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 100

Screening PCP PCP IT 100

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. What are ways we should screen for falls? Alex 04:10 Wow.

IT 125

IT Screening Patient-Centered 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). We’re going to work with training up the providers that already work in these clinical settings to make it a little bit more, essentially, ask this question of how is this going to work in the real world?

Patient-Centered 91

Patient-Centered Community IT Medical 91

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 Families Family Diagnosis 102

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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

MAY 8, 2025

So it really helped form community between patients and helped build community with the palliative team that was involved. And also Yvonne Bessant, who is a good friend of ours, is a very important way to encourage community help with integration, but also to kind of nourish the spiritual transformation that goes on here.

Illness 109

Illness IT Patient-Centered Patients 109

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. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

JANUARY 16, 2025

But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you. So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. It doesn’t provide enough guidance for the clinicians to make decisions.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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 65

IT Hospital Screening Patients 65

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below.

Clinic 68

Clinic IT Patients Medical 68

GeriPal

JUNE 5, 2025

So usually they’ll make recommendations, maybe some medication adjustments or something like that, and then the provider that’s caring for them in house will take over from there. So the palliative care service doesn’t necessarily need to provide those potentially. Eric 13:49 Right. Alex 14:59 What do you think?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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

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. And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care.

IT 145

IT Hospital Patients Illness 145

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

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 67

IT Patient-Centered Individual Screening 67

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

MAY 22, 2025

You might see me on the TV screens next year. 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. So I’m, I’m, I might be. Eric 35:35 This is the. We knew her when. Tyler 35:38 That’s right.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ). Lexy: Great.

IT 99

IT Patient-Centered Families Family 99

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. The model is predominantly physicians, advanced practice providers. And for the most part, it’s really hard to start building an evidence base in the community setting.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 8, 2022

We say it’s about 4% of those who are bereaved, who are from community-based samples. If you had a magic wand, you can change one thing about what providers do around this topic of grief and prolonged grief disorder. So it’s different. Eric: Yeah. What are effective treatments? Or do we have any?

IT 100

IT Complication Relationship Specialization 100

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. What do we do to very concretely provide heat shelters and cool shelters?

Healthcare 130

Healthcare IT Education Community 130

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. My mom, who’s half chinese and half hawaiian, helped rally the asian american community in Michigan after the Vincent Chin incident.

Mental Health 118

Mental Health Community Screening IT 118

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 96

Primary Care IT Clinic Provider 96

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. This has become a community of people all over the world who come together every week. And along the way, we really felt like we got to the heart of things. AlexSmithMD .

Patient-Centered 93

Patient-Centered IT Community Illness 93

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 124

Mental Health IT Community Individual 124

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 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.”

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JULY 14, 2022

Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care. The screening process is obviously shifted.

Nurse Practitioner 137

Nurse Practitioner Patient-Centered Vaccination Emergency Room 137

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. Monica: And the patient said, “I don’t like my doctor wearing masks.” Eric: Yeah.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

What was life for you as a provider pre-pandemic? And I think that it was percolating in a lot of the palliative care community. And so we’re able to provide access to those patients that may be home-bound or home limited or have a lot of struggles to get in. What did we learn during the pandemic? Where we should be going?

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73