The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

GeriPal

AUGUST 4, 2022

A year ago we did our first “Deprescribing Super Special”. Eric: So we’re calling this a deprescribing super special. We’ve done some deprescribing episodes before, but never a super special. We’ve done some deprescribing episodes before, but never a super special. Alex: So this is Super special 2.

Specialization 105

Specialization Medical Patient-Centered Provider 105

GeriPal

MAY 11, 2023

It’s just another example of, I think, that there’s a little extra special sauce there in the Beeson program. There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. Certainly education, quality of education is extremely important.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JULY 27, 2023

Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Sleep is a focus of your academic and clinical career. ” That actually happens a lot in the sleep clinic. Cathy: Thank you.

Illness 85

Illness IT Clinic Medical 85

GeriPal

JANUARY 12, 2023

Number three, this specialized prepared environment that promotes safe mobility and cognitive stimulation and delirium prevention, so sort of environmental changes. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics. Any other thoughts?

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

MAY 19, 2022

It depends on the clinical situation. 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. But we still, regardless of how you do this calculation have to temper it with clinical judgment. Delighted to be here. Eric: Yeah.

IT 139

IT Patients Individual Relationship 139

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. AMA PRA Category 1 credit(s) ™.

Education 128

Education IT Illness Healthcare 128

GeriPal

OCTOBER 10, 2024

Today we talk with DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace about the notion that we should revolutionize our education programs, training programs, teams, incentive structures, and practice to be intentionally interprofessional in all phases. In other words, in addition to being a specialist (e.g. Good to be here.

Screening 121

Screening IT Families Family 121

GeriPal

SEPTEMBER 1, 2022

And when I think about some of the … There was actually a meta-analysis looking at specialized palliative care studies, only half of the 10 randomized control studies had a social worker as part of that team. Jennifer Temel study did not have a social worker as part of the clinical team. So … Barbara: Yeah.

IT 102

IT Families Family Clinic 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 123

Patient-Centered IT Illness Patients 123

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 130

Patient-Centered IT Patients Clinic 130

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 110

Patient-Centered IT Patients Clinic 110

GeriPal

APRIL 14, 2022

We got some really special guests with us. This is both a research and a clinical interest of yours. They don’t have an addiction clinic. Eric: My thought too is that there is this especially for palliative care clinics where we’re going farther and farther uphill, what defines a serious illness. Transcript.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

FEBRUARY 29, 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 127

IT Patient-Centered Illness Education 127

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. Ali John 24:35 In clinical trials. James 00:32 Good afternoon.

Illness 109

Illness IT Patient-Centered Patients 109

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 78

Patient-Centered IT Hospital Patients 78

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 116

Consulting Patient-Centered Patients IT 116

GeriPal

MAY 22, 2025

My voice is nothing special. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? The post Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. AMA PRA Category 1 credit(s) ™.

Families 113

Families Family Patient-Centered IT 113

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. And I have the luxury in my clinic to see them back every few weeks and. He’s in Boston. Nicole 40:18 Yeah.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So I really opted to specialize in lung cancer because I thought that was the appropriate population to build a supportive and palliative care research agenda. Jennifer: Thanks.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. What are your thoughts about using humor to convey ideas, thoughts, clinical work? And then also potentially from an educational standpoint. So I’m completely dominating this.

IT 145

IT Hospital Patients Illness 145

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. Holly, welcome to GeriPal. Holly 01:23 Thank you. El i se, welcome to GeriPal.

IT 133

IT Illness Families Family 133

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

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. So they were a lot of preoccupied with other tasks, but clinical gestalt. But some of these things are addressable potentially through education.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. In addition to that long list, I was also a chaplain educator. It meets in-person, once a month, over nine sessions.

IT 99

IT Patient-Centered Families Family 99

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 134

Illness Patient-Centered Patients IT 134

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 110

Illness IT Families Family 110

GeriPal

MARCH 24, 2023

Full disclosure, I talked with Ava Kofman a bunch while she was preparing that article, and I thought based on my professional experience working in hospice, things that I had seen, that she raised a lot of issues that I had personally encountered in my clinical experience. How do we make this work for patients and families?

IT 115

IT Provider Patients Families 115

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. Ashwin 18:08 These are things that we often see from a clinical standpoint.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. Joan: A lot of my work comes out of my clinical practice. Joan: Thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. So has a special resonance for, I think, a lot of people who are Tragically H ip fans. I can remember two instances of storytelling in training or in education, I guess. It was my first concert without my parents.

IT 108

IT Community Patients Families 108

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. So all of that, the language dimension of clinical work is, it seems to me very much more fine tuned or refined. Have you ever done that?

IT 70

IT Patients Medical Illness 70

GeriPal

MARCH 20, 2025

I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. This is just because this arose organically in clinical practice as a way of balancing these underlying competing ethical issues. Smith has no Meal Times, Minimal Comfort feeding for Patients with Advanced Dementia.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

DECEMBER 7, 2023

AlexSmithMD Additional links: JAMA paper on clinical research risks, climate change, and health Geriatric medicine in the era of climate change Health Care Without Harm: [link] Practice Green Health: [link] Global Consortium for Climate and Health Education: [link] Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Healthcare 130

Healthcare IT Education Community 130

GeriPal

APRIL 26, 2024

ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. Alex: We are delighted to welcome Bryanna Moore, who is a philosopher and bioethicist, and she’s at the University of Texas Medical Branch where she also directs the clinical Ethics Fellowship. Doing home care? Hospice visits?

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

GeriPal

AUGUST 1, 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 118

IT Diabetes Chronic Disease Patient-Centered 118