The Clinical Problem Solvers

OCTOBER 18, 2022

All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system. The ways to remedy the negative impacts of incarceration are to incarcerate fewer people and to invest in communities. Heard-Garris adds that a good place to start is to decarcerate people and offer them support.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

GeriPal

AUGUST 4, 2022

A year ago we did our first “Deprescribing Super Special”. Alex: And we have Kevin McConeghy, who is a clinical pharmacy specialist at the VA Medical Center in Providence, and a PhD candidate at the Brown School of Public Health. Eric: So we’re calling this a deprescribing super special. Alex: So this is Super special 2.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. There has to be effective support provided behind any type of screening strategy in order for it to truly be effective. Joe, your thoughts?

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JANUARY 12, 2023

Number three, this specialized prepared environment that promotes safe mobility and cognitive stimulation and delirium prevention, so sort of environmental changes. And so I thought let’s try to figure out actually how many they are, where they are they in academic centers and community centers. Are they community dwelling?

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 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 Preventative Care Preventive Care Family 100

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 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. I would like to request the Friendship Train by Gladys Knight and the Pips.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

SEPTEMBER 1, 2022

In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. And I think that’s when I got hooked on how do we improve care, in my case again, for kids and families, but also for us, the providers. I can figure out how to provide care in this way.

IT 102

IT Family Families Clinic 102

GeriPal

MAY 8, 2025

So in our trial, because of security reasons, we are required by Health Canada to store the substance in a special secure area in my office. So it really helped form community between patients and helped build community with the palliative team that was involved. But also it brings community. James 01:34 Yeah, right on.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

SEPTEMBER 7, 2023

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. And because, it’s a little kid in a candy store, so many different choices for quote, unquote, “community oncologists,” and perhaps even for academic oncologists.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 114

IT Provider Patients Family 114

GeriPal

AUGUST 25, 2022

Eric: Alex, we have a super special today. We’ve got a hospice super special. Alex: We have a hospice super special day. Eric: We have a smorgasbord, if you will, of papers that got published recently around hospice, and that’s why we’re calling it a hospice super special. -@AlexSmithMD. Transcript.

Family 106

Family Families IT Patients 106

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. How to think about primary and specialized palliative care in this setting. So the palliative care service doesn’t necessarily need to provide those potentially. Many also suffer from distressing symptoms like pain.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. So I really opted to specialize in lung cancer because I thought that was the appropriate population to build a supportive and palliative care research agenda. Jennifer: Thanks.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. Why do so many (most, all??)

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

APRIL 28, 2022

So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. And so here’s a picture of four healthcare providers behind bars. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 22, 2025

My voice is nothing special. 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. I rely on recorded music for my patients mostly, and I think that’s based on my singing. I think that’s more palliative than me.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MAY 9, 2024

Why focus on the public rather than other health care providers? How do they deal with professional barriers and the barrage of comments? And one of the things that really differentiates us is that you’ve chosen to be public-facing, whereas we are like clinician, provider-facing, so to speak. Julie: I have one.

Education 127

Education IT Illness Healthcare 127

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 Family Families Physicals 137

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. Today we’re going to be talking about narrative writing specifically for healthcare professionals. It feels special to me. But I think the community, the response, that was overwhelming.

IT 96

IT Patient-Centered Patients Healthcare 96

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. Midnight special shine a light on me or let the midnight special shine a light on me let the midnight special shine another loving light on me.” AMA PRA Category 1 credit(s) ™.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. So that’s the other part. That’s the other piece of data on top of our focus group anecdotes.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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 Patients 67

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 ).

IT 99

IT Patient-Centered Family Families 99

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 115

Consulting Patient-Centered IT Patients 115

GeriPal

SEPTEMBER 8, 2022

And also it’s a little bit of an insult to one’s identity to feel like if this special person in your life can be forgotten, then you can be forgotten. But our living memory home is a way to both maintain that connection, because that’s the fear is that you’re going to lose this connection to this very special person.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. I was really struck by the difference in care provided to people with advanced dementia.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 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. What do we do to very concretely provide heat shelters and cool shelters?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

MARCH 16, 2023

We have two authors, books, op-eds, prolific authors, and today’s podcast is a two-part special. So this week we’re going to be talking about writing for the lay public, and next week we’ll be publishing a podcast on writing for healthcare providers. Are you trying to reach people in your local community?

IT 105

IT Healthcare Professional Healthcare Transportation 105

GeriPal

AUGUST 15, 2024

This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism. And one of the things that we’ll talk about today is how did the community respond?

Mental Health 116

Mental Health Community IT Screening 116

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. The process of sharing that of literally of reading that poem in community has been amazing.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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

APRIL 20, 2023

One of the worst ways is you have a community of people who’ve paid into Social Security their whole life, paid into to support Medicare their whole life, and don’t live long enough to see the fruits of that. .” Alex: But the longer title’s Ethno-Geriatrics and Special Populations. Margot: Yes. Yeah, for sure.

Mental Health 123

Mental Health IT Community Individual 123

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. Eric 00:13 And Alex, we have a super special today, three different articles. Alex 00:18 Prognosis, super special today. Eric 25:08 Super special. This is Eric W id era.

Family 106

Family Families Patient-Centered Patients 106

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

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 130

Illness IT Physicals Patients 130