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. AMA PRA Category 1 credit(s) ™. Maybe we’ll get to talking about that today.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. You can listen to our prior podcasts on substance use disorder here , here , here , and here.

Patients 74

Patients Clinic Patient-Centered Illness 74

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

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. And that’s how the names have really changed.

IT 112

IT Healthcare Healthcare Professional Patient-Centered 112

GeriPal

APRIL 13, 2023

The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers. What it found is that healthcare providers are better at identifying people that are connected more than disconnected. What the heck am I going to do about it?

IT 100

IT Community Patient-Centered Medical 100

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Eric: Nudge it. Kate: Nudge it.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. And then the family tells me they can’t keep an appointment, they can’t manage their finances. And a primary care provider has 18 minutes.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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. It’s just that he was foregoing things that we think would have provided him more benefit. That could include a robust home care plan to manage his symptoms.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

AUGUST 24, 2023

And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. And the data was saying, “What is really important is the way you, the care provider, experience that person.”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 67

IT Patient-Centered Individual Screening 67

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 Families Family 60

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. Not my normal clinical practice. And I think limiting the visits really triggered a deep sense of abandonment in him from a provider that he felt attached to. Dani: Yeah, good question. Eric: Zero. Dani: Zero.

Patients 110

Patients IT Families Family 110

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Is that right, Hope? Alex 17:35 Can I interject here?

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And so a lot of it was the facilitators calling out with the approval of the provider to the patients ahead of time to see, like, you have a visit coming up. This is what I do here.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. I actually went to planned parenthood of Rhode island, and as a practicing oncologist, sat with folks, some of who had just graduated high school, others who were nurse practitioners, and they started from the very, very basics of pelvic anatomy.

Illness 131

Illness IT Physicals Patients 131