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. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

JANUARY 23, 2025

Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Maybe even had come in with a complication. We’re starting to adopt them as well for different cultural communities. Amy, welcome to GeriPal. Amy 00:34 Excited to be here.

Specialization 120

Specialization IT Patient-Centered Medical 120

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

PEMBlog

OCTOBER 2, 2024

Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting. You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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 6, 2025

Understanding how to prepare for this important appointment ensures you receive maximum benefit from your healthcare provider’s expertise. Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

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. Going into patient’s homes was eye opening.

Community 116

Community Transportation IT PCP 116

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People experiencing homelessness (PEH) and type 2 diabetes are hospitalized more often, develop diabetes complications, and die on average 10 years earlier than their housed peers due to poorly controlled chronic physical and behavioral health conditions.

Diabetes 130

Diabetes Medical Complication Physicals 130

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. Eric: Yeah.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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

PEMBlog

JUNE 2, 2025

Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies. References: Bertazza Partigiani N, Spagnol R, Di Michele L, et al.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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.

Families 102

Families IT Family Diagnosis 102

GeriPal

OCTOBER 26, 2023

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. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And I believe it needs the community. And the community came in.

Community 116

Community IT Relationship Healthcare 116

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

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. I like it, John. William: Yeah.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

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

MAY 22, 2025

A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones. I am not a board certified.

IT 98

IT Patient-Centered Patients Board-Certified 98

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. You were focused on physical and psychological distress and symptoms. I was really struggling because there were no mentors in the oncology space.

Illness 111

Illness Hospital Patient-Centered Patients 111

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. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

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 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. That’s a great question.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

SEPTEMBER 8, 2022

It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief? We say it’s about 4% of those who are bereaved, who are from community-based samples. Holly: Oh absolutely. Holly: They’re the same symptoms.

IT 100

IT Complication Relationship Specialization 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 Patients IT 116

FDA Law Blog

MAY 21, 2024

and its abuse may lead to only moderate or low physical dependence or high psychological dependence. The Attorney General also released DOJ’s Office of Legal Counsel (“OLC”) opinions providing the rationale and support for the NPRM. 21 U.S.C. § Schedules of Controlled Substances: Rescheduling of Marijuana, 89 Fed. NPRM at 44,607.

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. Sharon 15:21 Right. You can’t even.

Illness 131

Illness IT Physicals Patients 131

GeriPal

NOVEMBER 3, 2022

So take a listen and check out some of these resources for healthcare provider loss, grief, and wellness: Loss and Grief: Personal Stories of Doctors and Other Healthcare Professionals. Eric: We’re going to be talking about loss and grief and the role of debriefing for healthcare providers. Craig: Thanks so much, Alex and Eric.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. AMA PRA Category 1 credit(s) ™.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. The intervention itself is very straightforward. This is what I do here.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? I trained at Hopkins.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Pamela Wible MD

JUNE 19, 2025

Wible held town hall meetings and she invited citizens in her community to design their own ideal clinic. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. It’s dangerous and unsustainable; emotionally, physically, spiritually, financially for the patients—and for us.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JUNE 2, 2022

And then maybe KN95s, FFP2s and KF94s, if you wear them, at least in physical science studies, if you’re inside in a crowded where Warrior stadium or something, that should provide you some self protection. And one in five people had a serious COVID complication. Yes, good point. Eric: Yeah.

Vaccination 100

Vaccination IT Hospital Management 100