The Motivated MD

NOVEMBER 19, 2024

True we have a fulltime nanny, but we still both work full-time clinically and still wish to have a steady hand in our children’s lives. Second, we have had some unexpected transitions at my job, and this has left me to cover extra clinical obligations with some consistency. The other 10% is where nuance lies for physicians (i.e.

Finance 52

Finance Education Family Families 52

Physician's Weekly

JUNE 11, 2025

U=U is a very relevant and necessary message that should be part of any intervention that addresses ART adherence, viral load suppression, stigma, and mental health. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

FEBRUARY 22, 2024

Eric: So you could probably tell we’re going to be talking about mental health issues. In particular, mental health integration and issues in pain and in palliative care. Is it that they’re clinically depressed or that they’re understandably sad at the situation that they’re in or specific issues?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. Who do we have with us today? Katie, welcome back to GeriPal. Jessie: Thank you.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 25, 2024

David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. And not just statistically significant, but clinically meaningful. Eric: How about you, David? Eric: Oh, wow.

Patient-Centered 122

Patient-Centered IT Illness Patients 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? And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. They just kept at it.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. This is both a research and a clinical interest of yours. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JULY 11, 2024

Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Alex 06:50 So you’re an embedded model.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

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

NOVEMBER 17, 2022

I got a background in [inaudible 00:15:46], a background in public health, background in social work. 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. But why I decided to look at medical and mental health care and assisted living.

Community 97

Community IT Mental Health Medical 97

GeriPal

APRIL 13, 2023

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? How can public health and policy experts address these needs, particularly in light of the COVID-19 pandemic which turned our social lives upside down?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I don’t even remember pain management teaching. AlexSmithMD .

Illness 109

Illness IT Family Families 109

GeriPal

JUNE 19, 2025

Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases. Jace 29:27 I mean, so we don’t have a lot of great longitudinal research to explain this.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Eric: And now is it including mental health, psychiatric disorders?

Illness 144

Illness IT Medical Provider 144

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.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. With the mental health, we pulled out the medical model. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 137

IT Family Families Physicals 137

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Okay, I don’t necessarily want to stay clinical, but I really love that spiritual work and what’s the closest profession. This is Eric Widera.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 22, 2023

It’s like a long, I don’t know, almost like a quarter-mile centipede with legs, and the legs are the housing units, the medical units, inpatient mental health. We have about 450 inpatient mental health beds. There are clinics. We also look at their mental health.

Family 132

Family Families IT Community 132

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Because, for example, we get a lot of pieces on wellness and mental health. It isn’t the randomized trials, which are very important, obviously, for the work that all of us do, the work that I do clinically.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

Ruth advocates for and teaches about aging and climate change at Villanova, and calls on nurse scientists and other health researchers to study climate change. So it’s just every single part of our life is affected and mental health issues. Why is it up to the healthcare system? And then access to those.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

I would talk about this, except I was a clinician, and I’m seeing these folks in the hospital and in clinic. The journal section’s requirements are the same as for a clinical investigation. It is completely disconnected, like a scatter plot, between things like rates of substance use and mental health.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. We have better tools to better phenotype pain.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. Should we focus on something else, both from a clinical and a research perspective? appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. So what that means is I take care of you just in my clinic, just in my hospital.

Patient-Centered 125

Patient-Centered IT Family Families 125