PEMBlog

AUGUST 20, 2024

It’s much more logistically difficult when the patient arrests out of the hospital and then presents to the emergency department with CPR ongoing via EMS personnel and then to get transitioned to ECMO. Then developing an eCPR program involves building a comprehensive system of care that extends out into the community as well.

Patient-Centered 52

Patient-Centered Hospital Patients IT 52

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 120

IT Patient-Centered Patients Clinic 120

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting. Both conditions can present with similar symptoms. And the presentation for GERD varies by age.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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 Preventative Care Preventive Care Families 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

The Clinical Problem Solvers

FEBRUARY 8, 2023

Together, our guests explore and unpack how the criminalization and racialization of substance use builds to the present-day opioid epidemic and shapes inequities in care. Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

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

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. There may be lots of reasons behind this.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Complicated grief? Did the caregiver feel heard and understood? Did they have PTSD?

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

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. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. I actually do some consulting work with a company called the Farmstand that’s based in a community called the Villages in Florida. For instance, Friday night, Saturday night parties are of community wide. And yet, stigma about cannabis really, really held them back.

Medical 99

Medical IT Patient-Centered Healthcare 99

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. Absolutely.

Families 102

Families IT Family Diagnosis 102

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 100

Healthcare IT Community Illness 100

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. That was really the theme song of how the community came together. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

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 129

Patient-Centered IT Patients Clinic 129

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

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Who would/should be on that board? Eric 00:42 Great.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

OCTOBER 26, 2023

We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.” ” So that’s something that I think a lot about. But really how are we talking about that as a team? And oh, guess what? When he went to SNF last week, he hasn’t walked in two months.”

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

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. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 23, 2023

And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. So I do think that probably is step one is just asking, which I think is what we proposed.

Families 98

Families Family Patient-Centered IT 98

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

MAY 22, 2025

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. Relationships are usually more complicated. You emailed me about doing a podcast on music and medicine. I’m wondering, why did you think it was a good idea to do this podcast?

IT 97

IT Patient-Centered Patients Board-Certified 97

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 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. I know not all systems are set up to allow for that or facilitate that retrieval, which makes things a little bit more complicated when push comes to shove.

Illness 73

Illness IT Healthcare Patient-Centered 73

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 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. Eric: That’s a complicated form then. I want designation.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

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. Julien: I like this question.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

Family Medicine Initiative

APRIL 10, 2024

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. You know your patients’ evolving story as well as their family, friends, coworkers, and the peculiarities of their local community.

Family Physician 130

Family Physician Families Family GP 130

FDA Law Blog

MAY 21, 2024

The Attorney General also released DOJ’s Office of Legal Counsel (“OLC”) opinions providing the rationale and support for the NPRM. The Attorney General, after considering HHS’ recommendations, “concludes that there is, at present, substantial evidence that marijuana does not warrant control under schedule I.” 44,597 (May 21, 2024).

Physicals 69

Physicals Medical Clinic Emergency Room 69

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Is that what you’re seeing as a palliative care provider now or. How did you get involved and interested in this topic?

Primary Care 94

Primary Care IT Clinic Provider 94

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 102

Healthcare Professional Healthcare IT Relationship 102

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. It’ll provide you with like a percentage estimate of probability of nursing home level of care at two, five and ten years, and also the median predicted time to nursing home care.

Families 106

Families Family Patient-Centered Patients 106

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 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. And that really is what prompted me to get certified as a sexual education provider.

Illness 130

Illness IT Physicals Patients 130

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? Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115