The Clinical Problem Solvers

AUGUST 25, 2020

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives. The Clinical Problem Solvers Podcast. Essien, MD, MPH Hosts: Dereck Paul, MS, Utibe R.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? I started out working on a grant in a NeuroPAL clinic with people that had advanced Parkinson’s and related disorders and Alzheimer’s.

Community 101

Community IT Individual Patient-Centered 101

Tiny Physician

FEBRUARY 15, 2022

Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. Studies have shown that increasing manpower at hospitals has resulted in improvements in resident perceived educational value and clinical experience of ward rounds [7].

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s.

Illness 107

Illness IT Patient-Centered Patients 107

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. F (38°C) is generally regarded as indicative of illness. Managing and treating an illness involves several steps. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

The Clinical Problem Solvers

MAY 2, 2022

Although it had not been objectively measured, their clinical and personal experiences indicated that security responses were more often utilized for minoritized patients in the hospital. “It As she embarked on her project, she realized that improving serious illness care would require improving serious illness communication.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. And I think also some of the stuff we’ll be talking about, when it comes to communication, I mean, a lot of the clinical encounter is listening to the music. Eric: So yeah. It flows very well.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. We need to strike it from our vocabulary and leave sort of a gap in the clinical vernacular about how we talk about life-sustaining treatment.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. But what I tell them is, keep yourself physically active. Like, how would I define it?

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So delivering those month visits in clinic, often in tandem with their other oncology appointments. Who will emerge victorious? So no differences between the modalities.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. Working with our clinical decision support team and thinking about where that could be.

IT 105

IT Patient-Centered Healthcare Illness 105

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. On clinical presentation. But now I’m going to pass the mic.

Consulting 59

Consulting Individual Families Family 59

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. And so I was driven by the fact that I needed more information, and so it sort of became my clinical focus as well as I dabble in the research.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. Or somebody who has other physical cognitive problems at any age. How did you both get interested in this as a topic? Absolutely.

IT 102

IT Families Family Diagnosis 102

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Families Family Physicals 137

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

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. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Tom: Thank you.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. And I think that’s where this clinical trial which looked at seven versus 14 days was really practice-changing for many of us. It’s very rare and they may be a male patient. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 6, 2025

So let’s just say you have a healthy 55 year old or 65 year old in your clinic. So whether it’s 50, 52, 55, 65, we should ask every person who comes into clinic at least once a year, how do you feel like your thinking is? So I’m in a specialty clinic, so I’m in this interdisciplinary memory assessment clinic.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Ashwin 17:00 And I think that just plays into how we should be thinking about this clinically. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

OCTOBER 12, 2023

I love this series of articles because each presents a component of a practical, patient-centered approach to patient-surgeon communication and decision making, and language surgeons (and surgical trainees) can start using in their next patient visit. And to Jackie and Bob, who are actually the other two people in our writing group.

IT 128

IT Families Family Patient-Centered 128

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 16, 2023

The last time this happened to me I immediately went on the defensive despite years of training in serious illness communication skills. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? How did you react? Afterwards, I thought there must be a better way.

Patients 109

Patients IT Families Family 109

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Ivermectin to treat cancer. Stem cell treatments. Chelation therapy.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. Gender expression is your physical outward manifestation of how you express your gender identity. You present your. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Welcome to the GeriPal Podcast, Amber.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). 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. So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. Transcript.

Community 97

Community IT Mental Health Medical 97

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. Had multiple physical, psychological complications as a result of that. So there are three primary domains.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. When we first started, they were concerned about the fact that nurses were going to be only working with people that were very ill and people that were grieving. by Kearney.

IT 104

IT Patient-Centered Families Family 104

GeriPal

SEPTEMBER 12, 2024

So whether it’s an encounter with a patient or whether it’s a family meeting or a clinical practice meeting or a feedback session with a fellow, the idea that we have both the ability to be very full and open and also selective and disciplined about how it is that we. I backed into that role. That’s true.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111