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. And so I thought let’s try to figure out actually how many they are, where they are they in academic centers and community centers. Are they community dwelling?

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

JUNE 20, 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 121

IT Patient-Centered Patients Clinic 121

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. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Families 74

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. So Carmen and Katie developed an EMS Community Partnership program.

Community 116

Community Transportation IT PCP 116

Vida Family Medicine

JUNE 29, 2022

The healthcare system must provide care in a just way so that those who need care have access to it. This is relatively easy for straightforward medical decisions like taking an antibiotic for an infection, but becomes complicated during more complex situations. My office is a safe space.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. Providers may feel a sense of nihilism, that there just isn’t anything they can do to decrease the risk of falling. I think providers feel that way. It’s one out of two.

IT 125

IT Patient-Centered Screening Community 125

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

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. The efficacy of psychedelics without therapy, and the impact of variations in therapy type, training, duration, is unknown. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. Complicated grief? Did the caregiver feel heard and understood?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL).

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too? David 12:34 Yeah.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Eric: Yeah. Emmy: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community. Raj: So in Kerala, because it started with the involvement of laypeople, we included the community in care because the existing system had no space for this.

Community 116

Community IT Relationship Healthcare 116

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Eric: Yeah. From a personal emotional perspective, what do you think makes it hard? Nick: Such a good question.

IT 83

IT Families Family Illness 83

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. those experiencing homelessness).

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JANUARY 26, 2023

I was in clinic the other day working with a trainee, and we saw a few patients together, and they happened to be very healthy, community dwelling, older adults, quite active. You go into this community, perform this study, you leave. Eric: And it’s even more complicated, right? So I want to share a little anecdote.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. Who do we have on with us today?

Provider 119

Provider Illness IT Healthcare 119

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 23, 2023

And so the family is there in much more of an advisory role rather than providing say, cognitive scaffolding that they might provide in supported decision making. This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that.

Families 98

Families Family Patient-Centered IT 98

GeriPal

OCTOBER 26, 2023

We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.” Lynn: Well, I was just going to say there’s such an amazing breadth of things that rehab can provide. ” So that’s something that I think a lot about. And oh, guess what?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

AUGUST 25, 2022

Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. Although I saw that hospice was providing a lot of really great quality care for these patients, I also saw a lot of problems.

Families 107

Families Family IT Patients 107

GeriPal

MAY 26, 2022

Govind: And there again, compared to certainly being a frontline health provider, many people who were in trials were there because they really wanted the vaccine, they didn’t necessarily perceive being in a trial as burdensome, but is still thought to be by a lot of people important to recognize their contribution by way of reciprocity.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. Today we’re going to be talking about narrative writing specifically for healthcare professionals. But I think the community, the response, that was overwhelming. Liz: That’s right.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

MAY 15, 2025

Many were community hospitals. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. Because it’s complicated and we don’t want to over complicate prayer listeners. Examples of nudges, some based in health care, others in coffee.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

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 22, 2025

Relationships are usually more complicated. We’re looking at community based organizations and we’re just going to keep synthesizing this to try and construct a picture of music in everyday life. You’ve done research on caregivers, too, and the engagement of music and caregivers. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

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

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

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. The model is predominantly physicians, advanced practice providers. Jennifer: I think it’s such a complicated question. I was really struggling because there were no mentors in the oncology space.

Illness 111

Illness Hospital Patient-Centered Patients 111

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. We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Thank you for that gift to our community and to the patients.

Illness 134

Illness Patient-Centered Patients IT 134

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 Patients IT 116