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. So it works.

IT 120

IT Patient-Centered Patients Clinic 120

The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. Searchable by symptoms, signs, and patient factors, it represents the fastest path to a customised differential diagnosis.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 8, 2023

So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it. And they also start to equate the symptoms of hyperglycemia, which happen often over 180, maybe over 200 for newer diagnosis folk with those high blood sugars.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 95

Primary Care Diagnosis Screening IT 95

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. Community-based organizations led by Black women may be even more impactful. Patients are in a very vulnerable state when they enter the healthcare setting.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 24, 2024

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. For instance, Friday night, Saturday night parties are of community wide. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

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. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . Alex: We are honored to welcome Dr. Rajagopal, who goes by Raj, who is the author of Walk with the Weary: Lessons in Humanity in Healthcare. And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

SEPTEMBER 1, 2022

When you think about leadership and we think about health care, we still live in a healthcare system that has a hierarchy. And so there are different levels of power within our healthcare system. We need to figure out how to create this community of palliative care social work scholars. What does this diagnosis mean to you?

IT 102

IT Family Families Clinic 102

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. Just encourage patients and families to bring music into their healthcare experience.

IT 96

IT Patient-Centered Patients Board-Certified 96

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. COVID-19 diagnosis of self Yes 24 (44.4) 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 20, 2022

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). It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

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. Lynn: Great.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 23, 2023

In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Eric: And just for our listeners, can you briefly describe the case? Lynn: Sure. Anne Rohlfing: Yeah.

Family 97

Family Families Patient-Centered IT 97

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Joe 41:30 Yeah.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MAY 9, 2024

Matt Tyler (aka Pallidad for those on Twitter ): Matt is the Hospice and Palliative care doctor who created How To Train Your Doctor , which helps patients living with serious illness find tips on “owning” their healthcare plan on his Instagram and YouTube pages. I do think other healthcare providers need to learn about this.

Education 127

Education IT Illness Healthcare 127

GeriPal

MARCH 7, 2024

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. That was really the theme song of how the community came together. There were rules a little bit, because the healthcare system likes to have some level of consistency as people move in. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. It’s by choice, just like in the community. Did I get that close?

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 9, 2023

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 4, 2023

I will say one of the challenges in the field is many hospices don’t know how to take care of children or young people, and so you have these folks in the community who you’re trying to provide services to, and you just can’t connect them to the same types of resources you’re used to using. Who’s your community?

IT 83

IT Family Families Illness 83

GeriPal

AUGUST 31, 2023

So she had them early in diagnosis and then a little bit later. Eric: Well, I’m going to jump around a little bit because I’m going to go, Brad, I had a chance to read some of your book and one of the chapters was on your own prostate cancer diagnosis. Brad: Yeah. God, that was almost 20 years ago now, Eric.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. So for the stepped care model, all patients see palliative care at the time of diagnosis.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 30, 2022

But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I. Fifty percent have a diagnosis in their record of decedents have dementia. Joel: Yeah. Samir: Unequivocally, unequivocally. Alex: Mm-hmm.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 19, 2023

Gretchen Schwarze like surgery, four things, live longer, feel better, be more functional, make a diagnosis. It would have a CPR section and then it would have a healthcare proxy section. If it was going to be for 48 hours to get them through a community acquired pneumonia. So it’s the goals that are important.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. 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.

Family 106

Family Families IT Patients 106

GeriPal

FEBRUARY 17, 2022

I you use the Lee Schonberg prognostic index for community dwelling older adults you will be directed to the tool, and it will automatically place the life expectancy at the calculated prognostic estimate. . And so many older adults with diagnosis of osteoporosis have never received any therapy for it. See screenshot below.

Clinic 67

Clinic IT Patients Medical 67

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

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Why did you do this?

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 27, 2025

My typical approach with somebody who’s in a methadone clinic, say, a recent cancer diagnosis, and they’re relatively healthy, they can still get to the methadone clinic, although they might not like it, is to. They’re only allowed to prescribe it for opioid use disorder, opioid cravings and Sach. Pearls tips?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

SEPTEMBER 8, 2022

Holly has accumulated mountains of evidence for the diagnosis of prolonged grief disorder as a specific condition primarily notable for a yearning over a year after the death. We say it’s about 4% of those who are bereaved, who are from community-based samples. This led her on a remarkable journey. So it’s different.

IT 100

IT Relationship Complication Specialization 100

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

But we all know intuitively as clinicians and as people in the community, we see people have these events and then we see them have a much faster decline after that. In the community? But also one of the reasons we want to focus on the community was that actually most people with dementia live in the community.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. And the entire community of palliative care said yes, not a palliative care study. I think bigger cancer centers and health systems can probably implement these, but I think it’s tough in a community based practice to reliably collect these without boots on the ground.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? Yeah, for sure.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . I think that we forget that the clinical encounter is very often just two people in a room experiencing each other, and that that’s what is the beginning of that sacred space of healthcare and healing.”

Patient-Centered 93

Patient-Centered IT Community Illness 93