GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

Screening 99

Screening PCP PCP IT 99

GeriPal

MARCH 9, 2023

Today we largely focus on reasons for caution, including: We know almost nothing about psychedelics in older adults – only about 1% of patients in published trials were older adults, much less older adults with multiple chronic conditions, multiple medications, and frailty. There is a marked lack of diversity in published trials.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 114

Community Transportation IT PCP 114

GeriPal

OCTOBER 10, 2024

Alex 01:23 And we’re delighted to welcome DorAnne Donesky, who is a palliative care nurse practitioner at Queen of the Valley Medical center in Napa and professor emeritus at the UCSF School of Nursing. So that means that we all screen for every domain in our interactions. Michelle 01:22 Thanks for having us today.

Screening 119

Screening IT Families Family 119

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. How should we screen for cognitive impairment? He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 8, 2025

What made this trial, I would say, unique, is that you have a palliative care physician and nurse following people with medication tapering in order to be dosed. So medication adjustments. Just to wrap up my portion of telling about the trial, these medications are amplifiers of consciousness, and they can worsen pain.

Illness 107

Illness IT Patient-Centered Patients 107

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

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

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. We’ll talk about is it in medical practice yet? It came after engaging her.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 64

IT Hospital Screening Patients 64

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 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. I’ve been running a medical storytelling program called the Nocturnus.

IT 107

IT Community Patients Family 107

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. Eric: And this one just came out.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It is a screening? I guess FICA is not as cool as SKY. Is it an assessment?

IT 99

IT Patient-Centered Families Family 99

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 ). . James: Yeah. Eric: What other decisions?

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. So there’s a lot of different ways to think about it.

IT 66

IT Patient-Centered Screening Patients 66

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 63

Consulting Community Patient-Centered Families 63

GeriPal

JUNE 5, 2025

And assisted living doesn’t offer the same level of medical supportive services as nursing homes. That services need to be in the building, I think is an important one to talk about because people in nurses nursing homes do have a lot of medical issues. You know, they’re trying to give medication to a number of patients.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

I had it on my screen. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. And so I went into medical school wanting to cure cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

SEPTEMBER 8, 2022

Alex: We are so fortunate to be joined by one of my former mentors who I’ve known for 20 years, Holly Prigerson, who is now Irving Sherwood Wright Professor of Geriatrics at Weill Cornell Medical School and Professor of Sociology and Medicine and Director of the Center for Research on End Of Life Care. So it’s different.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 10, 2022

Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. I was like, how do you disseminate this knowledge out to these community nursing homes in rural Georgia so that people know about this? Eric: What does unpleasant look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. And it is going to affect, if it hasn’t already, our food quality, the food that’s available, our medications.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. question used to screen for domestic violence.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

AUGUST 1, 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 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. This has become a community of people all over the world who come together every week. Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. .

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

And I graduated from medical school in the early 80s. 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. Peter 04:12 Well, I mean, my whole career really has sort of grown along with and moved through the AIDS epidemic. Meredith 09:33 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. So the other part of that thing I would say is all of those things are true about the difference in rates between a community.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. But for other- Diane: And it’s on the medical side. Number one, number of days you are in the community.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. This was the opening paragraph that I wrote in March of 2020 when introducing a podcast we did with Dr. Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. Summary Transcript Summary.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JUNE 2, 2022

And all these tools I’m mentioning to you are medical. One out of five, they’re using the word COVID survivors, which is an interesting terminology, have long COVID symptoms or new medical problems. One in five people with COVID, with mild COVID, do not go on to get a serious medical condition. Eric: Yeah.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Alex: We are delighted to welcome Joe Rotella, who’s the Chief Medical Officer of the American Academy of Hospice and Palliative Medicine. And I think that it was percolating in a lot of the palliative care community. So now that the emergency response has ended, what’s to be done? Joe, welcome to the GeriPal podcast.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73