listeners. And so as the site based PI that was responsible for education in this space. And it’s the right thing to do clinically for patients and families. You know what I mean?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

JULY 28, 2022

And so often, these patients experience a lot of hospitalizations, numerous hospitalizations while they receive intensive chemotherapy that requires prolonged periods of neutropenia and toxicities, or stem cell transplantation, which is what I specialize in clinically now. Was in Journal of Clinical Oncology and that was interesting.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 13, 2025

And we had a greater decrease in symptom intensity at day seven versus the usual care group by both a clinically meaningful and a statistically significant difference. We gave these tools to oncology and fusion room N that was complicated. So absolutely, it is complicated. We did a large primary palliative care trial.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. And I think this just hasn’t made it into, like, our academic clinical training space. Maybe not universally, but it’s very common for people to know exactly what we’re talking about. These are windows. Andrew 33:18 Yeah.

Families 93

Families Family IT Patient-Centered 93

GeriPal

MARCH 7, 2024

I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. I thought if I could do this for other people, I said, “That would just really please my heart.” Is that right, Jane?

Provider 117

Provider Illness IT Healthcare 117